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May 22

SEKILAS TENTANG ENTEROSTOMAL THERAPY NURSE / ETN


Enterostomal Therapy Nurse merupakan spesialisasi keperawatan dalam bidang enterostomal therapy, mempunyai keahlian khusus dalam melakukan asuhan keperawatan luka, stoma dan inkontinensia.
Pertama kali Enterostomal Therapist dikenalkan oleh Dr. Rupert Turnbull, Cleveland Clinic, USA pada tahun 1958. Beliau bersama dengan salah seorang klien ileostominya, Norma Gill, mengadakan training program untuk professional mengenai bagaimana membantu pasien stoma dalam menjalani kehidupan yang baru.
Norma Gill adalah penderita pyoderma gangrenosum dan ulcerative colitis diusianya yang ke-34 tahun dan harus dilakukan pembedahan ileoustomi. Sepanjang hidupnya ia dikenal selalu memberikan konseling, dorongan dan semangat kepada orang-orang yang akan dilakukan pembedahan urostomi, ileoustomi maupun kolostomi. Gill juga sebagai pelopor berdirinya United Ostomy Association dan World Council of Enterostomal Therapist (WCET)
Ia mengatakan bahwa, sebagai seorang Enterostomal Therapy seharusnya mengubah dunia ostomete menjadi lebih bersinar. Hal yang paling menggembirakan buat Norma Gill adalah bertemu dengan ET-Nurse baru yang akan membantu ostomate. Norma Gill wafat pada tahun 1998.
Sejak itu training pertama diadakan di Cleveland Clinic, USA. Tanggung jawab Enterostomal Therapist semakin berkembang, terutama dengan berdirinya sekolah perawatan Enterostomal Therapy dibawah World Council of Enterostomal therapist (WCET).
Di akhir tahun 1970, Enterostomal Therapy mengembangkan diri pada spesialisasi managemen perawatan luka kronik. Awalnya adalah karena keberhasilan dalam merawat komplikasi kulit disekitar stoma. Saat ini hamper sebagian team Enterostomal Therapist melakukan perawatan luka kronik yang meliputi luka tekan (dekubitus), dehisensi luka operasi, fistula, luka kanker dan luka diabetes.
Perawatan klien dengan inkontinensia dikembangkan dalam Enterostomal Therapy dimulai dengan melindungi kulit akibat inkontinensia fekal dan urin. Manajemanperawatan dengan menggunakan aplikasi kantong untuk menampung urin atau feses. Saat ini managemen perawatan inkontinensia meliputi pengkajian, penyebab serta intervensi untuk mengatasi pengeluaran urin dan feses yang terus menerus.
PERAN ETN:


1. Memberikan perawatan langsung dan konseling pada ostomete selama berada di RS dan di rumah
2. Memfasilitasi rehabilitasi bagi ostomete untuk berhubungan dengan dokter, ahli gizi atau pekerja social
3. Merancang program pelayanan pendidikan bagi ostomete dan keluarganya dalam bentuk grup/kelompok
4. Berpartisipasi dalam pendidikan keperawatan dalam hal pembelajaran tentang perawatan luka, ostomi dan inkontinensia
5. Melakukan uji coba produk dan melakukan penelitian yang berhubungan dengan pemakaiannya untuk meningkatkan kualitas pelayanan.
6. Melakukan pencatatan data statistic dan yang berhubungan dengan pelayanan Enterostomal Therapy.
Sumber:
Ditulis ulang dari buku Perawatan luka diabetes (Seri Perawatan Luka Terpadu),2008, yg ditulis oleh Seorang Perawat Senior Ibu Widasari Sri Gitarja, SKp.ETN

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