APPLICATION OF A COMBINATION OF ANKLE PUMP EXERCISE AND CONTRAST BATH TO THE REDUCTION OF EDEMA DIAMETER IN PATIENTS WITH CRONIC KIDNEY DISEASE THROUGH THE VIRGINIA HENDERSON THEORY APPROACH IN THE NON-TRAUMA EMERGENCY DEPARTMENT OF RSUP. PROF. DR. R.D. K

Abstract

Chronic Kidney Disease (CKD) patients often experience various problems, one of which
is lower limb edema. The application of Ankle Pump Exercise can provide a pumping effect and
hydrostatic Contrast Bath which can significantly reduce lower limb edema. have lower limb edema.
Objective: Applying the combination of Ankle Pump Exercise and Contrast Bath with the Virginia
Henderson Theory approach Method: This research is descriptive research with a case study
approach. The data obtained were primary data and secondary data. Data collection methods using
observation sheets. The research was conducted in the Non Trauma Emergency Room at Prof. Dr. R.
D. Kandou Hospital Manado for four days. It was determined that 4 samples had oedema in the lower
extremities and as the focus of the case managed to be given the same implementation according to
the inclusion and exclusion criteria. Results: Four clients experienced hypervolemia nursing
problems, then implementation was carried out based on Evidence Based Nursing. After being given
a combination of Ankle Pump Exercise and Contrast Bath to clients, the degree of edema decreased
from degree four to degree three and degree three to degree two. Conclusion: The use of the Virginia
Henderson assessment model can be used to fulfil patient independence in lower limb oedema
problems. The application of Evidence Based Nursing Combination of Ankle Pump Exercise and
Contrast Bath can effectively reduce edema in CKD patients in the Non Trauma Emergency Room at
Prof. Dr. R.D Kandou Manado.