(pdf) Penerapan Askep Pada Pasien Post Op Tumor Payudara Dalam Pemenuhan Kebutuhan Rasa Nyaman Di Rs Tk Ii Pelamonia Makassar _ Rahmawati Said Dan Irsan Irfandi - Academia.edu.pdf

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PENERAPAN ASKEP PADA PASIEN POST OP TUMOR PAYUDARA DALAM PEMENUHAN KEBUTUHAN RASA NYAMAN DI RS TK II PELAMONIA MAKASSAR Rahmawati Said

Irsan Irfandi  

 

PENERAPAN ASUHAN KEPERAWATAN PADA NY. L DENGAN POST OP TUMOR PAYUDARA DALAM PEMENUHAN KEBUTUHAN RASA NYAMAN DI RUANG ANYELIR RS TK II PELAMONIA MAKASSAR Irsan Irfandi1), Rahmawati2)  Diploma III Keperawaa!" A#a$emi Keperawaa! M%&amma$i'a& Ma#a((ar email) ir(a!ir*a!$i+'a&oo.,o.i$    Diploma III Keperawaa!" A#a$emi Keperawaa! M%&amma$i'a& Ma#a((ar 1

email) amma/+ro,#email.,om

ABSTRAK

T%mor pa'%$ara mer%pa#a! ma(ala& #e(e&aa! 'a!0 pali!0 %m%m pa$a wa!ia $i (el%r%& $%!ia ma%p%! I!$o!e(ia. Lei& $ari 2.1 3%a US 'a!0 memili#i riwa'a %mor pa'%$ara pa$a a&%! -415. Di I!$o!e(ia a!0#a #e3a$ia! %mor pa'%$ara a$ala& 61.67- #a(%(. Sala& (a% pe!a!0a!a! me$i( %mor  pa'%$ara a$ala& opera(i ma(e#omi" !am%! a#ia $ari peme$a&a! ma(e#omi a#a! me!im%l#a! ra(a !'ama! !'eri. l%#a Bila opera(i. i$a# (e0era $iaa(i a#a! me!im%l#a! e*e# mema&a'a#a! 'a!0 me!00a!00% pro(e(  pe!'em%&a! Pe!eliia! i!i er%3%a! memeri 0amara! a(%&a! #eperawaa! pa$a pa(ie! N'. L $e!0a! po( op %mor pa'%$ara $alam peme!%&a! #e%%&a! ra(a !'ama! !'eri" me!00%!a#a! meo$e $e(#ripi* $e!0a!  pe!$e#aa! (a%$i #a(%(. Ha(il pe!eliia! me!%!3%##a! pa(ie! me!0alami !'eri a#% $e!0a! (#ala  8%3%&9" er%(:me!er%(" $a! erlo#ali(a(i" (i*a !'eri me!0i0i $a! er%(%#:%(%#. Pe!erapa! a(%&a! #eperawaa! $ila#%#a! %!%# memeri ra(a !'ama!" me!0o!rol $a! me!0aa(i !'eri $e!0a! me!00%!a#a! e&!i# !o! *arma#olo0i 8e&!i# !a*a( $alam" $;i#ir $a! ma((a0e9 $a! *arma#olo0i 8#eolola, $a! a(am me*e!ama9. Simp%la! pe!eliia! me!%!3%##a! a&wa pemeria! i!$a#a! !o! *arma#olo0i $a! *arma#olo0i &a!'a me!i!0#a#a! ra(a !'ama! pa$a 57 3am po( op $a! e*e#i* me!%r%!#a! !'eri (eela& - 3am po( op. Di(ara!#a! #epa$a perawa" a0ar me!0#omi!a(i#a! e&!i# !o! *arma#olo0i $a! *arma#olo0i $alam meme!%&i #e%%&a! ra(a !'ama! !'eri. Kaa #%!,i) N'eri" Ma!a3eme! !'eri" Po( Opera(i" T%mor Pa'%$ara   (ea!'a# 74 #a(%( 84"7?9 $a! pro=i!(i S%lawe(i Selaa! me!,apai -.</ #a(%( 8-<"/?9. 8 International Agency for Research on Cancer @IAR" $alam Keme!#e( RI" -41/9. I!(i$e! %mor pa'%$ara a!'a# $i$eria wa!ia $i I!$o!e(ia #are!a eerapa *a#or (eperi" #e!ai#a! era a$a! 1 #0 pa$a %(ia 17 a&%!  ere(i#o i!00i" %(ia C 54 a&%!" me!00%!a#a!  pil #o!ra(ep(i" me!opa%(e" 0e!ei#" li!0#%!0a!" 0a'a &i$%p 8pola #%m(%m(i i!00i lema#" #%ra!0 (era9" $a! &ormo!al 'ai% #a$ar &ormo!e e(ero0e! $alam %%& 'a!0 i!00i 8Si&omi!0  Sapar$i!" -41/" B%$i'a!o" Mari*a&"  S%(a!i" -41/9.  Sala& (a% pe!a!0a!a! me$i( %mor  pa'%$ara a$ala& i!$a#a! peme$a&a! aa% opera(i 8S%'a!o" -41/9. Opera(i 'a!0 (eri!0 $ila#%#a! pa$a %mor pa'%$ara a$ala& opera(i

PENDAHULUAN

T%mor pa'%$ara mer%pa#a! ma(ala& #e(e&aa! 'a!0 pali!0 %m%m pa$a wa!ia $i (el%r%& $%!ia ma%p%! I!$o!e(ia. Me!%r%  American Cancer Society  8-41/9" $iper#ira#a! -21.754 $a! 64.-<4 #a(%( ama&a! #a!#er  pa'%$ara. Pa$a a&%! -41/" (e#iar 54.-<4 wa!ia $iper#ira#a! me!i!00al a#ia #a!#er i! (i% pa'%$ara. Se#iar -.2/4 pria $i$ia0!o(a me!$eria #a!#er pa'%$ara $a! me!i!00al 554. Lei& $ari 2.1 3%a US 'a!0 memili#i riwa'a %mor pa'%$ara pa$a a&%! -415.   Di I!$o!e(ia a!0#a #e3a$ia! %mor  pa'%$ara a$ala& 61.67- #a(%(. Di (eiap pro=i!(i a!0#a #e3a$ia!!'a er=aria(i" a!0#a eri!00i  pa$a pro=i!(i >awa Te!0a& 'ai% 11./11 #a(%( 811/?9" ere!$a& pa$a pro=i!(i Pap%a Bara

1

OctaFX Copytrading

INSTAL

 

 

 Lumpektomi aa%  Mastektomi. Nam%! i!$a#a! i!i er(i*a i!=a(i*" (e&i!00a a#a! me!0a!00% #e%%&a! $a(ar ma!%(ia. Sala& (a% ma(ala& #eperawaa! 'a!0 (eri!0 m%!,%l a$ala& 0a!00%a! ra(a !'ama! !'eri 8A(ara!i  Firia!a" -41/9.

Ti!00i!'a a!0#a Ke3a$ia! ma(e#omi $a! $ampa# er&a$ap #e%%&a! $a(ar ma!%(ia 'a!0 $iim%l#a! memoi=a(i pe!%li( %!%# mela#%#a! pe!eliia! (%$i # a(%( pa$a pa(ie!  po( op %mor pa'%$ara $alam peme!%&a! #e%%&a! ra(a !'ama! !'eri" (e&i!00a $apa

 N'eri a#ia ma(e#omi a#a! me!im%l#a! ra(apeme$a&a! i$a# !'ama!. Bila i$a# (e0era $iaa(i $apa me!im%l#a! e*e# mema&a'a#a! 'a!0 a#a! me!00a!00% pro(e(  pe!'em%&a! $a! me!im%l#a! eerapa 0a!00%a! ai# *i(i# ma%p%! p(i#i(" (eperi ) i$a# mamp% er!apa( $alam" 0a!00%a! moilia(" ,ema(" e#(pre(i e0a!0" (re((" *r%(a(i" me!%r%!#a! !a*(% ma#a! $a! me!00a!00% i$%r" pe!i!0#aa! a!$a:a!$a =ial" (e&i!00a $apa me!00a!00% pro(e( pe!'em%&a! l%#a 8Sole&ai  R%(i!a" -412" A(ara!i  Firia!a"

mema!% $alam me!i!0#a#a! ra(a !'ama! $a! pa(ie! pro(e( pe!'em%&a!.  

  -41/9.Ha(il pe!eliia! T%ra! D##. 8-4169" melia#a! -54 pa(ie! wa!ia. N'eri #ro!i# $ialami ole& pa(ie! 2:6 %la! 17"2?. N'eri #ro!i# $iem%#a! 51"7? pa$a pa(ie! po( op 'a!0 me!0alami !'eri a#%" #emoerapi $a! erapi ra$ioi# &eroi! ela& er%#i me!3a$i * # i# i # i# $

METDE PENELITIAN

a.  Ran!an"an #$n$%itian  Pe!eliia! me!00%!a#a! meo$e $e(#ripi* $e!0a! pe!$e#aa! (%$i #a(%( %!%# me!$e(#rip(i#a! a(%&a! #eperawaa! $alam  peme!%&a!  #e%%&a! ra(a !'ama! !'eri  pa$a pa(ie! N'. L $e!0a! po( op %mor  pa'%$ara  .  L&'asi dan (a't P$n$%itian  Lo#a(i pe!eliia! $i RS TK. II Pelamo!ia Ma#a((ar $ari a!00al 17:-2 >%li -41 ,.  P$n"m#%an Data dan Ana%isis Data Daa $i#%mp%l#a! $e!0a! me!00%!a#a! *orma pe!0#a3ia! #e%%&a! !'eri $e!0a! meo$e wawa!,ara" o(er=a(i" pemeri#(aa! *i(i# $a! $o#%me!a(i" me!00%!a#a!

*a#or re(i#o !'eri #ro!i# po( op pa'%$ara. I!(i$e! (i!$rom !'eri po( op ma(e#omi 8PMP(9 -<"/? $a! pa$a pa(ie! 'a!0 me!3ala!i ma(e#omi 61?. Tipe !'eri era $ira(a#a!  pa$a &ari perama-5 3am po( op 8 (#ala a!alo0

i!(r%me! pe$oma! wawa!,ara $a! lemar ,e# li(. Daa $ia!ali(i( $e!0a! pe!$e#aa!  pro(e( #eperawaa!" m%lai $ari pe!0#a3ia!" $ia0!o(a #eperawaa!" pere!,a!aa!" impleme!a(i $a! e=al%a(i

4:149 pa$a (aa ma(i& rawa i!ap&ari $i r%ma& (a#i. Epi(o$e perama" 6" 1-" -5" 57 $a! 1 %la!  po( op $i $e*i!i(i#a! (ea0ai !'eri a#% po( op ma(e#omi" $a! ra(a (a#i 'a!0 $ira(a#a! pa$a  %la! #e 2 $a! 6 $i$e*i!i(i#a! !'eri #ro!i#.   Perawa memp%!'ai po(i(i pe!i!0 $alam mema!% meme!%&i #e%%&a! #lie! po( op ma(e#omi er#ai #e%%&a! ra(a !'ama! $e!0a! me!0%ra!0i !'eri" (eperi 'a!0 $ila#%#a! B%$i'a!o e al. 8-41/9" $alam pe!eliia!!'a %!%# me!0ea&%i pe!0ar%& erapi $;i#ir er&a$ap i!e!(ia( !'eri pa$a pa(ie! po( op ,a

HASIL DAN PEMBAHASAN P$n"'a*ian Ha(il pe!eliia! $iem%#a! $aa (ea0ai eri#%)   a.   N'eri era $e!0a! (#ala  " meli!$%!0i $aera& %%& 'a!0 !'eri $a! !'eri erlo#ali(a(i pa$a pa'%$ara (i!i(ra. Hal i!i $i(ea#a! ole& l%#a i!(i(i a#ia opera(i ma(e#omi 'a!0 a#a! memi,% pelepa(a! me$iaor ;a io#imia 8Hi(ami!" Bra$i#i!i!" $a! Pro(a0la!$i!9 'a!0 me!(e!i(i(a(i !o(i(epor 'ai% (era% A:$ela. Impl%( !'eri

mammae. !'eri Ha(il pe!eliia! a&wa raa:raa (eel%m me!%!3%##a! $ila#%#a! perila#% a$ala& !'eri ere!$a&  $a! !'eri eri!00i <. Raa:raa !'eri (eela& $ila#%#a! perila#% a$ala& !'eri ere!$a& - $a! eri!00i 6. A$a pe!0ar%& erapi $;i#ir er&a$ap i!e!(ia( !'eri pa$a pa(ie!  po( op ,a mammae (elai! $e!0a! erapi *arma#olo0i. Se$a!0#a! $alam pe!eliia! Sole&ai e al. 8-4129" e*e# mo$el i!er=e!(i #eperawaa! Rela#(a(i Mo$i*i#a(i 8RM9 'a!0 mer%pa#a! 0a%!0a! $ari Be!(o! Rela#(a(i 8BR9" M%(i# Rela#(a(i 8MR9" $a! Aromaerap&i

'a!0 erlo#ali(a(i a#a! $ira!(mi(i#a! melal%i aa!0 oa# $a! &alam%( melal%i (pi!oalami#%( 'a!0 memawa i!*orma(i (i*a $a! lo#a(i (im%l%( #e alam%(. Sela!3%!'a (i!'al $ier%(#a! #e #ore#( (e!(ori# 8(ereri9" (e&i!00a !'eri $iper(ep(i#a!. Me!%r% Bla,# $a! Hawa#( 8-4159" !'eri $i(ea#a! ole& a#i=ia( !o(i(epor 'a!0 er3a$i (e,ara ia:ia" (eperi !'eri i!(i(i (eela& opera(i.Hal i!i (e3ala! $e!0a! pe!eliia! 'a!0 $ila#%#a! T%ra! D##. 8-4169" !'eri era $ira(a#a!

Rela#(a(i 8AR9 er&a$ap !'eri pa$a pa(ie! po( op ma(e#omi" me!%!3%##a! a&wa er$apa  pere$aa! 'a!0 erma#!a raa:raa i!e!(ia( !'eri #lie! po( op ma(e#omi (eela& perio$e i!er=e!(i Rela#(a(i Mo$i*i#a(i. 

 pa$a &ari perama-5 3am po( op ma(e#omi $e!0a! me!00%!a#a! (#ala a!alo0 84:149.  .  Te#a!a! $ara& 154<4 mmH0. Hal i!i $i(ea#a! #lie! me!0alami !'eri era $e!0a! (#ala . Me!%r% Bla,# $a! Hawa#(

-

 

 

8-4159

Ro($&l

8-4169"

!'eri

$apa

149" $a! %!%# me!0impleme!a(i#a! e&!i#

me!'ea#a! pe!i!0#a#a! ma%p%! me!%r%!#a! e#a!a! $ara& #are!a (im%la(i (ara* (impai( (ea0ai re(po!( fight or flight   'a!0 mempe!0ar%&i #ar$io=a(#%ler.

ma!a3eme! !'eri.  .  Me!0o(er=a(i a!$a:a!$a =ial Hal i!i $i$%#%!0 pe!$apa M%ara# $a! &a'ai! 8-4479 a&wa pa$a awal !'eri a#%" re(po!( *i(iolo0i( $apa er=aria(i (eperi"  pe!i!0#aa! e#a!a! $ara& a#ia er(%m%la(i!'a (ara* (impai(. Re(po!( *i(iolo0i( mer%pa#a! i!$i#aor %r%# a0i !'eri. ,.  Me!0#a3i *a#or 'a!0 $apa me!ama& !'eri Hal i!i $i$%#%!0 pe!$apa Bla,# $a! Haw#( 8-4159" per(ep(i !'eri mer%pa#a! #ompo!e!  pe!i!0 $alam pe!0alama! !'eri. Pe!0alama!

Dia"n&sa K$#$rawatan Dia0!o(a #eperawaa! 'a!0 $iem%#a! pa$a  pa(ie! N'. L $e!0a! po( op %mor pa'%$ara a$ala& !'eri a#% er&%%!0a! $e!0a! erp%%(!'a #o!i!%ia( 3ari!0a!. Hal i!i $i$%#%!0 ole& pe!$apa Hea&er" H" T. 8-41/9 $a! Lemo!e" Br%#e $a! Ba%l$o** 8-4169" a&wa

!'eri 'a!0 $ira!(mi(i#a! ole& (era% A:$ela $i#ai#a! $e!0a! !'eri a#% #are!a perpi!$a&a! impl%( !'eri (a!0a ,epa!'eri awal 84"1$ei#9" (e&i!00a (e!(a(i !'eri 'a!0 $ira(a#a! a3am" m%$a& $ira(a#a! $a! erlo#ali(a(i. Me(#%p%! (i*a !'eri 'a!0 $i ra(a#a! pa(ie! er(i*a er%(%#:%(%# $a! me!00i. Me!%r% Sap%ra 8-4129" !'eri er(i*a (a!0a (%3e#i* #are!a i!e!(ia( $a! re(po!(!'a pa$a (eiap i!$i=i$%  ere$a:e$a. P$r$n!anaan

ma(a lal% !'eri mer%pa#a! a(pe# lai! 'a!0 $apa me!0%a& per(ep(i i!$i=i$% er&a$ap !'eri" ,ara 'a!0 e*e#i* $e!0a! memma!$i!0#a! !'eri ma(a lal% $e!0a! (e#ara!0 $a! a0aima!a pa(ie! me!olera!(i !'eri. $.  Memeri#a! po(i(i 'a!0 !'ama! Hal i!i $i$%#%!0 ole& eori LeMo!e $a! B%r#e 8-4169 a&wa i!$a#a! #e!'ama!a! moilia( *i(i# mi(al!'a pemeria! po(i(i $apa me!%r%!#a! i!e!(ia( !'eri. e.  Me!0a3ar#a! e&!i# rela#(a(i !a*a( $alam Hal i!i $i$%#%!0 ole& pe!$apa LeMo!e $a!

Pere!,a!aa! #eperawaa! $i(%(%! (e(%ai $e!0a! eori %!%# me!0aa(i ma(ala& !'eri a#% $e!0a! %3%a! i!0#a !'eri er#%ra!0 aa% &ila!0" !'eri $apa er#o!rol $a! mera(a !'ama!. 8Doe!0oe(" Moor&o%(e $a! Gei((ler" -4129.  Krieria &a(il 'a!0 $i&arap#a! mamp% me!0o!rol !'eri $a! me!0ea&%i pe!'ea i!e!(ia( !'eri erama&" mamp% me!00%!a#a! e&!i# !o! *arma#olo0i $alam me!a!0a!i !'eri (eperi e&!i# !a*a( $alam" ma((a0e" $a! er$;i#ir" melapor#a! !'eri &ila!0 8(#ala 49 aa% er#%ra!0 8(#ala 1:29" mamp%

B%r#e 8-4169 a&wa e&!i# !a*a( $alam $apa merela#(a(i#a! oo" me!i!0#a#a! #a$ar o#(i0e! $a! me!,ipa#a! pera(aa! erea( $ari #ee0a!0a!" (e&i!00a me!i!0#a#a! olera!(i er&a$ap !'eri $a! $apa er#o!rol ole& pa(ie!. *.  Me!0a!3%r#a! er$;i#ir $alam &ai Hal i!i $i$%#%!0 ole& pe!$apa Bla,# $a! Haw#( 8-4159" per&aia! $i3a%&#a! $ari (e!(a(i !'eri aa% ra!0(a!0a! emo(io!al !e0ai* 'a!0 $i#ai#a! $e!0a! epi(o$e !'eri. Se(eora!0 mamp% %!%# me!*o#%(#a! per&aia! pa$a  3%mla& *o(i 'a!0 eraa(. De!0a! me!*o#%(#a!

me!0e!ali !'eri 'a!0 $ira(a#a! $a! me!$i(#rip(i#a!!'a" me!'aa#a! !'ama! #ei#a !'eri!'a er#%ra!0 aa% &ila!0" a!$a ial !ormal 8e#a!a! $ara& 1-474 mmH0" (%&% 26, :2"/," *re#%e!(i !a$i 64:144 Jme!i" $a! *re#%e!(i per!a*a(a! 16:-5 Jme!i9. Pere!,a!aa! $i(%(%! (e(%ai #e%%&a! #lie! 'a!0 er*o#%( pa$a i!$a#a! ma!$iri" o(er=a(i $a! me$i#a(i.

 per&aia! (e,ara a#i* pa$a %0a( #o0!ii* $ia!00ap $apa memaa(i #emamp%a! (e(eora!0 %!%# memper&ai#a! (e!(a(i 'a!0 i$a# me!'e!a!0#a!. Hal i!i (e3ala! $e!0a!  pe!eliia! B%$ia!o e al. 8-41/9 'a!0 me!em%#a! a&wa er$;i#ir aa% me!0i!0a a(ma Alla& me!'ea#a! oa# a#a! e#er3a. Kei#a oa# me!$apa#a! ra!0(a!0a! $ari l%ar" ma#a oa# a#a! mempro$%#(i ;a #imia 'a!0 a#a! memeri ra(a !'ama! 'ai% !e%ropepi$a. a er(e% a#a! (erap $alam %%& 'a!0 a#a! memeri %mpa! ali# er%pa #e!i#maa! aa%

Im#%$m$ntasi Impleme!a(i $ila#%#a! (e(%ai $e!0a!

 pere!,a!aa! #eperawaa! $a! #o!$i(i pa(ie!" 'ai% ) a.  Me!0#a3i (#ala !'eri Hal i!i $i$%#%!0 ole& pe!$apa Bla,# $a! Haw#( 8-4159" me!0#a3i (#ala !'eri (a!0a  pe!i!0 %!%# me!0i$e!i*i#a(i pe!'ea !'eri" mema&ami per(ep(i pa(ie! er&a$ap !'eri" me!0%#%r #ara#eri(i# !'eri" mem%%(#a! i!0#aa! !'eri me!00%!a#a! (#ala a!alo0 84:

#e!'ama!. 0.  A!3%r#a! ma((a0e #%li $i(e#iar l%#a opera(i Hal i!i $i$%#%!0 ole& pe!$apa Bla,# $a! Haw#( 8-4159 a&wa ma((a0e $apa me!0&ama per3ala!a! ra!0(a!0a! !'eri pa$a  p%(a 'a!0 lei& i!00i $i (i(em (ara* p%(a. Sela!3%'a ra!0(a!0a! a#il $a! pera(aa! po(ii* 'a!0 er#ema!0 #ei#a $ila#%#a! e!%# (e!%&a! 'a!0 pe!%& per&aia! $a! empai# $i(ea#a! ole& (el:(el (ara* #%li 'a!0 $ie#a!

2

OctaFX Copytrading

Instal

 

 

me!0irim (i!'al melal%i (ala& (a% p%(a !'eri" 'a#!i (%m(%!0 %la!0 ela#a!0. Dalam  per3ala!a!'a" (i!'al e#a!a! lei& ,epa pa$a (a#i" (e&i!00a $apa me!0%ra!0i !'eri(a#i. Ma((a0e $apa me!i!0#a#a! rela#(a(i" mema!% %!%# me!*o#%(#a! per&aia!" $a! mema!% me!i!0#a#a! #emamp%a! #opi!0. Ha(il pe!eliia! A(ari!i $a! Firia!a 8-41/9 me!%!3%##a! i!er=e!(i ma!$iri  Massagepi3a" e*e#i* $alam memeri#a! rela#(a(i *i(i# $a! me!al" me!0%ra!0i !'eri $a! me!i!0#aa#a! #ee*e#i*a! pe!0oaa! !'eri. Ma(a(e $aera&  p%!00%!0" a&%" le!0a! $a! #a#i (elama 2:/ me!i $apa merela#(a(i#a! oo $a! memeri#a! i(ira&a 'a!0 e!a!0 $a! #e!'ama!a!. Terapi massage $apa mempe!0ar%&i  pe!%r%!a! (#ala !'eri" &al i!i $i(ea#a! #are!a (el:(el (ara* #%li 'a!0 $ie#a! me!0irim (i!'al melal%i (ala& (a% p%(a !'eri" 'a#!i (%m(%m %la!0 ela#a!0" $alam per3ala!a!!'a" (i!'al e#a!a! lei& ,epa $ari pa$a ra(a (a#i" (e&i!00a $apa me!0%ra!0i ra(a !'eri. Ti!$a#a! %ama massage $ia!00ap me!%%p 0era!0 %!%# me!0&ama per3ala!a! ra!0(a!0 !'eri pa$a  p%(a 'a!0 lei& i!00i pa$a (i(em (ara* p%(a. Sela!3%!'a" ra!0(a!0a! a#il $a! pera(aa!

i!$a#a! me!%!3%##a! !'eri ere!$a& a$ala& $a! !'eri eri!00i a$ala& 6.  K$sim#%an

1.  Ha(il pe!eliia! me!%!3%##a! a&wa pa$a  pe!0#a3ia! $iem%#a! $aa !'eri era $e!0a! (#ala " erlo#ali(a(i pa$a pa'%$ara #iri" !'eri er(e% me!i!0#a#a! e#a!a! $ara& 154<4 mmH0. -.  Dia0!o(a #eperawaa! 'a!0 $iem%#a! a$ala& !'eri a#% er&%%!0a! $e!0a! erp%%(!'a #o!i!%ia( 3ari!0a! 2.  Pere!,a!aa! $i(%(%! (e(%ai $e!0a! eori 'a!0 er*o#%( #epa$a ma!a3eme! !'eri !o! *arma#olo0i $a! *arma#olo0i %!%# me!0o!rol $a! me!0aa(i ma(ala& !'eri 5.  Impleme!a(i $ila#%#a! (e(%ai $e!0a! re!,a!a i!$a#a! $e!0a! memo$i*i#a(i (e(%ai #o!$i(i pa(ie! /.  Seela& e=al%a(i" er!'aa i!$a#a! !o! *arma#olo0i 8Te&!i# rela#(a(i !a*a( $alam"  er$;i#ir $a! ma((a0e9 $a! *arma#olo0i 'a!0 $ieri#a! pa$a 57 3am perama po( op &a!'a e*e#i* $alam me!i!0#a#a! ra(a !'ama!. Ti!$a#a! er(e% e*e#i* me!%r%!#a! i!e!(ia( !'eri (eela& - 3am po( op

 po( op.

 po(ii*" 'a!0 er#ema!0 #ei#a $ila#%#a! $alam  e!%# (e!%&a! 'a!0 pe!%& per&aia! $a! empai#" eri!$a# memper#%a e*e# ma(a(e

U!a#an T$rima Kasih Terima #a(i& $i(ampai#a! #epa$a Dire#%r

%!%# me!0e!$ali#a! !'eri . #eorola, $a! a(am &. oa a!al0ei#   Pemeria! me*e!ama Pemeria! oa #eorola, 1 amp%l iap 1- 3am  pa$a -5 3am po( opera(i $a! a(am me *e!ama 2 J 1 ale oral pa$a *a(e (ela!3%!'a. Terapi er(e% er(i*a a!al0e(i# 'a!0 er*%!0(i %!%# me!0aa(i !'eri era %!%# (eme!ara" mi(al!'a (eela& opera(i. Terapi i!i e#er3a %!%# memlo# pro$%#(i (%pa!(i alami %%& $a! memili#i e*e# (ampi!0 memeri ra(a !0a!%# .

RSUD La%a!0 Ba3i Ma#a((ar $a! Dire#%r A#per M%&amma$i'a& Ma#a((ar" aa( a!%a! $a! #er3a(ama!'a" (e&i!00a pe!eliia! i!i erla#(a!a $e!0a! ai#.

E+ALUASI Seela& $ila#%#a! i!$a#a! #eperawaa! !o! *arma#olo0i er%pa e&!i# rela#(a(i !a*a( $alam"  er$;i#ir $a! ma((a0e 'a!0 $i#omi!a(i#a! $e!0a! erapi *arma#olo0i #eorola, $a! a(am me*e!ama" i!e!(ia( !'eri me!%r%! $e!0a! (#ala !'eri 2 8i0a9" !'eri $apa er#o!rol" $a! memeri i!0#a #e!'ama! 'a!0 lei& (ail" mamp% mela#%#a! ma!a3eme! pe!a!0a!a! !'eri" e#a!a! $ara& 11474 mmH0" (%&% 26"/," *re#%e!(i !a$i 76 Jme!i. Ha(il pe!eliia! i!i (e3ala! $e!0a! pe!eliia!

 %enelitian epera'atan(  ol 1. 1<6:-45. Dia#(e( pa$a a!00al - A0%(%( -41/ e3%r!al.(i#e(api(.a,.i$  Bla,#" >. M."  Haw#(" >. H. 8-4159.  epera'atan Me)ikal Be)ah Mana*emen  linis untuk +asil yang ,iharapkan( E$i(i 7" B%#% 1. Si!0apore) Salema Me$i#a B%$i'a!o" T." Mari*a&" A" R."  S%(a!i" P" I . 8-41/9. Pe!0ar%& Terapi D;i#ir Ter&a$ap I!e!(ia( N'eri Pa$a Pa(ie! Po( Opera(i a Mammae Di R(%$ Pro* Dr Mar0o!o Soe#ar3o P%rwe#ero.  $urnal epera'atan

B%$i'a!o e al. 8-41/9" pe!0ar%& erapi $;i#ir er&a$ap i!e!(ia( !'eri pa$a pa(ie! po( op ma(e#omi 'a!0 me!%!3%##a! !'eri (eel%m $ila#%#a! i!$a#a! #eperawaa! a$ala& !'eri ere!$a&  $a! eri!00i <" (eela& $ila#%#a!

maternitas. ol 2. <4:<6. Dia#(e( pa$a a!00al No=emer -41/ &p()pp!i3ae!0.or0  Doe!0e(" M" E." Moor&o%(e" M" F.  Gei((ler" A" . 8-4129.  Rencana Asuhan

REERENSI Ameri,a! a!,er So,ie' I!,. 8-41/9.  Breast Cancer Facts & Figures 20!"20# . Dia#(e( $ari &p()www.,a!,er.or0  A(ara!i" K."  Firia!a" R. F. 8-41/9. Terapi Ba,# Ma((a0e Me!%r%!#a! N'eri Pa$a Pa(ie! Po( Opera(i A$ome!.  $urnal

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