DAFTAR ISI

LEMBAR JUDUL ...................................................................................... i

LEMBAR PERSETUJUAN ...................................................................... ii

LEMBAR PENGESAHAN ....................................................................... iii

LEMBAR PERNYATAAN ....................................................................... iv

KATA PENGANTAR ............................................................................... v

DAFTAR ISI ............................................................................................... vii

DAFTAR TABEL ....................................................................................... xi

DAFTAR BAGAN ..................................................................................... xii

DAFTAR LAMPIRAN ............................................................................... xiii

BAB I PENDAHULUAN

1.1.Latar Belakang ..................................................................... 1

1.2.Rumusan Masalah ................................................................ 4
1.3.Tujuan Makalah .................................................................... 4
1.3.1 Tujuan Umum ............................................................. 4
1.3.2 Tujuan Khusus ............................................................ 4
1.4.Manfaat Makalah ................................................................. 5

BAB II TINJAUAN PUSTAKA

2.1.Diabetes Mellitus ................................................................. 6

2.1.1.Pengertian Diabetes Mellitus ...................................... 6
2.1.2.Klasifikasi .................................................................... 6
2.1.3.Etiologi ......................................................................... 7
2.1.4.Manifestasi Klinis ....................................................... 7

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 2.1.5.Faktor – faktor Yang Mempengaruhi Diabetes
Mellitus ........................................................................ 8
2.1.6.Patofisiologi ................................................................ 9
2.1.7.Komplikasi ................................................................... 9
2.1.8.Pencegahan ................................................................. 11
2.1.9.Diagnosa Keperawatan ............................................... 12
2.1.10. Intervensi Keperawatan ............................................ 12
2.2.Gangren ................................................................................ 15
2.2.1.Pengertian Gangren ...................................................... 15
2.2.2.Tanda dan Gejala Gangren .......................................... 15
2.2.3.Etiologi Gangren .......................................................... 16
2.2.4.Faktor – Faktor Terjadinya Gangren ............................ 16
2.2.5.Klasifikasi Gangren ..................................................... 17
2.2.6.Pencegahan dan Pengelolaan Gangren ....................... 18
2.3.Range Of Motion (ROM) ..................................................... 18
2.3.1.Pengertian ROM ......................................................... 18
2.3.2.Tujuan ROM ............................................................... 19
2.3.3.Manfaat ROM ............................................................. 19
2.3.4.Kontra Indikasi ............................................................ 20
2.3.5.Jenis Gerakan .............................................................. 20
2.3.6.Sendi Yang Digerakan ................................................ 21
2.3.7.Prosedur Latihan ......................................................... 22
2.4.Ancle Brachial Index (ABI) ................................................. 26
2.4.1.Pengertian ABI ............................................................ 26
2.4.2.Manfaat ABI ............................................................... 27
2.4.3.Faktor Yang Mempengaruhi ABI ............................... 27
2.4.4.Prosedur Pengukuran Ancle Brachial Index (ABI) ..... 29
2.4.5.Pengaruh Active Lower ROM Terhadap Perubahan
ABI .............................................................................. 32
2.5.Pathway ................................................................................ 36

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BAB III TINJAUAN KASUS

3.1.Pengkajian ............................................................................. 37
3.1.1.Anamnesa .................................................................... 37
3.1.2.Pola Pemeliharaan Kesehatan ..................................... 39
3.1.3.Riwayat Sosial Ekonomi ............................................. 42
3.1.4.Pemeriksaan Fisik ....................................................... 43
3.1.5.Pemeriksaan Integument, Rambut dan Kuku .............. 43
3.1.6.Pemeriksaan Kepala, Wajah dan Leher ...................... 44
3.1.7.Pemeriksaan Payudara dan Ketiak .............................. 46
3.1.8.Pemeriksaan Thorak dan Paru ..................................... 47
3.1.9.Pemeriksaan Jantung ................................................... 47
3.1.10. Pemeriksaan Abdomen ............................................ 48
3.1.11. Pemeriksaan Genetalia ............................................. 49
3.1.12. Pemeriksaan Anus .................................................... 50
3.1.13. Pemeriksaan Muskuloskeletal .................................. 50
3.1.14. Pemeriksaan Neurologis .......................................... 51
3.1.15. Pemeriksaan Psikologi ............................................. 53
3.1.16. Pemeriksaan Status Mental dan Spiritual ................ 55
3.1.17. Pemeriksaan Laboratorium ...................................... 56
3.1.18. Terapi Yang Diberikan ............................................. 58
3.2.Analisa Data .......................................................................... 60
3.3.Prioritas Diagnosa Keperawatan .......................................... 63
3.4.Intervensi Keperawatan ........................................................ 63
3.5.Implementasi Keperawatan .................................................. 69

BAB IV PEMBAHASAN

4.1 Pembahasan ........................................................................... 85

4.2 Resume Jurnal Terkait ......................................................... 89

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BAB V KESIMPULAN DAN SARAN

5.1.Kesimpulan .......................................................................... 92
5.2.Saran .................................................................................... 93

DAFTAR PUSTAKA

LAMPIRAN – LAMPIRAN

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 DAFTAR TABEL

Halaman
Tabel 2.1 : Interpretasi Nilai ABI 32
Tabel 4.1 : Implementasi Nilai ABI Sebelum Dilakukan Active Lower ROM
Dan Setelah Dilakukan Active Lower ROM 88

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 DAFTAR BAGAN

Halaman

Bagan 2.1 : Pathway 36

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 DAFTAR LAMPIRAN

Lampiran 1 Surat Pernyataan

Lampiran 2 Informed Consent
Lampiran 3 Jurnal Pengaruh Pemberian Active Lower Rom Terhadap
Perubahan Nilai Ankle Brachial Index Pasien Dm Tipe 2 Di
Wilayah Puskesmas Ii Denpasar Barat
Lampiran 4 Power Point Asuhan Keperawatan Pengaruh Pemberian
Active Lower ROM Terhadap Perubahan Nilai Ankle
Brachial Index Pasien DM Tipe 2 Di Ruang Mawar Rumah
Sakit Umum Kabupaten Tangerang Tahun 2018
Lampiran 5 Standart Operational Procedure (SOP) Pemeriksaan
Monofilament/ Tes Monofilament Pada Pasien DM Dengan
Neuropati Perifer
Lampiran 6 Lembar Konsultasi Penyusunan Makalah

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