Digestive diseases (see also communicable diseases)·Noncommunicable diseases and mental health

Diseases of the oesophagus, stomach, liver, gallbladder, pancreas and intestines

PartialPrioritas 113 paket UHC · 105 actionNICE ✓PNPK ✓

PNPK · Indonesia

Pedoman Nasional yang relevan

Manual seed (PNPK)

Tata Laksana Perdarahan Saluran Cerna (2023)

NICE · UK Benchmark

Guideline NICE yang relevan

NICE guideline

CG165 Hepatitis B (chronic): diagnosis and management (0.38)
NG203 Chronic kidney disease: assessment and management (0.38)
NG49 Non-alcoholic fatty liver disease (NAFLD): assessment and management (0.38)
CG100 Alcohol-use disorders: diagnosis and management of physical complications (0.25)
CG141 Acute upper gastrointestinal bleeding in over 16s: management (0.25)
CG143 Sickle cell disease: managing acute painful episodes in hospital (0.25)
NG152 Leg ulcer infection: antimicrobial prescribing (0.19)
CG184 Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management (0.38)
NG1 Gastro-oesophageal reflux disease in children and young people: diagnosis and management (0.38)
QS112 Gastro-oesophageal reflux in children and young people (0.38)
CG141 Acute upper gastrointestinal bleeding in over 16s: management (0.75)
QS38 Acute upper gastrointestinal bleeding in adults (0.75)
NG88 Heavy menstrual bleeding: assessment and management (0.38)
NG156 Abdominal aortic aneurysm: diagnosis and management (0.19)
NG104 Pancreatitis (1.00)

UHC Compendium

Paket UHC dalam kategori ini (13)

Diagnosis of cirrhosis and other chronic liver diseases

WHO #321 · 1 action

Gap: WHO/NICE no PNPK

Ultrasound

Lihat 1 action detail

Ultrasound
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination

Management of appendicitis

WHO #322 · 7 action

Gap: WHO no PNPK

Under review | Oral analgesics | Intravenous analgesics

Lihat 7 action detail

Under review
Oral analgesics
Tasks: Prescribe medication
Intravenous analgesics
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Morphine
Intravenous antimicrobials for appendicitis
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Piperacillin + tazobactam
Intravenous fluids
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Medicines: Sodium chloride
Laparoscopic appendectomy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care
Open appendectomy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Provide post-procedural care

Management of ascites and acute complications

WHO #323 · 7 action

Gap: WHO no PNPK

Under review | Oral antimicrobials for peritonitis | Oral diuretics for ascites

Lihat 7 action detail

Under review
Oral antimicrobials for peritonitis
Tasks: Prescribe medication
Medicines: Ciprofloxacin
Oral diuretics for ascites
Tasks: Prescribe medication
Medicines: Spironolactone, Furosemide
Intravenous antimicrobials for peritonitis
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Ceftriaxone
Intravenous diuretics for ascites
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Furosemide
Diagnostic paracentesis
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer local anaesthesia, Conduct medical procedure, Provide nursing support for medical procedure
Therapeutic paracentesis
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct advanced emergency procedure, Provide nursing support for emergency procedure

Management of cirrhosis and other chronic liver diseases

WHO #324 · 9 action

Gap: WHO/NICE no PNPK

Under review | Oral multivitamins for liver disease | Oral vitamin K for liver disease

Lihat 9 action detail

Under review
Oral multivitamins for liver disease
Tasks: Prescribe medication
Medicines: Multiple micronutrient supplement
Oral vitamin K for liver disease
Tasks: Prescribe medication
Medicines: Phytomenadione
Oral osmotic laxatives for hepatic encephalopathy
Tasks: Prescribe medication
Oral antimicrobials for hepatic encephalopathy
Tasks: Prescribe medication
Intravenous fluids
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Medicines: Sodium chloride
Intravenous vasoactive agents in complicated liver disease
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Medicines: Octreotide
Intravenous vitamin K for liver diseases
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Medicines: Phytomenadione
Liver transplant
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct transplant surgery, Assist with transplant surgery, Provide nursing support for transplant surgery

Management of gallbladder and biliary diseases

WHO #325 · 8 action

Gap: WHO no PNPK

Under review | Oral analgesic for gallbladder and biliary disease | Intramuscular analgesic for gallbladder and biliary disease

Lihat 8 action detail

Under review
Oral analgesic for gallbladder and biliary disease
Tasks: Prescribe medication
Medicines: Morphine
Intramuscular analgesic for gallbladder and biliary disease
Tasks: Prescribe intramuscular medication, Administer intramuscular medication
Medicines: Morphine
Intravenous analgesic for gallbladder and biliary disease
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Morphine
Intravenous antimicrobials for complicated gallbladder and biliary disease
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Piperacillin + tazobactam
Common bile duct surgery
Open cholecystectomy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Provide post-procedural care
Laparoscopic cholecystectomy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care

Management of gastritis, peptic ulcer disease and duodenitis

WHO #326 · 11 action

Gap: WHO no PNPK

Under review | Biopsy - gastric | Oral antimicrobials for gastritis, PUD and duodenitis

Lihat 11 action detail

Under review
Biopsy - gastric
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer procedural anaesthesia, Provide nursing support for biopsy, Conduct biopsy
Oral antimicrobials for gastritis, PUD and duodenitis
Tasks: Prescribe medication
Medicines: Clarithromycin, Amoxicillin
Oral H2 receptor antagonists for gastritis, PUD and duodenitis
Tasks: Prescribe medication
Medicines: Ranitidine
Oral proton pump inhibitors for gastritis, PUD and duodenitis
Tasks: Prescribe medication
Medicines: Omeprazole
Intravenous antiemetics for gastrointestinal disease
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Ondansetron
Intravenous antimicrobials for gastritis, PUD and duodenitis
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Clarithromycin
Intravenous fluids
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Medicines: Sodium chloride
Blood and blood product transfusion
Tasks: Prescribe blood and blood products, Administer blood and blood products with frequent monitoring
Medicines: Red blood cells
Laparoscopic surgery
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care
Endoscopy - therapeutic
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct endoscopic procedure, Provide nursing support for endoscopic procedure

Management of gastroesophageal reflux disease

WHO #327 · 5 action

Gap: WHO/NICE no PNPK

Under review | Oral H2 receptor antagonist for GERD | Oral proton pump inhibitors for GERD

Lihat 5 action detail

Under review
Oral H2 receptor antagonist for GERD
Tasks: Prescribe medication
Medicines: Ranitidine
Oral proton pump inhibitors for GERD
Tasks: Prescribe medication
Medicines: Omeprazole
Intravenous proton pump inhibitors for GERD
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Pantoprazole
Endoscopy - therapeutic
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct endoscopic procedure, Provide nursing support for endoscopic procedure

Management of gastrointestinal bleeding

WHO #328 · 12 action

Covered by PNPK + NICE

Under review | Colonoscopy | Sigmoidoscopy

Lihat 12 action detail

Under review
Colonoscopy
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer procedural anaesthesia, Conduct medical procedure, Provide nursing support for medical procedure
Sigmoidoscopy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer procedural anaesthesia, Conduct endoscopy, Assist with endoscopy, Provide nursing support for endoscopy
Oral proton pump inhibitors for gastrointestinal bleeding
Tasks: Prescribe medication
Medicines: Omeprazole
Intravenous analgesics
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Morphine
Intravenous fluids
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Medicines: Sodium chloride
Intravenous proton pump inhibitors for gastrointestinal bleeding
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Pantoprazole
Blood and blood product transfusion
Tasks: Prescribe blood and blood products, Administer blood and blood products with frequent monitoring
Medicines: Red blood cells
Laparoscopic surgery
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care
Surgical procedures for ulcer or perforation: laparotomy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care
Endoscopy - therapeutic
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct endoscopic procedure, Provide nursing support for endoscopic procedure
Transcatheter arterial embolization
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct interventional radiology procedure, Provide nursing support for interventional radiology procedure

Management of hernias (inguinal, femoral, abdominal)

WHO #329 · 8 action

Gap: WHO no PNPK

Under review | Nasogastric suction | Oral analgesics

Lihat 8 action detail

Under review
Nasogastric suction
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct nasogastric tube placement
Oral analgesics
Intravenous analgesics
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Morphine
Intravenous antimicrobials for inguinal, femoral and abdominal hernia
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Piperacillin + tazobactam
Herniorrhaphy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Provide post-procedural care
Hernioplasty
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Provide post-procedural care
Laparoscopic surgery for hernia repair
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Provide post-procedural care

Management of ileus and intestinal obstruction

WHO #330 · 9 action

Gap: WHO no PNPK

Under review | Parenteral nutrition | Nasogastric suction

Lihat 9 action detail

Under review
Parenteral nutrition
Tasks: Prescribe medication, Administer parenteral nutrition
Nasogastric suction
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct nasogastric tube placement
Intramuscular analgesics
Tasks: Prescribe intramuscular medication, Administer intramuscular medication
Medicines: Hydromorphone, Morphine
Intravenous analgesics
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Hydromorphone
Intravenous antimicrobials for paralytic ileus and intestinal obstruction
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Piperacillin + tazobactam
Intravenous fluids
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Medicines: Sodium chloride
Surgical procedures for bowel obstruction
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care
Laparoscopic surgery for bowel obstruction
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care

Management of pancreatitis

WHO #331 · 12 action

Gap: WHO/NICE no PNPK

Under review | Magnetic resonance cholangiopancreatography (MRCP) | Parenteral nutrition

Lihat 12 action detail

Under review
Magnetic resonance cholangiopancreatography (MRCP)
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination, Assist with radiological examination
Parenteral nutrition
Tasks: Prescribe medication, Administer parenteral nutrition
Nasogastric suction
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct nasogastric tube placement
Oral analgesics
Tasks: Prescribe medication
Medicines: Oxycodone
Oral antimicrobials for pancreatitis
Tasks: Prescribe medication
Medicines: Ciprofloxacin
Intravenous analgesics
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Hydromorphone
Intravenous antimicrobials for pancreatitis
Tasks: Prescribe intravenous medication, Administer intravenous medication
Medicines: Ceftriaxone
Intravenous fluids
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Fine needle aspiration of peripancreatic fluid
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer local anaesthesia, Conduct needle aspiration
Percutaneous drainage for pancreatic pseudocyst
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Administer general anaesthesia, Conduct general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care
Endoscopic drainage for pancreatic pseudocyst
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct endoscopic surgery, Assist with endoscopic surgery, Provide nursing support for endoscopic surgery

Prevention of gastrointestinal diseases

WHO #332 · 1 action

Covered by PNPK + NICE

Condition-specific nutrition assessment and counselling

Lihat 1 action detail

Condition-specific nutrition assessment and counselling
Tasks: Conduct clinical assessment, Conduct counselling

Screening and diagnosis of gastrointestinal diseases

WHO #333 · 15 action

Covered by PNPK + NICE

Under review | History and physical examination | Point of care testing

Lihat 15 action detail

Under review
History and physical examination
Tasks: Conduct vital signs measurement, Conduct history taking, Conduct physical examination, Provide clinical advice
Point of care testing
Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing
Basic laboratory tests
Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
Advanced laboratory tests
Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
Computed tomography (CT) scan
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Magnetic resonance imaging (MRI)
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Ultrasound
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
X-ray
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Endoscopic ultrasound (EUS)
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct endoscopic radiological examination, Assist with endoscopic radiological examination
Endoscopic retrograde cholangiopancreatography (ERCP)
Paracentesis
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer local anaesthesia, Provide nursing support for medical procedure, Conduct medical procedure
Endoscopy - diagnostic
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer procedural anaesthesia, Conduct endoscopic procedure, Provide nursing support for endoscopic procedure
Biopsy - liver
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer procedural anaesthesia, Provide nursing support for biopsy, Conduct biopsy
Esophagogastroduodenoscopy (EGD)
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer procedural anaesthesia, Conduct endoscopic procedure, Provide nursing support for endoscopic procedure