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A.14.1
SCHOOL OF NURSING
FACULTY OF MEDICINE
DIPONEGORO UNIVERSITY
2015
Miss Vita is a 20 years old patient, come to the hospital accompanied by her Sister.
She come to the hospital with a symptoms which the problem has about her pain on her
fracture trace in the right upper arm since three weeks ago after she got an accident. She
didnt go to the hospital when she got the accident three weeks ago, she just come to the
massage therapist to solve her problem, she has been drinking some medicine to reduce her
pain, but it doesnt work at all. She just lies down on her bed with grimacing face and holding
her arm. In the afternoon her condition was getting worst so that she asked her sister to
accompany her to come to the hospital.
Miss Vita and his Sister arrived in the hospital and went to the receptionist. But
unfortunately they didnt know about the direction to the registration place because it was too
many change with that place since two years ago, so that they asked to the nurse that walks
over them.
Sister
Nurse2
Sister
Nurse2
: Oh sure, first you should go a straight, then you will find the intersection,
then you turn right. The registration place was on your left side, beside the emergency room.
Is that clear miss?
Sister
Nurse2
: Ok.
After they arrived in the registration place, her sister admitting Miss Vita and make an
appointment to her doctor. She asks Miss Vita to wait for her in the waiting room.
Receptionist
Sister
Receptionist
Sister
: No, but usually today is her schedule to practice in this hospital right?
Receptionist
Sister
Receptionist
Sister
Receptionist
: That is no problem, I will check her data. Sorry miss, may I know her
Receptionist
Sister
: Of course.
Receptionist
Sister
Receptionist
Sister
Receptionist
Sister
: it 081-229-253-272.
Receptionist
: Very well, you may take your queue number and we will call you according
to the number, you may wait on the waiting room, thank you.
After waiting in a view minutes, the receptionist call her queue number and invite her
to consulting room, to meet the nurse.
Receptionist
Miss Vita
: Yes me.
Receptionist
Miss Vita
: Ok, thanks.
Miss Vita has been admitted for investigation to find out more about the pain
promblem on her fracture trace. The nurse has about to examine her complain and check her
condition.
Nurse
: Hello, good afternoon Im Nurse Fifi that will take care of you today.
Miss Vita
Nurse
: Ok, Is that true with Miss Vita Agustin Erlyana, 20 years old?
Miss Vita
: Yes, Im.
Nurse
: Ok miss, may I take your time for we talk about your feeling now and check
Nurse
: How are you this morning, you look so painful, is it something wrong.
Miss Vita
Nurse
: Ok Miss, before we continue, may I take your time for we talk about your
feeling now and check your condition, it wont be long maybe just 10 until 15 minutes.
Miss Vita
Nurse
: Now just a little about why youve come into hospital. Can you tell me why
Miss Vita
: Well, Ive had so much trouble with my fracture trace. And its not clear
why. Youre going to run some examination I think, and see if you can find out whats going
on.
Nurse
Miss Vita
: Well, its been going on for several weeks now, and after I hit by a car my
right upper arm was injured, but it got a lot worse this morning, I thought Id better do
something about it, so that I went here.
Nurse
: Yes, youre doing the right thing, and did you get any medicine before you
: Hmm, I dont know but my family just brought me to the massage therapist
to solve the problem and thats not too bad I guess. And when the pain is relapse usually I
used to take asam mefenamat to reduce the pain.
Nurse
Miss Vita
: Well, you know, quite a lot of pain, especially after Ive did some
movement, I feel like there is a needle that punctured, so that I cant do more activity as
usual.
Nurse
: a needle that punctured? Hmm did you hitting from something after your
Nurse
: Well, so If I give you a scale from 1 until 10, how much you rate your
pain?
Miss Vita
Nurse
: Ok, do you mind If I see your fracture trace on your right upper arm?
Miss Vita
Nurse
: Of course, Hmm you said that you cant do more activity,so how about your
daily activity?
Miss Vita
Nurse
Miss Vita
dressing.
Nurse
: Hmm, and for your daily, are you just stay on your bed?
Miss Vita
: Actually no, I can walk as usual, but for did some activity with hand I use to
be done with my left hand and if I cant I just asking for help.
Nurse
: Ok I see, do you have any problem with your nutrition? And how much you
eat in each day?
Miss Vita
food too.
: No, Im eating three times a day as usual, and I eat up all my portion of the
Nurse
Miss Vita
Nurse
problem?
: And then how about communication with others? Do you have any
Miss Vita
Nurse 2
Miss Vita
: I felt difficult to sleep because of my pain, sometimes it punctuated me
when I just sleep.
Nurse 2
Miss Vita
: I just pray as usual but for some movement that I cant, I just do it as I can.
Nurse
: Ok. Ill just write that down. Now Ill take your blood pressure, body
: Oh yeah, sure.
Nurse has about to take a blood pressure, body temperature, respiratory rate, and pulse
of the Miss Vita.
Nurse
: Well, you got 110/80 mmHg in a blood pressure, 22 rate per minutes, 37,2
Nurse
: Yes, your vital sign is normal.Ok, I think is enough for this section, and it
also almost end of our time contract. After this Ill back to the nurse station and
coNurse2ulting your condition with your doctor to served the best medication for you.
Miss Vita
: Ok nurse, thankyou
Nurse Fifi had come back to the nurse station to recapitulate the data of the patient
and consulting with the doctor. After consulting in a view hour, doctor decided to take further
examination for Miss Vita including the x-ray test, so that she will be hospitalized in a few
days because her conditioNurse2.
On the following day Nurse Lina come to her ward to check up her condition and give
the pain managemet program.
Nurse 2
: Hello, good afternoon Im Nurse Lina that will take care of you today.
Miss Vita
Nurse 2
: Ok, Is that true with Miss Vita Agustin Erlyana, 20 years old?
Miss Vita
: Yes, Im.
Nurse 2
Miss Vita
Nurse 2
: Ok miss, in this morning I will check up your condition and give some
therapies to solve your pain problem. It wont be long maybe just 10 until 15 minutes.
Miss Vita
: oke, sure.
Nurse 2
: Okay Miss, firstly let me clarified. Is that true if you dont feel comfortable
because your pain on your right upper arm because of your fracture trace?
Miss Vita
Nurse 2
night?
: How about your feelings today? Do you get any problem for sleep last
Miss Vita
: Yes, there was no change, my sleep was distrubing by my pain last night.
Nurse 2
: Ok miss, before I give you some therapies let me checked your vital sign.
(Nurse Lina has about to check a blood pressure, body temperature, respiratory rate,
and pulse of the Miss Vita)
Nurse 2
: Your blood pressure is 120/80 mmHg, and you got 36,7 body temperature,
21 rpm respiratory rate, and your pulse is 56 bpm, and overall your vital sign is in the normal
range.
Nurse 2
: Well actually, Im here to give you some therapies to reduce your pain. And
there are many therapies to manage your pain.
Miss Vita
Nurse 2
: Absolutely no Miss, all of the therapy is simple. There are many therapies,
but I will give you two optioNurse2 to choose, that is music therapy, and aromatherapy.
Miss Vita
Nurse 2
: The music therapy is one of therapies method by using the select music
indeed, you just have to listen some music that can make you feel comfortable with it and you
have to choose the genre of the music by your own.
Miss Vita
Nurse 2
: Yeah, for the aromatherapy I will give you the aromatic fragrance in your
room that will relaxing you and make you feel comfortable.
Miss Vita
: Fragrance? Hmm, I think Im not too interested with that one. I think Music
therapy is the good choice for me.
Nurse 2
: Yeah, I think that is a good selection miss. So what about the genre of the
music that you want to hear for this therapy can you mention it?
Miss Vita
Nurse 2
: Yeah... thats a good choice miss. Classic music is the one genre of music
that can make you feel relax and comfortable.
Miss Vita
Nurse 2
: Actually started from now, but Im sorry miss, Do you mind if I will prepare
some equipment of music therapy first? It will be occur in a 10 minutes?
Miss Vita
Nurse 2
Just whitin a minutes, nurse came back to Miss Vitas ward and bring some
equipments for the music therapy.
Nurse 2
Miss Vita
Nurse 2
: Ok miss, Now the equipment is ready for you, we will start the therapy. I
will help you have to put the headphone till it was fit on tour head and ear. And if you are
ready I will play the classic music. And you can enjoy it.
Miss Vita
: OK
Miss Vita
Nurse2
: okay miss, how do you feel after you got this therapy?
Miss Vita
: Actually I feel better nurse, I also feel more comfort and it was easy to
practice and so helped. Then I feel happy because I can talk with you, because I can express
my complaint.
Nurse 2
: yes miss, you can do this therapy by your own, especially when you take a
rest or sleep it may help you to reduce your pain.
Miss Vita
Nurse2
: Im happy to see you too. So do you want me to come again? You have to
talk with me again and I then will check your condition. Do you permits me?
Miss Vita
Nurse 2
Miss Vita
Nurse 2
: ok miss. I will come here at the same time in the next day, and I think it is
enough. Do you have any question or complaint?
Miss Vita
: no, I dont
Nurse 2
: Ok, I have to go now, if you need any help, please press the button, and the
nurse will come to you, thankyou for your cooperation mom, good morning.
Miss Vita
: Ok, nurse, thanks you for your coming, nice to see you.
Nurse 2
Miss Vita
: Bye.
After hospitalized in a view day finally Miss Vita was permitted by her doctor to back
home. In the end Miss Vita got back her activity and she is more carefully.