My boyfriend is so selfish
Jealousy From His Friends, Enter the Campus And Explain the Content of Powerpoint
"Cie who's always on the same side as her boyfriend." Say Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Octara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Dad dong and let's go to college." Ani Cantika Melani Febrianti Martowardojo Level One.
"Come on." Say Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Octara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"okay." Ani Cantika Melani Febrianti Martowardojo Level One.
"Take an agreement with our lecturer." Say Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Octara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"OK on sip and come on." Ani Cantika Melani Febrianti Martowardojo Level One.
"Come on." Say Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Octara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Octara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Pina, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One Enter Classroom And Ani Cantika Melani Febrianti Martowardojo Tells Cika To Call Her Lecturer.
"Sir." Ani Cantika Melani Febrianti Martowardojo Level One.
"Ani's father?." Speak Cika Level One.
"Please call the lecturer." Ani Level One.
"Oh okay and but the lecturer will be here." Speak Cika Level One.
"Don't fight dong ih and they want to be called by us." Ani Level One.
"Oh okay, ready." Speak Cika Level One.
Cika Rushes Into the Room Prodi Obstetrics And Saying Greetings.
"Assalamualaikum WR WB mother and sir?." Speak Cika Level One.
"Waalaikum Salam WR WB who's looking for Cika?." Say Father And Mother Lecturer In Midwifery Prodi.
"There's a Wayan Yuniarti's mother not Sir And Mother?." Speak Cika Level One.
"Instead of not having her information to WhatsApp her midwifery group level one?." Say Father And Mother Lecturer In Midwifery Prodi.
"Already sir and mother." Speak Cika Level One.
"Just wait maybe again in Wayan's mother Yuniarti Nya." Say Father And Mother Lecturer In Midwifery Prodi.
"Oh, sir and mother." Speak Cika Level One.
"This must be the work of Miss Ani Cantika Melani Febrianti Martowardojo." Say Father And Mother Lecturer In Midwifery Prodi.
"Hee Iyah sir and I'm sorry to interrupt the time." Speak Cika Level One.
"Dad is nothing Miss Ani Cantika Melani Febrianti Martowardojo likes to prank everyone." Say Father And Mother Lecturer In Midwifery Prodi.
"Oh well and I went to the classroom again, Assalamualaikum WR WB." Speak Cika Level One.
"Waalaikum Salam WR WB and Miss Ani Cantika Melani Febrianti Martowardojo are pranking people." Say Father And Mother Lecturer In Midwifery Prodi.
"Dad to be patient." Saying The Other.
Cika Cannot Be Angry With Her Attitude Miss Ani Cantika Melani Febrianti Martowardojo.
"Why blush Cika's face?." Ani Cantika Melani Febrianti Martowardojo Level One.
"Because of you, I am ashamed." Speak Cika Level One.
"Dad sorry I joined." Said Miss Ani Cantika Melani Febrianti Martowardojo Level One.
"Dad, it's nothing for Ani." Speak Cika Level One.
"Don't be mad I made a powerpoint." Ani Cantika Melani Febrianti Martowardojo Level One.
"Dad sorry." Speak Cika Level One.
"Dad I'm sorry too." Ani Cantika Melani Febrianti Martowardojo Level One.
"OK ready." Speak Cika Level One.
Ms. Wayan Yuniarti Lecturer KDK Entering Class And Saying Greetings.
"Greetings everyone, may you be healthy and how have you been working on the powerpoint?." Said Mrs Wayan Yuniarti Lecturer KDK.
"It's mom." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Okay, the part is random." Said Mrs Wayan Yuniarti Lecturer KDK.
"Dad mom's ready." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"OK ready and Nita's part." Said Mrs Wayan Yuniarti Lecturer KDK.
"OK good mother." Nita Level One.
"Eh Nita and we'll be in a group." Said Mrs Wayan Yuniarti Lecturer KDK.
"OK ready mom." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Randomly yes." Said Mrs Wayan Yuniarti Lecturer KDK.
"Okay mother." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Nita, Octara, Pina, Rani And Ririn." Said Mrs Wayan Yuniarti Lecturer KDK.
"OK ready mom." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Shinta, Sofia, Sonya, Tata, Talitha, Tiara And Tina." Said Mrs Wayan Yuniarti Lecturer KDK.
"Okay, mom's nothing." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"OK, Ulfah, Willy, Wulan, Ani, Bella And Bianca." Said Mrs Wayan Yuniarti Lecturer KDK.
"Okay mother." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Cika, Deva, Devi, Dina, Endah, Eka, Fani And Gita." Said Mrs Wayan Yuniarti Lecturer KDK.
"Okay mother." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Hena, Hamidah, Beautiful And Marsya the rest yes." Said Mrs Wayan Yuniarti Lecturer KDK.
"Okay mother." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Please describe the powerpoint you created." Said Mrs Wayan Yuniarti Lecturer KDK.
"OK good mom
...CHAPTERS 1...
...PRELIMINARIES...
BACKGROUND
Elimination Is the Process of Remaining Metabolism of the Body either Urine Or Bowel (Feces). Miksi Is the Process of Bladder Discharging When the Bladder Filled. The Body System That Plays a Role in the Occurrence of the Urine Elimination Process Is Kidney, Ureter, Urinary Bladder And Urethra.
...This Process Occurs Two Main Steps Namely:...
...^^^Kandung Kemih Progressively Filled Until Tension On Its Wall Increases Over Threshold Value, What Then Initiates The Second Step Is the Emergence of Nerve Reflexes Called Mictional Reflexes (Reflexes of Lightening) That Attempt to Clear the Bladder Or If This Fails, At Least Raises Awareness Of The Desire To Bleach. ^^^...
...2.2. Problem Formula:...
What Body Systems Play a Role in the Urine Elimination Process?
How is the Process of Cleaning?
What Factors Affect Urine Elimination And Alvine Elimination?
What Are Urine and Fekal Elimination Disorders?
What Are the Signs and Symptoms of Disorders in the Elimination System?
...3. Purpose:...
Knowing Which Body Systems Play a Role in Urine Elimination
Knowing the Process of Cleaning
Knowing the Factors That Affect Urine Elimination And Alvine Elimination
Knowing Urinary and Fekal Elimination Disorders
Knowing the Signs and Symptoms of Disorders in the Elimination System
...Chapters II...
...Contents...
Organs that Play a Role in Urine Elimination
The Organ That Plays a Role in the Occurrence of Urine Elimination Is Kidney, Ureter, Urinary Bladder And Urethra.
...A. Kidneys:...
Kidneys Are Retro Peritoneal Organs Consisting of Upper Kidneys Right And Left Back Bones. Kidneys Act As Regulators of the Composition And Volume of Fluids In The Body. Kidneys Also Filter Parts Of Blood To Be Dumped In Urine Form As Residual Substances That Are Not Necessary By The Body. The Kidney Part Consists of the Upper Nephron, Which Is A Unit Of Kidney Structure That Amounts Approximately One Million Nephrons.
...B. Bladder (bladder, jars):...
Is a bag consisting of smooth muscles that serve as a reservoir of urine. In the bladder, there is a layer of muscle tissue that extends in the middle and circular referred to as detrusor and serves to remove urine. The distribution of stimuli to the bladder and motor stimuli to the inner circumference muscles is regulated by the sympathetic system.
...C . Urethra:...
Is an organ that functions to channel urine to the outside. In men and women, the function is different in men as a place to flow urine and at the same time as the reproductive system but in women only channel urine to the outside of the body.
...3. Process Bleeding:...
Bleeding is the process of emptying the urinary vesica. Vesika urinaria can cause nerve stimulation when urinaria contains approximately 250-450 cc (in adults) and 200-250 cc in children.
Urinary mechanism occurs because the urinary vesika contains urine that can cause stimulation of the nerves in the walls of the urinary vesika. Then the stimulation is passed through the spinal cord of the urinary control center located in the cerebral cortex. Next, the brain delivers impulses through the spinal cord to the neuromotoris in the sacral region, then the detrusor muscle conjunctions and relaxations of the internal sphincter muscle.
...PREFACE...
Praise the presence of Allah SWT who has bestowed His grace so that the constituent can complete the Basic Skills Paper of Clinic Practice well. This paper is designed to complement the Basic Skills of Clinical Practice tasks that have been implemented to implement the knowledge we have gained.
The preparation of this Paper, the constituent received much help from various parties, therefore the compiler expressed his gratitude to :
Head of Sri Handayani Study Program S.Si.T, M.Keb who has given permission to complete this task.
Mother lecturer Suparmi, SST who has given Basic Clinical Practice Skills courses that are very supportive in making this paper.
Friends who have helped a lot so that the implementation of the task and the making of this paper can run smoothly.
At the making of this paper the constituent realizes that there are still many shortcomings, for that criticism and advice is very much expected and hopefully this paper can be useful for all of us.
Compiler
TABLE OF CONTENTS
Courtyards
PAGE TITLE..............................................................................................................................................................................................................................................................
PREFACE.................................................................................................... ii........................................................................................................................................................
ISI............................................................................................................ iii................................................................................................................................................
CHAPTER I................................................................................ 1
Background............................................................................ 1
Formulas........................................................................ 2
The.......................................................................................... 2
Librarian Overview.......................................................................... 2
CHAPTER II...................................................................................................... 3
CHAPTER III CLOSING.......................................................................................... 8
BIBLIOGRAPHY
CHAPTER 1
PRELIMINARIES
BACKGROUND
Elimination is the process of removing the body's metabolic waste either in the form of urine or bowels (feces). Miction is the process of emptying the bladder when the bladder is filled. The body system that plays a role in the process of urine elimination is the kidneys, ureters, bladder, and urethra.
This process occurs from two main steps: The bladder is progressively filled until the tension in its walls increases above the threshold value, what then triggers the second step is a nerve reflex called the micti reflex (micturition reflex) that seeks to empty the bladder or if this fails, at least raises awareness of the desire to urinate. Although the mictional reflex is an autonomic reflex of the spinal cord, it can also be inhibited or induced by the center of the cerebral cortex or brainstem.
The bladder is innervated by the nerves of the sacral nerve (S-2) and (S-3). Sensory nerves from the bladder are sent to the spinal cord (S-2) until (S-4) are passed to the mictional center of the central nervous system. The center sends signals to the bladder to contract. At the time of destrusor contracting internal spinter relaxes and external spinter under ******awareness will play a role, whether to mictiksi or detained.
When abdominal contractions increase bladder muscle contractions, usually no more than 10 ml of urine is left in the bladder called residual urine. Normal urine elimination depends on the individual, usually after work, eating or waking up. Normal daily 5 times.
Defecation is the discharge of feces from the anus and rectum. It is also called the bowel movement. The frequency of defecation in each person varies greatly from several times per day to 2 or 3 times per week. The amount of stool also varies from person to person. When waves of peristalsis push feces into the sigmoid colon and rectum, sensory nerves in the rectum are stimulated and the individual becomes aware of the need for defecation.
Regular elimination of the remnants of intestinal production is important for normal body function. Changes in elimination can cause problems with the gastrointestinal tract and other parts of the body. Because bowel function depends on a balance of several factors, each person's elimination patterns and habits are different.
Clients often seek help from nurses to maintain normal elimination habits. Sickness can avoid them according to a regular program. They become devoid of the physical ability to use the normal toilet facilities of the home environment can present obstacles to clients with changes in mobility, changing needs of bathroom equipment. To deal with client elimination problems, the treatment must understand the normal process of elimination and the factors that affect elimination.
PROBLEM FORMULATION
How is the micturition process?
What factors affect urine elimination and alvi elimination?
What are urinary and fecal elimination disorders?
What are the signs and symptoms of disorders of the elimination system?
PURPOSE
Know which body systems play a role in urine elimination
Knowing the micturition process
Know the factors that affect urine elimination and alvi elimination
Know the disorders of urine elimination and feka
Know the signs and symptoms of disorders of the elimination system
LITERATURE REVIEW
In this paper we use books and some sources from the internet as a reference.
CHAPTER II
CONTENTS
Organs that Play a Role in Urine Elimination
The organs that play a role in the elimination of urine are the kidneys, ureters, bladder and urethra.
Kidneys
The kidney is a retro peritoneal organ that consists of the right and left kidneys of the backbone. Kidneys act as a regulator of the composition and volume of fluid in the body. The kidneys also filter part of the blood to be removed in the form of urine as a waste substance that is not needed by the body. The kidney is made up of nephrons, which are units of kidney structure that number approximately one million nephrons. Through the nephron, urine is channeled into the pelvis of the kidney and then channeled through the ureter to the bladder.
Bladder (bladder, buli-buli)
Is a bag consisting of smooth muscles that serve as a reservoir of urine. In the bladder, there is a layer of muscle tissue that extends in the middle and circular referred to as detrusor and serves to remove urine. The passage of stimuli to the bladder and motor stimuli to the inner circumference muscles is regulated by the sympathetic system
c . Urethrae
Is an organ that functions to channel urine to the outside. In men and women, the function is different in men as a place to flow urine and as well as the reproductive system but in women only channel urine to the outside of the body
Processes of Packing
Bleeding is the process of emptying the urinary vesica. Vesika urinalia can cause nerve stimulation when urinalia contains approximately 250-450 cc (in adults) and 200-250 cc in children.
Urinary mechanism occurs because the urinary vesika contains urine that can cause stimulation of the nerves in the walls of the urinary vesika. Then the stimulation is passed through the spinal cord of the urinary control center located in the cerebral cortex. Next, the brain delivers impulses through the spinal cord to the neuromotoris in the sacral region, then the detrusor muscle conjunctions and relaxations of the internal sphincter muscle.
Urine is removed from the urinary vesica, but is still retained by an external spinter. If time and place allow, it will cause relaxation of the external spinter and urine is likely to be expelled (sad).
Factors affecting urine elimination:
a. Growth and development
b. Socio-cultural
c. Psychologically
d. Habits of someone
e. Muscle tone and activity level
f. Fluid intakes and food
g. Disease conditions
h. Surgically
i. Cure
j. Diagnostic examination
FACTOR – FACTORS AFFECTING ALVI ELIMINATION
a) Age
At the age of the infant control defection has not developed, while at the age of the elderly control defecation decreases.
b) Diet
Fibrous food will accelerate the production of feces, the amount of food that enters the body also accelerates the defexation process.
c) Liquid intakes
Less fluid intake will cause the stool to become hard, due to increased fluid absorption.
d) Activity
Tonsus muscles of the abdomen, pelvis, and diaphragm will greatly help the defecation process. Peristaltic movement will make it easier for fecal material to move along the colon.
e) Physiological
The state of anxiety, fear and anger will increase peristaltic causing diarrhea.
f) Position during defecation
The squatting position is a normal position when defecating. Modern toilets are designed to facilitate this position, allowing the individual to sit upright in the front direction, expel intra-abdominal pressure and secrete muscle contractions of – of his thigh muscles (Wartonah , 2004).
Urinary and Fecal Elimination Disorders
A. Urinary Elimination Disorders
Urinary elimination disorder is a condition in which an individual experiences or is at risk for urinary elimination dysfunction. Usually people who experience urinary elimination disorders will be done urinary catheterization, which is the act of inserting a teter collarbone into the bladder through the urethra with the aim of removing urine.
5. Signs and Symptoms of the Elimination System
Signs and symptoms
1. Signs of Elimination Disorders
a. Urine Retention
1). Uncomfortu.
2). Distensidanknotableto mourn.
3). Urine that comes out with unbalanced intakes.
4). Increaseddesireandrest
5). Insensibilityto grieve
b. Incontinenceurins
1). The patient cannot resist the desire of BAK before arriving at the WC
2). Patients often wet the bed
Signs of Fekal Elimination Disorder
a. Constipation
1). Decreasing frequency BAB
2). Expenditure difficult, hard and stifling
3). Nyerirectum
b. Impactions
1). No CHAPTER
2). anorexia
3). Bloating/cramping
4). nyerirectum
c. Diarrheal
1). BABoftenwithdairandanfesses that are not shaped
2). Intestinal contents pass through the intestines and are very fast
3). Irritation in the colon is an additional factor that causes increased mucosal secretion.
4). The stool becomes diluted so that the patient cannot control and hold the BAB.
d. IncontinenceFecal
1). Not be able to control the BAB and the air from the anus,
2). BAB encernya many
3). Disorders of anal spingers, neuromuscular diseases, spinal cord trauma and external anal spingter tumors
e. Flatulence
1). Stacking of gas in the intestinal lumen,
2). The intestinal wall is stretched and distended, feeling full, painful and cramping.
3). Usually the gas comes out through the mouth (burp) or anus (flatus)
f. Hemorrhoidal
1). Swelling of veins in the rectum wall
2). Bleeding if the walls of the venous veins stretch
3). Feeling hot and itchy if inflammation occurs
4). Pain." Nita Level One.
"Okay well, write down the important information yes and anyone is asked?." Said Mrs Wayan Yuniarti Lecturer KDK.
"No mother." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah
