In the village of Konoha village named spring occurs very beautiful.

The
flowers are blooming and the trees began to show the leaves. Sounds very
melodious birdsong greets the ears. In the cozy village there are many
chicken farms. Every morning the rooster crows welcome the beautiful world
in the morning. However, the beauty of the village the past few days was
disturbed by the number of chickens that died suddenly. On the morning in
the village, precisely at the farm belonging to the lady of the X looks favourite
chickens Mrs.Muti seen conversing and dancing merrily on that beautiful
day.
Chiki: Choki hello ... It's a beautiful morning .... I feel very happy ...
Choki: Yeah ... a wonderful day ... I'd love to singing and dancing in this
wonderful morning ...
Chiki: Yeah ... it's a good idea .. how about we do our favourite dance..
Choki: Chicken dance ... ??
Chiki: Yes ... That's a good idea ...
Choki: Come on ...
Choki and then do a chicken dance chiki happily .. Then came the lady of X to
provide food to chickens ..
X: hello my chiki how are you today? I bring so many feeds for you, you must be
hungry, right? here..come here
After breeder feed, he went back to his house which is located on the farm.
and chickens was conversing
Choki: Yeah chiki there is plenty of food ..
Chiki: Fun ... let's ... let's eat fast food spent ..
.Choki:Come on
Chiki : Okay...
The next day Mrs. Muti come again to deliver food to chickens

Chiki: choki come here, there is many feeds

Choki: not yet, I dont want it...
Chiki: Why Choki? Why you look so weak today..
Choki: I do not know ... in fact from yesterday I feel weak .. no appetite to eat...
maybe i get sick
Chiki: ah you be health, You are so poor later breeders we are sad if you're sick
Choki: I also do not want to get sick
Chiki: now you take a break, if your body is getting better try to eat well
Choki: yes chiki I break after..
Not long after that Choki was resting, and then chiki is death with poorly, the
next day the farmer visiting the chicken coop to feed again.
Mrs. Muti

: hello my chiki and choki how are you today? I bring so many

feeds for you, you must be hungry, right? here..come here (farmers look towards
choki). Oh my god choki what happen to you ?? oh noooooo, my chicken was
dead
After that farmers bury carcasses coki, then he went home to lunch. x miss
talking to her child that died choki
Mrs Muti: oh my honey do you now choki was death
Children: oh my god mom, why?
Mrs Muti: I dont know, but I always feed every day
children: Owh.. Mom I feel so hungry today, lets eat the meal...
Mrs Muti: OK ... Lets eat the meal....
Children

: But we must wash our hand before..

Mrs.Muti

: ooo.. it isnt necessary... lets we eat the meal..

Children

: OK...

Mrs Muti and her daughter eating together without wash her hand before..

A few days later, Mrs Muti ill and he felt fever, malaise and shortness of
breath.
day by day his condition worsened. His family immediately took him to a
hospital emergency room Ranca Rhino. After getting the handlers in the
emergency room, the client's condition began to stabilize. Then he was
transferred to the inpatient unit and escorted by two nurses.
Nurse Andriani: Good Morning Mam,. Introduce my nurses ... and this is my
colleague ... our nurse responsible caring from 07.00 until 14.00 noon. I will now
introduce the mother occupied room. And my colleagues will validate and
complement maternal health data.
Nurse Tita: Yes ma'am, we'll give you a couple of questions related to the mother's
condition at this time. Well mothers are obligated to inform us in good faith. If
anyone wants to tell our mother biceritakan mother, and we will strive to maintain
the confidentiality of the data. Unless medical team requires such data. Actions
that

will

be

given

about

20

minute.

How

is

the

mother?

Patient: "Yes please."

Patient: Yes, thats clear. Thank you so much.

Nurse Tita: Now is my turn to complete the admission form. First Im going to
ask you some questions. Can we start now?
Patient: Sure.
Nurse Tita: Your full name is Angelina Inge and your age is 38, Arent you?
Patient : Yes thats right.
Nurse Tita: Based on the data, do you work on a farm?
Patient: Thats true. Im the owner of the poultry farm.
Nurse Tita: When you go to the farm, Do you wear special clothes and mask?
Patient: No, just dressed as usual.
Nurse Tita: Oh, So you didnt wear any specia clothes?
Patient: yes.

Nurse Tita: so, How often do you clean the cage of the poultry?
Patient: I clean the cage twice a week.
Nurse Tita: ok. Then is there any chicken that sudden death?
Patient: Yes there is, and I immediately buried.
Nurse Tita: Previously when you buried the chicken do you wear gloves?
Patient: No.
Nurse Tita: after that dou you wash your hands with soap ?
Patient: No, I just washed my hand with water.
Nurse Tita: Oh, so you did not wear gloves and soap. Do you know how to wash
hands properly?
Patient : We have to use some water. I think its enough.
Nurse Tita: ITs not enough mam. We need some soap and there are several steps
to wash your hands properly.
Patient: Hmm, Ok sus, no problem.
Nurse Tita: What do you feel now?
Patient: Actually, Im really fatique, like have no power to do some activity.
Nurse Tita: Is there anything?
Patient: No, I think.
Nurse Andriani: Ok, Ill check your vital sign now.
Then, the nurse check the vital signs patient.
Nurse Andriani: Mrs.Inge, Your blood pressure is 100/60, your pulse is
65x/minute, your body temperature is 37.50C And your respiration rate is
17x/minute. Do you feel tight when breathing?
Patient: Yes, a little bit.
Nurse Andriani: ok Ok, Now I wan to change your position. Can you lean back to
the bed? Can I help...

The nurse help patient changed position

Nurse Andriani: How about know? Do you still feel tight?
Patient: Hm..Its better, but I still little bit breathless.
Nurse Andriani: Did I understand you correctly that you cant breathing easily?
Patien : Exactly..
Nurse Andriani : Ok, Can you follow my intructions? Now we are trying to set
breathing. Inhale through the nose, hold on... one two three...blow it
through the mouth
The nurse helps Ny. Inge to take a deep breathing for several times
Nurse1: Good! It is better ?
Patient: yes, its better.
Nurse Andriani: Alhamdulillah, madam its almost 20 minutes.. Could you tell
me what what have we done? From the beginning to now
Patient: Oh sure, hmmmm... nurse had already asked a question about my farm,
and then you asked me how about cleaned it.. and you was checked my
vital sign and the last you teached me how to contro my breathing.
Nurse Andriani: Wow, exactly madam.. Later, If you feels breathless, you can try
to controling your breathing as I have taught.
Patient : Ok sus
5
Nurse Tita: "for the next meeting I will explain about how to wash hands properly.
when you want me to explain about it? "
Patient: "Nine o'clock tomorrow nun"

Nurse Tita: "well tomorrow morning at nine we will be back again to explain
about how to wash hands properly. because the contract time is up I will return
again to the nurse station, if you need help you can call a nurse by pressing the
button. Good afternoon. "
The next day a nurse came into the room jasmine.
Nurse Tita: "Assalamu'alaikum mrs.. Good morning. "
Patient: "Morning nurse."
Nurse Tita: "whether mrs still remember me?"
Patient: "Yes, nurse ... yes."
Nurse Tita: "Yes you are absolutely right. Well as promised me yesterday, today I
will explain how to wash hands properly. Time is approximately 15 minutes. Do I
begin to explain it now? "
Patient: "Yes nurse please."
Nurse Tita: "okay. You've put off accessories in your hand.roll up your sleeve,
Then wash your hand make a water and put some soap on your palm. Then Step 1
rub palm to palm. Step 2 Right palm over back of left hand and do the same way
to another hand. Step 3 Palm to palm with fingers interlaced . Step 4 back of
fingers to opposing palm with fingers interlocked. Step 5 circular rubbing of left
thumb in closed right hand and vice versa. Step 6 circular rubbing, backwards and
forwards with closed right hand fingertips in left palm and vice versa. Finally,
rinse and dry hands thoroughly. Is understandable explanation from me? "
Patient: "Yeah, not bad."
Nurse Tita: "Now I want to do a re-mrs Demonstration. Try as what? "
Patient: "You've put off accessories in your hand. Then wash your hand and put
some soap. Step 1 rub palm to palm. Step 2 Right palm over back of left hand and
do the same way to another hand. Step 3 Palm to palm with fingers bent and

speared out. Step 4 back of fingers to opposing palm with fingers interlocked.
Step 5 circular rubbing of left thumb in closed right hand and vice versa. Step 6
circular rubbing, backwards and forwards with closed right hand fingertips in left
palm and vice versa. Finally, rinse and dry hands thoroughly. "
Nurse Tita: had been taught how to wash hands properly. Seeing as you have a
chicken farm at home, in addition to washing your hands, you should also pay
attention to other things. Such as keeping the cage and also use special clothes and
wearing masks.
Patient: I always clean the chicken coop every two times a week.
Nurse Tita

: Yes, if it is correct mom..cage hygiene must be protect, and then

you also must make specific chlotes and mask

Patient : Yes, I later will buy the material
Nurse

: Yes, good mom..but you also dont forget, the your chickens also must
give a vaccine on schedule give a vaccine.. later, you can consult with the
local animal husbandry department

Patient : Ok sus
Nurse Tita

: Then, if there are animal that more dead suddenly, please report to

the local workers. As the headman, health workers or farm workers.

Patient : Ok sus, Im understand
Nurse Tita

: And if you want to cook the chicken, you must cook it with the

temperature until 70 deegres Celcious..

Patient

: Why that I must cook it until 70oC...?

Nurse Tita

: Because, if we cook the chicken until 70 oC, the micro-organism

that live in the chicken wiill die wtih high themperature...

Patient

: Owhh... Ok.. I see...

Nurse

: Yes mom almost fifthteen minutes.. it had been explained about

prevention avian flu, and how the handle if there are animal that more
dead suddenly, then now mom tell me again what it had been explained

Patient : Yes, had been taught to washing hands, I also must be clean up the
chicken cage every two day. Then Im also make a specific chlotes and
mask every contact with chicken. And then I must be give a vaccine for
my chickens on the schedule and must report if there are animal that
more dead suddenly.
Nurse

: Yes mom is good, mom the time is up. Now I ask for leave..
assalamualaikum

After get some medical education from the nurse, Mrs. Muti have an
understanding about how to save her chicken and her healthy from avian influenza
virus. Such as she must wash her hand before and after have contact wtih her
chickens with the six steps to wash her hand. And then she must often wash her
chicken cages every 2 times in one week. And she also musnt eat the chicken that
have contaminated with H5N1 virus. And Mrs.Muti have live happily forever......