tag:blogger.com,1999:blog-17883939685027953162024-03-06T11:06:02.136+07:00My Nursing BlogKumpulan askep - askep Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.comBlogger101125tag:blogger.com,1999:blog-1788393968502795316.post-31259120764627579422014-09-21T10:58:00.001+07:002015-06-13T15:31:10.959+07:00Karya Tulis Ilmiah : Gambaran Pengetahuan Keluarga Tentang Perawatan Lansia Dengan Hipertensi di Rumah <div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">BAB II<o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.1 Konsep Dasar Pengetahuan<o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.1.1 Pengertian
Pengetahuan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengetahuan <i>(knowledge)</i> adalah hasil dari tahu
manusia, yang sekadar menjawab pertanyaan “<i>what</i>”,
misalnya apa air, apa manusia, apa malam, dan sebagainya (Notoatmodjo, 2012).</span><br />
<a name='more'></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Selengkapnya<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Pengetahuan adalah akumulasi
pengalaman inderawi yang dicatat dalam otak masing-masing diberi nama setempat
dan dikomunikasikan seperlunya secara abstrak tanpa menunjukkan benda yang
bersangkutan secara fisik (Atmadilaga, 1993, yang dikutip oleh Budiman, 2011). <o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Pengetahuan merupakan hasil
mengingat suatu hal, termasuk mengingat kembali kejadian yang pernah dialami,
baik secara sengaja maupun tidak di sengaja. Hal ini terjadi setelah orang melakukan kontak atau
pengamatan terhadap suatu objek tertentu (Mieke, 2011).<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.1.2 Tingkatan Pengetahuan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut
Notoatmodjo (2010), Secara garis besarnya dibagi 6 tingkat pengetahuan, yakni :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tahu
(<i>know</i>) :<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Tahu diartikan hanya sebagai <i>recall </i>(memanggil) memori yang telah ada sebelumnya setelah
mengamati sesuatu. Misalnya : tahu bahwa buah tomat banyak mengandung vitamin
C, jamban adalah tempat buang air besar, penyakit demam berdarah ditularkan
melalui gigitan nyamuk aedes agepti, dan sebagainya. Untuk mengetahui atau
mengukur bahwa orang tahu sesuatu dapat menggunakan pertanyaan-pertanyaan
misalnya: apa tanda-tanda anak yang kurang gizi, apa penyebab penyakit TBC,
bagaimana cara melakukan PSN (pemberantasan sarang nyamuk), dan sebagainya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Memahami (<i>comprehension</i>)
:<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Memahami suatu objek beukan sekadar tahu terhadap objek tersebut, tidak sekadar
dapat menyebutkan, tetapi orang tersebut harus dapat menginterprestasikan
secara benar tentang objek yang diketahui tersebut. Misalnya orang yang memahami
cara pemberantasan penyakit demam berdarah, bukan hanya sekadar menyebutkan 3 M
(mengubur, menutup, dan menguras), tetapi harus dapat menjelaskan mengapa harus
menutup, menguras, dan sebagainya, tempat-tempat penampungan air tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Aplikasi (<i>application</i>)
:<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Aplikasi
diartikan apabila orang yang telah memahami objek yang dimaksud dapat
menggunakan atau mengaplikasikan prinsip yang diketahui tersebut pada situasi
yang lain. Misalnya seseorang yang telah paham tentang proses perencanaan, ia
harus dapat membuat perencanaan program kesehatan ditempat ia bekerja atau
dimana saja, orang yang telah paham metodologi penelitian, ia akan mudah
membuat proposal penelitian dimana saja, dan seterusnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Analisis (<i>analysis</i>)<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Analisis adalah
kemampuan seseorang untuk menjabarkan dan atau memisahkan, kemudian mencari
hubungan antara komponen-komponen yang terdapat dalam suatu masalah atau objek
yang diketahui.Indikasi bahwa pengetahuan seseorang itu sudah sampai pada
tingkat analisis adalah apabila orang tersebut telah dapat membedakan, atau
memisahkan, mengelompokkan, membuat diagram (bagan) terhadap pengetahuan atas
objek tersebut. Misalnya, dapat membedakan antara nyamuk Aedes Agepty dengan
nyamuk biasa, dapat membuat diagram (flow chart) siklus cacing kremi, dan sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Sintesis (<i>synthesis</i>)<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Sintesis menunjuk
suatu kemampuan seseorang untuk merangkum atau meletakkan dalam suatu hubungan
yang logis dari komponen-komponen pengetahuan yang dimiliki. Dengan kata lain
sintesis adalah suatu kemampuan untuk menyususun formulasi baru dari
formulasi-formulasi yang telah ada.Misalnya dapat membuat atau meringkas dengan
kata-kata atau kalimat sendiri tentang hal-hal yang telah dibaca atau didengar,
dan dapat membuat kesimpulan tentang artikel yang telah dibaca.<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Evaluasi <i>(evaluation)<o:p></o:p></i></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Evaluasi
berkaitan dengan kemampuan seseorang untuk melakukan justifikasi atau penilaian
terhadap suatu objek tertentu, penilaian ini dengan sendirinya didasarkan pada
suatu kriteria yang ditentukan sendiri atau norma-norma yang berlaku dimasyarakat.Misalnya
seorang ibu dapat menilai atau menentukan seorang anak menderita malnutrisi
atau tidak, seseorang dapat menilai manfaat ikut keluarga berencana bagi
keluarga, dan sebagainya.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">2.1.3 Pengukuran Pengetahuan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Pada penelitian ini, peneliti memilih
penelitian kuantitatif sebagai pengukuran pengetahuan serta menggunakan metode
angket tertutup, sebagai berikut :<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Penelitian kuantitatif<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Penelitian kuantitatif pada umumnya akan mencari jawaban
atas fenomena, yang menyangkut berapa banyak, berapa sering, berapa lama, dan
sebagainya, maka metode yang peneliti lakukan adalah dengan metode angket
tertutup.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Angket tertutup<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Instrumen atau alat ukurnya seperti wawancara, hanya
jawaban responden disampaikan lewat tulisan. Metode pengukuran ini sering di
sebut “<i>self administered</i>” atau metode
mengisi sendiri.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.1.4 Faktor – faktor yang Mempengaruhi
Pengetahuan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ada
beberapa faktor yang dapat mempengaruhi pengetahuan seseorang. Menurut Mubarak
(2007) ada tujuh faktor yang mempengaruhi pengetahuan seseorang, yaitu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pendidikan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pendidikan berarti
bimbingan yang diberikan seseorang kepada orang lain terhadap suatu hal agar
mereka dapat memahami. Tidak dapat dipungkiri bahwa makin tinggi pendidikan
seseorang semakin mudah pula mereka menerima informasi, dan pada akhirnya makin
banyak pula pengetahuan yang dimilikinya. Sebaliknya, jika seseorang tingkat
pendidikannya rendah, akan menghambat perkembangan sikap seseorang terhadap
penerimaan, informasi dan nilai-nilai yang baru diperkenalkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pekerjaan
<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lingkungan pekerjaan
dapat menjadikan seseorang memperoleh pengalaman dan pengetahuan baik secara
langsung maupun secara tidak langsung.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Umur<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Dengan bertambahnya
umur seseorang akan terjadi perubahan pada aspek psikis dan psikologis
(mental). Pertumbuhan fisik secara garis besar ada empat kategori perubahan,
yaitu perubahan ukuran, perubahan proporsi, hilangnya ciri-ciri lama dan
timbulnya ciri-ciri baru.Ini terjadi akibat pematangan fungsi organ.Pada aspek
psikologis dan mental, taraf berfikir seseorang semakin matang dan dewasa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Minat
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Minat adalah
kecenderungan atau keinginan yang tinggi terhadap sesuatu.Minat menjadikan
seseorang untuk mencoba dan menekuni suatu hal dan pada akhirnya diperoleh
pengetahuan yang lebih mendalam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengalaman
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengalaman adalah
suatu kejadian yang pernah dialami seseorang dalam berinteraksi dengan
lingkungannya. Ada kecenderungan pengalaman yang kurang baik seseorang akan
berusaha untuk melupakan, namun jika pengalaman terhadap obyek tersebut
menyenangkan maka secara psikologis akan timbul kesan yang membekas dalam emosi
sehingga menimbulkan sikap positif. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kebudayaan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kebudayaan akan
mempengaruhi pengetahuan masyarakat secara langsung. Apabila dalam suatu
wilayah mempunyai budaya untuk menjaga kebersihan lingkungan maka sangat
mungkin masyarakat sekitarnya mempunyai sikap untuk selalu menjaga kebersihan
lingkungan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Informasi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kemudahan memperoleh
informasi dapat membantu mempercepat seseorang untuk memperoleh pengetahuan
yang baru.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">2.2 Teori
Perilaku</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">2.2.1 Teori <i>“Preced-Preceed”</i><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;"> </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Teori ini dikembangkan oleh Lawrence Green, yang dirintis
sejak tahun 1980. <i>Lawrence Green</i>mencoba
menganalisis perilaku manusia dari tingkat kesehatan. Kesehatan seseorang atau
masyarakat dipengaruhi oleh 2 faktor pokok, yakni faktor perilaku (<i>behaviour causes</i>) dan faktor di luar
perilaku (<i>non-behaviourcauses</i>).
Selanjutnya perilaku dipengaruhi oleh 3 faktor utama, yang dirangkum dalam
akronim PRECEDE: P <i>redisposing, Enabling,
dan Reinforcing Causes in Educational Diagnosis and Evaluation. </i>Precede ini
adalah merupakan arahan dalam menganalisis atau diagnosis dan evaluasi perilaku
untuk intervensi pendidikan (promosi) kesehatan. Precede adalah merupakan fase
dianosis masalah (Notoatmodjo, 2010)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;"> Sedangkan <i>PROCEED</i>:
<i>Policy</i>, <i>Regulatory</i>, <i>Organizational
Construct in Educational and Environmantal Development</i>, adalah merupakan
arahan dalam perencanaan, implementasi, dan evaluasi pendidikan (promosi)
kesehatan. Apabila <i>Preceed</i>merupakan
fase diagnosis masalah, maka Proceed adalah merupakan perencanaan, pelaksanaan
dan evaluasi Promosi Kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;"> Lebih lanjut Precede model ini dapat diuraikan bahwa
perilaku itu sendiri di tentukan atau terbentuk dari 3 faktor, yakni:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l24 level1 lfo25; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Faktor-faktor
predisposisi (<i>predisposing factors</i>),
yakni terwujud dalam pengetahuan, sikap, kepercayaan, keyakinan, nilai-nilai,
dan sebagainya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l24 level1 lfo25; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Faktor-faktor pemungkin
(enabling factors), yang terwujud dalam lingkungan fisik , tersedia atau tidak
tersedianya fasilitas-fasilitas atau sarana-sarana kesehatan, misalnya
puskesmas, obat-obatan, alat-alat kontrasepsi, jamban, dan sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l24 level1 lfo25; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Faktor-faktor
pendorong atau penguat (<i>reinforcing
factors</i>) yang terwujud dalam sikap dan perilaku petugas kesehatan atau
petugas lain, yang merupakan kelompok referensi dari perilaku masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Disimpulkan bahwa
perilaku seseorang atau masyarakat tentanng kesehatan ditentukan oleh
pengetahuan, sikap, kepercayaan, tradisi, dan sebagainya dari orang atau
masyarakat yang bersangkutan. Disamping itu, ketersediaan fasilitas, sikap, dan
perilaku para petugas kesehatan terhadap kesehatan juga akan mendukung dan
memperkuat terbentuknya perilaku (Notoatmodjo, 2010).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.3 </span></b><b><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Konsep
Keluarga<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">3</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">.1 </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Pengertian
Keluarga</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Menurut WHO (1969) dikutip dalam
Iqbal (2012) keluarga adalah anggota rumah tangga yang saling berhubungan
melalui pertalian darah, adopsi, atau perkawinan yang sah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Departemen Kesehatan RI(1998</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">)
dikutip dalam Harmoko (2012</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">)</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">
Keluarga adalah unit terkecil dari masyarakat yang terdiri dari kepala keluarga
dan beberapa orang yang berkumpul dan tinggal di bawah satu atap dalam keadaan
saling ketergantungan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 18.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Menurut <i>Salvicion G. Ballon</i> dan <i>Aracelis
Maglaya</i> (1989) dikutip dalam Harmoko (2012) Keluarga adalah dua atau lebih
dari dua individu yang bergantung karena hubungan darah, hubungan perkawinan,
dan pengangkatan, dan mereka hidup dalam suatu rumah tangga berinteraksi satu
sama lain dan didalam perannya masing-masing dan menciptakan serta mempertahan
kan suatu kebudayaan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut Sayekti (1994) dikutip dalam Suprajitno (2004) keluarga adalah suatu
ikatan/ persekutuan hidup atas dasar perkawinan antara orang dewasa yang berlainan
jenis yang hidup bersama atau seorang laki-laki atau seorang perempuan yang sudah sendirian dengan anak atau tanpa
anak, baik anaknya sendiri atau adopsi, dan tinggal dalam sebuah rumah tangga.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 18.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Menurut <i>Friedman </i>(1998) dikutip dalam Harmoko (2012) Keluarga adalah
kumpulan dua orang atau lebih yang hidup bersama dengan keterikatan aturan dan
emosional dan individu mempunyai peran masing-masing yang merupakan peran dari
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</tbody></table>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Menurut</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;"> Harmoko(2012)Empat hal penting dalam karakteristik
keluarga adalah</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> sebagai berikut</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 7.1pt; tab-stops: 21.3pt; text-align: justify; text-indent: -7.1pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">1)</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Terdiri
atas dua atau lebih individu yang diikat oleh hubungan darah, </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">perkawinan, atau adopsi.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 7.1pt; tab-stops: 21.3pt; text-align: justify; text-indent: -7.1pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">2)</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Anggota
keluarga biasanya hidup bersama atau jika terpisahmerek</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">a <br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">tetap memperhatikan satu sama lain.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 7.1pt; tab-stops: 21.3pt; text-align: justify; text-indent: -7.1pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">3)</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Anggota
keluarga berinteraksi satu sama lain dan masing-masing</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">mempunyai peran social sebagai suami, isteri, anak, kakak
dan adik.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 7.1pt; tab-stops: 21.3pt; text-align: justify; text-indent: -7.1pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">4)</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Mempunyai
tujuan untuk menciptakan, mempertahankanbudaya,</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">meningkatkan perkembangan fisik, psikologis, dan
sosialanggota </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">keluarga.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Berdasarkan pengertian diatas, maka penulis dapat
menyimpulkan bahwaKeluarga</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> merupakan bagian</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;"> terkecil dari komunitas
yang terdiri dari beberapa orang
yang masih memiliki hubungan darah atau kelompok sosial yang memiliki hubungan antar individu, terdapat
ikatan, kewajiban,serta tanggung jawab di antara individu satu terhadap individu yang lainnya</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">
atau suatu sistem yang terdiri dari anggota yaitu ayah, ibu, dan anak yang
tinggal dalam satu rumah tangga dengan memiliki tujuan yang sama</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 102.0pt; tab-stops: 36.0pt 72.0pt 90.0pt; text-align: justify; text-indent: -102.0pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">3</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">.2</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Struktur
Keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 36.0pt 72.0pt 90.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Menurut Harmoko (2012) </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Strukturkeluarga menggambarkan bagaimana keluarga
melaksanakanan fungsi keluarga di masyarakat. Ada beberapa struktur keluarga
yang ada di Indonesia yang terdiri dari bermacam-macam, diantaranya adalah:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">1) <i>Patrilineal<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Patrilineal adalah
keluarga sedarah yang terdiri dari sanak saudara sedarah dalam beberapa
generasi, dimana hubungan itu disusun melalui jalur ayah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2) <i>Matrilineal<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Matrilineal adalah keluarga sedarah yang terdiri dari sanak saudara </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">sedarah dalam beberapa generasi, dimana hubungan itu
disusun </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">melalui jalur garis ibu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt 90.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">3) <i>Matrilokal<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt 72.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Matrilokal adalah </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">sepasang
suami istri yang tinggal bersama keluarga sedarah istri.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt 72.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">4) <i>Patrilokal<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt 90.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Patrilokal dalah
sepasang suami isteri yang tinggal bersama keluarga sedarah suami.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt 90.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">5) Keluarga Kawinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 21.3pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Adalah hubungan suami
isteri sebagai dasar bagi pembinaan keluarga, dan beberapa sanak </span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 36.0pt 72.0pt 90.0pt 102.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">3</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">.3</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Ciri-ciri
Struktur Keluarga </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 35.45pt 72.0pt 90.0pt 102.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Menurut Harmoko (2012) ciri-ciri </span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">struktur </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">keluarga adalah sebagai
berikut:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 14.2pt 36.0pt 72.0pt 90.0pt 102.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">1) Terorganisasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 14.2pt 72.0pt 102.0pt; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Saling berhubungan, saling ketergantungan antara anggota
keluarga.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 14.2pt 36.0pt 72.0pt 90.0pt 102.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">2) Adanya
keterbatasan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 14.2pt 72.0pt 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;"> Setiap anggota keluarga memiliki
kebebasan, tetapi mereka juga </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">mempunyai keterbatasan dalam menjalankan fungsi dan tugas
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">masing-masing.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 14.2pt 36.0pt 72.0pt 90.0pt 102.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">3) Ada perbedaan dan kekhususan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 14.2pt 72.0pt 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> S</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">etiap anggota keluarga mempunyai peranan dan fungsinya masing </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">masing.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 90.0pt; tab-stops: 36.0pt 72.0pt 90.0pt 102.0pt; text-align: justify; text-indent: -90.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.3.4 Tipe Keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 36.0pt 90.0pt 102.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Menurut Harmoko (2012) </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Secara umum di </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">I</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">ndonesia dikenal dua tipe keluarga, yaitu sebagai berikut
:</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 18.0pt 36.0pt 72.0pt 90.0pt 102.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">1) KeluargaTradisional.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 2.0cm; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">(1)Keluarga inti, yaitu suatu rumah tangga yang terdiri
dari suami, </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">istridan anak( kandung/angkat).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">(2)</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> K</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">eluarga
besar keluarga inti di tambah keluarga lain yang </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">mempunyai hubungan darah misalnya kakak, nenek, paman, </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">bibi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 36.0pt 49.65pt 72.0pt 90.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">(3) <i>Single parent</i>,
yaitu suatu rumah tangga yang terdiri dari satu </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">orangtua dengan anak (kandung/angkat). Kondisi ini dapat </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">disebabkan oleh kematian/perceraian. </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">(4) <i>Single adult</i>,
yaitu suatu rumah tangga yang terdiri dari suatu </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">orangdewasa.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 36.0pt 49.65pt 72.0pt 90.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">(5) Keluarga lanjut usia, terdiri dari suami istri lanjut
usia. </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 4.5pt 18.0pt 36.0pt 72.0pt 90.0pt 102.0pt 180.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">2) Keluarga Non Tradisional</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 0cm 72.0pt 90.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">(1)<i>Cummune family</i>,
yaitu keluarga yang lebih dari satu keluarga </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">tanpa pertalian darah hidup se</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">rumah</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 0cm 72.0pt 90.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">(2)Orang tua(ayah) yang tidak ada ikatan perkawinan dan
anak </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">hidup bersama dalam satu rumah tangga.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 0cm 70.9pt 90.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">(3)Homose</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">k</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">sual, yaitu dua individu yang sejenis hidup bersama </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br />
</span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">dalam satu rumah</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 102.0pt; tab-stops: 36.0pt 72.0pt 90.0pt 102.0pt; text-align: justify; text-indent: -102.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.3.5 Fungsi Keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 35.45pt 72.0pt 90.0pt 102.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span><span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">Secara umum fungsi keluarga </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">menurut
Friedman (1988) dikutip dalam Suprajitno (2004) adalah sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level1 lfo21; tab-stops: 21.3pt 1.0cm 90.0pt 102.0pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Fungsi
Afektif <i>(the affective function)</i>
adalah sebagai fungsi keluarga yang utama untuk mengajarkan segala sesuatu
untuk mempersiapkan anggota keluarga yang berhubungan dengan orang lain. Fungsi
ini di butuhkan untuk perkembangan individu dan psikososial keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 14.2pt 1.0cm 72.0pt 90.0pt 102.0pt; text-align: justify; text-indent: -14.15pt;">
<span lang="SV" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV;">2) Fungsi
Sosialisasi dan tempat sosialisasi <i>(socialization
and socialplacement function)</i> adalah fungsi mengembangkan dan tempat
melatih anak untuk berkehidupan sosial sebelum meninggalkan rumah untuk
berhubungan dengan orang lain diluar rumah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">3) Fungsi Reproduksi <i>(the
reproductive function)</i> adalah fungsi untuk mempertahankan generasi dan
menjaga kelangsungan keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 1.0cm 72.0pt 102.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">4)
Fungsi Ekonomi <i>(the economic function)</i>
yaitu keluarga berfungsi untuk memenuhi kebutuhan keluarga secara ekonomi dan tempat untuk mengembangkan kemampuan
individu meningkatkan penghasilan untuk memenuhi kebutuhan keluarga. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 14.2pt 1.0cm 72.0pt 102.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">5)
Fungsi Perawatan atau pemeliharaan Kesehatan <i>(the health care function)</i> yaitu fungsi untuk mempertahankan
keadaan kesehatan anggota keluarga agar tetap memiliki produktivitas tinggi.
Fungsi ini di kembangkan menjadi tugas keluarga di bidang kesehatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; tab-stops: 14.2pt 1.0cm 72.0pt 102.0pt; text-align: justify; text-indent: -14.15pt;">
<br /></div>
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<br /></div>
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<br /></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.4 Konsep Lansia<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.4.1 Definisi
Lansia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lanjut usia adalah bagian
dari proses tumbuh kembang. Manusia tidak secara tiba-tiba, tetapi berkembang
dari bayi, anak-anak, dewasa, dan akhirnya menjadi tua (Azizah, 2011)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lansia merupakan suatu
proses alami yang ditentukan oleh Tuhan Yang Maha Esa. Semua orang akan
mengalami proses menjadi tua dan masa tua merupakan masa hidup manusia yang
terakhir (Azizah, 2011).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kelompok lanjut usia adalah
kelompok penduduk yang berusia 60 tahun ke atas. Pada lanjut usia akan terjadi
proses menghilangnya kemampuan jaringan untuk memperbaiki diri atau mengganti
dan mempertahankan fungsi normalnya secara perlahan-lahan sehingga tidak dapat
bertahan terhadap infeksi dan memperbaiki kerusakan yang terjadi (Umiyatun
Nawawi, 2009)<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.4.2 Teori
– teori Proses Menua<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Menurut
para ahli-ahli dibawah ini yang dikutip oleh Azizah (2011) teori-teori proses
penuaan secara umum dapat dibedakan menjadi dua yaitu teori penuaan secara
biologi dan teori penuaan psikososial.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.4.2.1 Teori Biologi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Teori Seluler<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kemampuan
sel hanya dapat membelah dalam jumlah tertentu dan kebanyakan sel-sel tubuh
“diprogram” untuk membelah 50 kali. Jika sebuah sel pada lansia dilepas dari
tubuh dan dibiakan di laboratorium, lalu diobservasi, jumlah sel-sel yang akan
membelah, jumlah sel yang akan membelah akan terlihat sedikit ( Spence &
Masson dalam Watson, 1992).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Teori
<i>(Genetik Clock)<o:p></o:p></i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut
teori ini menua telah diprogram secara genetik untuk species-species tertentu. Tiap species mempunyai di dalam
nuclei (inti selnya) suatu jam genetik yang telah diputar menurut suatu
replikasi tertentu. Jam ini akan menghitung mitosis dan menghentikan replikasi
sel bila tidak berputar, jadi menurut konsep ini bila jam kita berhenti kita
akan meninggal dunia, meskipun tanpa di sertai kecelakaan lingkungan atau
penyakit akhir yang katastrofal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Konsep
genetik clock didukung oleh kenyataan bahwa ini merupakan cara menerangkan
mengapa papa beberapa species terlihat adanya perbedaan harapan hidup yang
nyata. (misalnya manusia; 116 tahun, beruang; 47 tahun, kucing; 40 tahun,
anjing; 27 tahun, sapi; 20 tahun). Secara teoritis dapat dimungkinkan memutar
jam ini lagi meski hanya untuk beberapa
waktu dengan pengaruh-pengaruh dari luar, berupa peningkatan kesehatan,
pencegahan penyakit atau tindakan-tindakan tertentu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengontrolah
genetik umu rupanya dikontrol dalam tingkat seluler, mengenai hal ini Hayflck
(1980) melakukan penelitian melalui kultur sel ini vitro yang menunjukkan bahwa
ada hubungan antara kemampuan membelah sel dalam kultur dengan umur spesies.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sintesis Protein (kolagen dan elastin)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jaringan
seperti kulit dan kartilago kehilangan elastisitasnya pada lansia. Proses
kehilangan elastisitasnya pada lansia. Proses kehilangan elastisitas ini
dihubungkan dengan adanya perubahan kimia pada komponen protein dalam jaringan
tersebut. Pada lansia beberapa protein (kolagen dan kartilago, dan elastin pada
kulit) dibuat oleh tubuh dengan bentuk dan struktur yang berbeda dari protein
yang lebih muda. Contohnya banyak kolagen pada kartilago dan elastin pada kulit
yang kehilangan fleksibilitasnya serta menjadi lebih tebal, seiring dengan
bertambahnya usia. (Tortora & anagnostakos, 1990) hal ini dapat lebih mudah
dihubungkan dengan perubahan permukaan kulit yang kehilangan elastisitasnya dan
cemderung berkerut, juga terjadinya penurunan mobilitas dan kecepatan pada
sistem muskuloskletal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Keracunan Oksigen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Teori
tentang adanya sejumlah penurunan kemampuan sel di dalam tubuh untuk
mempertahankan diri dari oksigen yang mengandung zat racun dengan kadar yang
tinggi, tanpa mekanisme pertahanan diri tertentu. Ketidak mampuan
mempertahankan diri dari toksik tersebut membuat struktur membarn sel mengalami
perubahan dari rigid, serta terjadi kesalahan genetik. ( Tortora &
anagnostakos, 1990 ).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Membran
sel tersebut merupakan alat untuk memfasilitasi sel dalam berkomunikasi dengan
lingkungannya yang juga mengontrol proses pengambilan nutrien dengan proses
ekskresi zat toksik di dalam tubuh. Fungsi komponen protein pada membran sel
yang sangat penting bagi proses di atas, di pengaruhi oleh rigiditas membran
tersebut. Konsekuensi dari kesalahan genetik adalah adanya penurunan reproduksi
sel oleh mitosis yang mengakibatkan jumlah sel anak di semua jaringan dan organ
berkurang. Hal ini akan menyebabkan peningkatan kerusakan sistem tubuh.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem Imun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kemampuan
sistem imun mengalami kemunduran pada masa penuaan. Walaupun demikian,
kemunduran kemampuan sistem yang terdiri dari sistem limfatik dan khususnya sel
darah putih, juga merupakan faktor yang berkonstribusi dalam proses penuaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mutasi
yang berulang atau perubahan protein pasca translasi, dapat menyebabkan
berkurangnya kemampuan sistem imun tubuh mengenali dirinya sendiri (self
recognition). Jika mutasi somatik menyebabkan terjadinya kelainan pada antigen
permukaan sel, maka hal ini akan dapat menyebabkan sistem imun tubuh menganggap
sel yang mengalami perubahan tersebut sebagi sel asing dan menghancurkannya.
Perubahan inilah yang menjadi dasar terjadinya peristiwa autoimun (Goldstein,
1989).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hasilnya
dapat pula berupa reaksi antigen antibody yang luas mengenai jaringan-jaringan
beraneka ragam, efek menua jadi akan menyebabkan reaksi histoinkomtabilitas
pada banyak jaringan. Salah satu bukti yang ditemukan ialah bertambahnya
prevalensi auto antibody bermacam-macam pada orang lanjut usia (Brocklehurst,
1987). Disisi lain sistem imun sendiri daya pertahanannya mengalami penurunan
pada proses menua, daya serangnya terhadap, sel kanker menjadi menurun,
sehingga sel kanker leluasa membelah-belah. Inilah yang menyebabkan kanker yang
meningkat sesuai dengan meningkatnya umur (Suhana, 1994).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mutasi Somatik <i>(Teori Error Catastrophe)</i><o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sekarang
sudah umum diketahui bahwa radiasi dan zat kimia dapat memperpendek umur,
sebaliknya menghindari terkenanya radiasi atau tercemar zat kimia yang bersifat
karsiogenik atau toksik dapat memperpanjang umur. Menurut teori ini terjadinya
mutasi yang progresif pada DNA sel somatik akan menyebabkan terjadinya penurunan
kemampuan fungsional sel tersebut.<o:p></o:p></span></div>
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</o:lock></v:path></v:shapetype><v:shape id="_x0000_s1030" o:connectortype="straight" style="height: .05pt; left: 0; margin-left: 219.1pt; margin-top: 144.05pt; position: absolute; text-align: left; width: 95.15pt; z-index: 251673600;" type="#_x0000_t32">
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</v:stroke></v:shape><v:shape id="_x0000_s1029" o:connectortype="straight" style="height: 0; left: 0; margin-left: 347pt; margin-top: 116.9pt; position: absolute; text-align: left; width: 19.7pt; z-index: 251672576;" type="#_x0000_t32">
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</v:stroke></v:shape><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mekanisme
pengontrolan genetik dalam tingkat sub
seluler dan molekular yang bisa disebut juga hipotesis “Error Catastrophe”
menurut hipotesis tersebut menua disebabkan oleh kesalahan-kesalahan yang
beruntun. Sepanjang kehidupan setelah berlangsung dalam waktu yang cukup lama,
terjadi kesalahan dalam proses transkripsi (DNA RNA) maupun dalam proses translasi
(RNA protein/enzim)
kesalahan tersebut akan menyebabkan terbentuknnya enzim yang salah. Kesalahan
tersebut dapat berkembang secara eksponensial dan akan menyebabkan terjadinya reaksi metabolisme yang salah,
sehingga akan mengurangi fungsional sel. Apalagi jika tejadi pula kesalah dalam
proses translasi (pembuatan protein), maka terjadi kesalahan yang makin banyak,
sehingga terjadi katastrop (Constantinides, 1994 dikutip oleh Azizah, 2011).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><v:shape id="_x0000_s1026" o:connectortype="straight" style="height: 0; left: 0; margin-left: 208.1pt; margin-top: -212.75pt; position: absolute; text-align: left; width: 108.8pt; z-index: 251669504;" type="#_x0000_t32">
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<v:stroke endarrow="block">
</v:stroke></v:shape><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Teori
Menua Akibat Metabolisme<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut
MC Kay et all ( 1995 ) yang dikutip yang Azizah ( 2011 ), pengurangan “intake”
kalori pada rodentia muda akan menghambat pertumbuhan dan memperpanjang umur.
Perpanjangan umur karena jumlah kalori tersebut antara lain disebabkan karena
menurunnya salah satu atau beberapa proses metaboisme. Terjadi penurunan
pengeluaran hormon yang merangsang pruferasi sel misalnya insulin dan hormon
perumbuhan. Modifikasi cara hidup yang kurang bergerak menjadi lebih banyak
bergerak mungkin dapat juga meningkatkan umur panjang. Hal ini menyerupai
hewan yang hidup dialam bebas yang
banyak bergerak dibanding dengan hewan laboratorium yang kurang bergerak dan
banyak makan. Hewan dialam bebas lebih panjang umurnya daripada hewan
laboratorium (Suhara, 1994 dikutip Oleh Azizah, 2011).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kerusakan Akibat Radikal Bebas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Radikal
bebas (RB) dapat terbentuk dialam bebas , dan didalam tubuh di <i>fagosit</i> (pecah), dan sebagai produk
sampingan di dalam rantai pernafasan di dalam mitokondria. Untuk organisasi
aerobik radikal bebas terutama terbentuk pada waktu respirasi (<i>aerob</i>)di dalam mitokondria. Karena 90 %
oksigen yang di ambil tubuh termasuk di dalam mitokondria . Waktu terjadi
proses respirasi tersebut oksigen dilibatkan dalam mengubah bahan bakar menjadi
ATP, melalui enzim respirasi di dalam
mitokondria, maka radikal bebas (RB) akan dihasilkan sebagai zat antara. RB
yang terbentuk adalah: superoksida (O<sub>2</sub>), radikal hidroksi (OH), dan juga
peroksida dengan DNA, protein, asam lemak tak jenuh, seperti dalam membran sel,
dan dengan gugus SH. Walaupun telah ada sistem penangkal, namun sebagian RB
tetap lolos, bahkan makin lanjut usia makin banyak RB terbentuk sehingga proses
pengrusakan terus terjadi., kerusakan organel sel semakin banyak dan akhirnya
sel mati.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Oleh
karena itu ada beberapa peluang yang memungkinkan kita dapat mengintervensi,
supaya proses menua dapat diperlambat. Yang paling banyak kemungkinannya ialah
mencegah meningkatnya radikal bebas, manipulasi sistem imun tubuh, metabolisme,
makanan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.4.2.2 Teori
Psikologis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Aktivitas
atau Kegiatan (<i>Activity Theory</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Seseorang
yang dimasa mudanya aktif dan terus memelihara keaktifannya setelah menua.
Sense of integrity yang dibangun dimasa mudanya tetap terpelihara sampai tua.
Teori ini menyatakan bahwa pada lanjut usia yang sukses adalah mereka yang
aktif dan ikut banyak dalam kegiatan sosial. Ukuran optimum (pola hidup)
dilanjutkan pada cara hidup dari usia lanjut. Mempertahankan hubungan antara
sistem sosial dan individu agar tetap stabil dari usia pertengahan ke lanjut
usia (Nugroho, 2000).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kepribadian
berlanjut (<i>Continuity Theory</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Dasar
kepribadian atau tingkah laku tidak berubah pada lanjut usia. <i>Identity</i> pada lansia yang sudah mantap
memudahkan dalam memelihara hubungan dengan masyarakat, melibatkan diri dengan
masalah di masyarakat, keluarga dan hubungan interpersonal. Pada teori ini
menyatakan bahwa perubahan yang terjadi pada seseorang yang lanjut usia sangat
di pengaruhi oleh tipe <i>personality </i>yang
dimilikinya (Kuntjoro, 2002).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Teori
Pembebasan (<i>Disengagement Theory</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Putusnya
pergaulan atau hubungan dengan masyarakat dan kemunduran individu dengan
individu lainnya (Nugroho, 2000). Teori ini menyatakan bahwa dengan
bertambahnya usia, seseorang secara pelan tetapi pasti mulai melepaskan diri
dari kehidupan sosialnya atau menarik
diri dari pergaulan sekitarnya. Keadaan ini mengakibatkan interaksi
sosial lanjut usia menurun, baik secara kualitas maupun secara kuantitas
sehingga sering terjadi kehilangan ganda <i>(triple
loss)</i>, yakni:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.4.3 Batasan-batasan
Lanjut Usia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut Organisasi Kesehatan Dunia (WHO) yang
dikutip oleh Wahjudi Nugroho (2012) lanjut usia meliputi :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Usia Pertengahan (<i>middle age</i>) ( 45-59 tahun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lanjut
usia <i>(erderly)</i>
(60-74 tahun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lanjut
usia tua <i>(old) </i>(75-90 tahun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Usia
sangat tua <i>(very old)</i> (di atas 90
tahun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut Umiyatun Nawawi (2009)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: .55pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Departemen Kesehatan
menggolongkan tingkatan lansia menjadi
tiga kelompok, yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kelompok
lansia dini (55-64 tahun), merupakan kelompok yang baru memasuki lansia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kelompok
lansia (65 tahun ke atas)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kelompok
lansia resiko tinggi, yaitu lansia yang berusia lebih dari 70 tahun.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.4.4 Perubahan-perubahan
yang terjadi pada lanjut usia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Semakin bertambahnya umur
manusia, terjadi proses penuaan secara degeneratif yang akan berdampak
pada perubahan-perubahan pada diri
manusia, tidak hanya perubahan fisik, tetapi juga kognitif, perasaa, sosial,
dan seksual (Azizah, 2011).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan fisik dan fungsi
akibat proses menua menurut Wahjudi Nugroho (2012) yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sel<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jumlah sel menurun/lebih sedikit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ukuran sel lebih besar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jumlah cairan tubuh dan cairan intraselular
berkurang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Proporsi protein di otak, otot, ginjal,
darah, dan hat menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jumlah sel otak menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mekanisme perbaikan sel terganggu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Otak menjadi atrofi, beratnya berkurang 5-10%<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lekukan otak akan menjadi lebih dangkal dan
melebar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem
persarafan<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurun hubungan persarafan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Berat otak menurun 10-20% (sel saraf otak
setiap orang berkurang setiap harinya)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Respons dan waktu untuk bereaksi lambat,
khususnya terhadap stress.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Saraf panca-indra mengecil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penglihatan berkurang, pendengaran
menghilang, saraf penciuman dan perasa mengecil, lebih sensitif terhadap
perubahan suhu, dan rendahnya ketahanan terhadap dingin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kurang sensitif terhadap sentuhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Defisit memori<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem
pendengaran<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Gangguan pendengaran. Hilangnya daya
pendengaran pada telinga dalam, terutama terhadap bunyi suara atau nada yang
tinggi, suara yang tidak jelas, sulit mengerti kata-kata, 50% terjadi pada usia
di atas umur 65 tahun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Membran timpani menjadi atrofi menyebabkan
otosklerosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Terjadi pengumpulan serumen, dapat mengeras
karena meningkatnya keratin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Fungsi pendengaran semakin menurun pada
lanjut usia yag mengalami ketegangan/stres.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tinitus (bising yang bersifat mendengung,
bisa bernada tinggi atau rendah, bisa terus-menerus atau <i>intermiten</i>).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Vertigo (perasaan tidak stabil yang terasa
seperti bergoyang atau berputar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem
penglihatan<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sfingter pupil timbul sklerosis dan respons
terhadap sinar menghilang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kornea lebih berbentuk sferis (bola)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lensa lebih suram (kekeruhan pada lensa),
menjadi katarak, jelas menyebabkan gangguan penglihatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Meningkatnya ambang, pengamatan sinar, daya
adaptasi terhadap kegelapan lebih lambat, susah melihat dalam gelap.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penurunan/hilangnya daya akomodasi, dengan
manifestasi presbiopa, seseorang sulit melihat dekat yang dipengaruhi
berkurangnya elastisitas lensa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lapang pandang menurun: luas pandangan
berkurang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Daya membedakan warna menurun, terutama warna
biru atau hijau pada skala.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem
kardiovaskular<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Katup jantung menebal dan menjadi kaku.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Elastisitas dinding aorta menurun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kemampuan jantung memompa darah menurun 1%
setiap tahun sesudah berumur 20 tahun. Hal ini menyebabkan kontraksi dan volume
menurun (frekuensi denyut jantung maksimal = 200 – umur)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Curah jantung menurun (isi semenit jantung
menurun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kehilangan elastisitas pembuluh darah,
efektifitas pembuluh darah perifer untuk oksigenasi berkurang, perubahan posisi
dari tidur ke duduk (duduk ke berdiri) bisa menyebabkan tekanan darah menurun
menjadi 65 mmHg (mengakibatkan pusing mendadak)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kinerja jantung lebih rentan terhadap kondisi
dehidrasi dan perdarahan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan darah meningggi akibat resistensi
pembuluh darah perifer meningkat. Sistole normal ±170 mmHg.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem
pengaturan suhu tubuh<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 53.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada
pengaturan suhu, hipotalamus dianggap bekerja sebagai suatu tersmostat, yaitu
menetapkan suatu suhu tertentu. Kemunduran terjadi berbagai faktor yang
mempengaruhinya. Yang sering ditemui antara lain:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Temperatur tubuh menurun (hipotermia) secara
fisiologis ±35ºC ini akibat metabolisme yang menurun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada kondisi ini, lanjut usia akan merasa
kedinginan dan dapat pula menggigil, pucat, dan gelisah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Keterbatasan refleks mengiggil dan tidak
dapat memproduksi panas yang banyak sehingga terjadi penurunan aktivitas otot<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem
pernafasan<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Otot pernapasan mengalami kelemahan akibat
atrofi, kehilangan kekuatan, dan menjadi kaku.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Aktifitas silia menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Paru kehilangan elastisitas, kapasitas residu
meningkat, menarik napas lebih berat, kapasitas pernapasan maksimum menurun
dengan kedalaman bernapas menurun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ukuran alveoli melebar (membesar secara
progresif) dan jumlah berkurang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Berkurangnya elastisitas bronkus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Oksigen pada arteri menurun menjadi 75 mmHg<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Karbon dioksida pada arteri tidak berganti.
Pertukaran gas terganggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Refleks dan kemampuan untuk batuk berkurang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sensitivitas terhadap hipoksia dan
hiperkarbia menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; tab-stops: 70.9pt 99.25pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sering terjadi emfisema senilis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; tab-stops: 99.25pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kemampuan pegas dinding dada dan kekuatan
otot<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 70.9pt 99.25pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">pernapasan menurun seiring pertambahan
usia.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 70.9pt 99.25pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem
pencernaan<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kehilangan gigi, penyebab utama <i>periodontal disease </i>yang biasa terjadi
setelah umur 30 tahun. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Indra pengecap menurun, adanya iritasi
selaput lendir yang kronis, atrofi indra pengecap (±80%), hilangnya
sensitivitas saraf pengecap lidah, terutama rasa manis, asam, dan pahit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Esofagus melebar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Rasa lapar menurun (sensitivitas lapar
menurun), asam lambung menurun, mortilitas dan waktu pengosongan lambung
menurun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Peristaltik lemah dan biasanya timbul
konstipasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Fungsi absorpsi melemah (daya absorpsi
terganggu, terutama karbohidrat).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hati semakin mengecil dan tempat penyimpanan
menurun, aliran darah berkurang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sistem
reproduksi<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Wanita<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Vagina mengalami kontraktur dan mengecil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ovari menciut, uterus mengalami atrofi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Atrofi payudara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Atrofi vulva<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Selaput lendir vagina menurun, permukaan
menjadi halus, sekresi berkurang, sifatnya , menjadi alkali dan terjadi
perubahan warna.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Testis masih dapat memproduksi spermatozoa,
meskipun ada penurunan secara berangsur-angsur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Dorongan seksual menetap sampai usia di atas
70 tahun, asal kondisi kesehatannya baik, yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kehidupan seksual dapat diupayakan sampai
masa lanjut usia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hubungan seksual secara teratur membantu
mempertahankan kemampuan seksual<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tidak perlu cemas karena prosesnya alamiah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sebanyak ±75% pria usia di atas 65 tahun
mengalami pembesaran prostat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5 Hipertensi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.1 Pengertian
Hipertensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hipertensi atau yang
lebih dikenal dengan sebutan penyakit darah tinggi adalah keadaan dimana
tekanan darah seseorang berada diatas batas normal atau optimal yaitu 120 mmHg
untuk sistolik dan 80 mmHg untuk diastolik (Wirawan, 2013)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan darah tinggi atau
yang disebut dengan hipertensi merupakan kondisi dimana tekanan darah sistolik
sama atau lebih tinggi dari 140 mmHg dan tekanan diastolik lebih tinggi dari 90
mmHg, yang terjadi karena menurunnya elastisitas arteri pada proses menua (
Vina dan Fitrah, 2010)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut Diana (2006),
Tekanan darah tinggi merupakan tekanan darah yang melebihi tekanan darah yang
dapat diterima pada kelompok usia tertentu. Biasanya hipertensi tidak
menimbulkan gejala dan sering ditemukan hanya dengan pemeriksaan darah rutin,
kecuali tekanan darah sangat tinggi yang dapat menyebabkan pandangan menjadi
kabur, atau sakit kepala.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut WHO yang dikutip
oleh Ramadhan (2008), tekanan darah dianggap normal bila kurang dari 135/85
mmHg, sedangkan dikatakan hipertensi bila lebih dari 140/90 mmHg, dan di antara
nilai tersebut dikatakan normal tinggi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Tabel 2.1 Klasifikasi
Tekanan Darah <o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-bottom-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-insideh: none; mso-border-insidev: none; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 21.7pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: none; border-top: solid black 1.0pt; height: 21.7pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.8pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Klasifikasi
Tekanan Darah<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: none; border-top: solid black 1.0pt; height: 21.7pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
Sistolik dan Diastolik (mmHg)<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border: none; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.8pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Normal<o:p></o:p></span></div>
</td>
<td style="border: none; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">< 120 dan < 80<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.8pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pre hipertensi<o:p></o:p></span></div>
</td>
<td style="border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">120 – 139 dan 80 – 89<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.8pt; mso-yfti-irow: 3;">
<td style="border: none; height: 15.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.8pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hipertensi Stadium I<o:p></o:p></span></div>
</td>
<td style="border: none; height: 15.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">140 – 159 dan 90 – 99<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid black 1.0pt; border: none; mso-border-bottom-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-bottom-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.8pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hipertensi Stadium II<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border: none; mso-border-bottom-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-bottom-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272"><div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">> 160 dan > 100<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 300%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<i><span style="font-family: "Arial","sans-serif";">Sumber: Ramadhan, 2008<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.2 Tanda
/ Gejala Hipertensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Tanda dan gejala hipertensi pada lansia secara
umum adalah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sakit
kepala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perdarahan
hidung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Vertigo<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mual
muntah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan
penglihatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kesemutan
pada kaki dan tangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sesak
nafas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kejang
atau koma<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Nyeri
dada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada sebagian besar
penderita, hipertensi tidak menimbulkan gejala; meskipun secara tidak sengaja
beberapa gejala terjadi secara bersamaan dan dipercaya berhubungan dengan
tekanan darah tinggi (padahal sesungguhnya tidak). Gejala yang dimaksud adalah
sakit kepala, perdarahan dari hidung, pusing, wajah kemerahan dan kelelahan;
yang bisa saja terjadi baik pada penderita hipertensi, maupun pada seseorang
dengan tekanan darah yang normal (Wirawan, 2013).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada gejala hipertensi yang
semakin kronis akan muncul gejala, seperti :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo38; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ensefalopati
hipertensif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo38; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hemiplegi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo38; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Gangguan
penglihatan dan pendengaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo38; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pareses
dan facialis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo38; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penurunan
kesadaran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Gejala pada tekanan darah
tinggi yang memasuki stadium kronis atau akut dan menimbulkan gejala seperti
diatas, membuat beberapa penderita hipertensi ini sampai dalam keadaan koma.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Apabila dilakukan
pemeriksaan secara fisik, umumnya tidak ditemui kelainan apapun selain tekanan
darah semakin tinggi, namun dapat pula ditemukan perubahan pada retina mata,
seperti terjadi perdarahan, eksudat (kumpulan cairan), penyempitan pembuluh
darah, dan pada keadaan yang sangat kronis mengakibatkan edema pupil mata
(Wirawan, 2013).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.3 Komplikasi Hipertensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Komplikasi
dari hipertensi dapat mempengaruhi semua organ, terutama jantung. Pada Jantung
bisa terjadi: gagal jantung, angina pectoris, infark jantung dan kematian
mendadak (Wirawan, 2013).<b> <o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.4 Diet Lansia dengan Hipertensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Pada penderita hipertensi dimana
tekanan darah tinggi >140/90 mmHg, selain pemberian obat-obatan anti
hipertensi perlu terapi dietetik dan merubah gayah hidup. Tujuan
penatalaksanaan diet adalah untuk membantu menurunkan tekanan darah dan
mempertahankan tekanan darah normal. Disamping itu, diet juga ditujukan untuk
menurunkan faktor resiko lain seperti berat badan yang berlebih, tingginya
kadar lemak kolesterol dan asam urat dalam darah (Rismayanti, 2012).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Prinsip diet pada penderita
hipertensi adalah sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Makanan
beraneka ragam dan gizi seimbang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jenis
dan komposisi makanan diseuaikan dengan kondisi penderita.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jumlah
garam dibatasi sesuai dengan kesehatan penderita dan jenis makanan dalam daftar
diet.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Yang
dimaksud dengan garam disini adalah garam natrium yang terdapat dalam hampir
semua bahan makanan yang berasal dari hewan dan tumbuh-tumbuhan. Salah satu
sumber utama garam natrium adalah garam dapur. Oleh karena itu, dianjurkan <i>konsumsi garam dapur tidak lebih dari ¼ - ½
sendok teh/hari</i>atau dapat menggunakan garam lain diluar natrium.
(Rismayanthi, 2012)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.4.1
Mengatur Menu Makanan (Rismayanthi, 2012)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mengatur
menu makanan sangat dianjurkan bagi penderita hipertensi untuk menghindari dan
membatasi makanan yang dapat meningkatkan kadar kolesterol darah serta
meningkatkan tekanan darah, sehingga penderita tidak mengalami stroke atau infark
jantung. Makanan yang harus dihindari atau dibatasi adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l34 level1 lfo31; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Makanan yang berkadar lemak jenuh tinggi
(otak, ginjal, paru, minyak kelapa, gajih)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l34 level1 lfo31; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Makanan yang diolah dengan menggunakan garam
natrium (biscuit, craker, keripik dan makanan kering yang asin)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l34 level1 lfo31; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Makanan dan minuman dalam kaleng (sarden,
sosis, korned, sayuran serta buah-buahan dalam kaleng, softdrink)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l34 level1 lfo31; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Makanan yang diawetkan (dendeng, asinan
sayur/buah, abon, ikan asin, pindang, udang kering, telur asin, selai kacang)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l34 level1 lfo31; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Susu full cream, mentega, margarine, keju
mayonaise, serta sumber protein hewani yang tinggi kolesterol seperti daging
merah (sapi/kambing), kuning telur, kulit ayam)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l34 level1 lfo31; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Bumbu-bumbu seperti kecap, maggi, terasi,
saus tomat, saus sambal, tauco serta bumbu penyedap lain yang mengandung garam
natrium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l34 level1 lfo31; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Alkohol dan makanan yang mengandung alkohol
seperti durian dan tape<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.4.2
Petunjuk Penggunaan Garam untuk Penderita Hipertensi menurut Rismayanthi(2012)
terdapat 3 diet:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo32; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Diet rendah garam I : untuk penderita
hipertensi berat dianjurkan untuk tidak menambahkan garam dapur dalam makanan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo32; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Diet
rendah garam II : ditujukan untuk penderita hipertensi sedang. Garam dianjurkan
</span><span class="fullpost">¼ </span><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">sendok
teh garam dapur<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l15 level1 lfo32; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span></span><!--[endif]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Diet
rendah garam III : ditujukan untuk penderita hipertensi ringan (diastole kurang
dari 100 mmHg), garam dapur di anjurkan ½
sendok teh<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; tab-stops: 21.3pt; text-align: justify; text-indent: -42.55pt;">
<span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.4.3
Tips Pemberian Makanan Bagi Lansia dengan Hipertensi menurut Rismayanthi (2012)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; mso-list: l5 level1 lfo33; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span></span><!--[endif]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hendaknya
lansia makan dengan porsi kecil tapi sering<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l5 level1 lfo33; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span></span><!--[endif]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Makanlah
makanan yang mudah dicerna<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l5 level1 lfo33; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span></span><!--[endif]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hindari
makanan yang terlalu manis, gurih goreng-gorengan.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo33; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span></span><!--[endif]--><span class="fullpost"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Makan
makanan yang lunak untuk lansia yang kondisi giginya kurang baik<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.5 Penanganan hipertensi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.5.1
Pengobatan hipertensi Berdasarkan Jenisnya (Wirawan, 2013)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Olahraga lebih banyak dihubungkan
dengan pengobatan hipertensi, karena olah raga isotonik (seperti bersepeda,
jogging, aerobic) yang teratur dapat memperlancar peredaran darah sehingga
dapat menurunkan tekanan darah. Olahraga juga dapat digunakan untuk mengurangi
/ mencegah asupan garam ke dalam tubuh (tubuh yang berkeringat akan
mengeluarkan garam lewat kulit)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Pengobatan hipertensi secara garis
besar dibagi menjadi 2 jenis yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; mso-list: l23 level1 lfo34; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengobatan
non obat (non farmakologis)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengobatan
non farmakologis kadang-kadang dapat mengontrol tekanan darah sehingga
pengobatan farnakologis menjadi tidak diperlukan atau sekurang-kurangnya
ditunda. Sedangkan pada keadaan dimana obat anti hipertensi diperlukan,
pengobatan non farmakologis dapat dipakai sebagai pelengkap untuk mendapatkan
efek pengobatan yang lebih baik. Pengobatan non farmakologis diantaranya
adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l20 level1 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Diet rendah garam/kolesterol/lemak jenuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l20 level1 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mengurangi asupan garam ke dalam tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Nasehat
pengurangan garam, harus memperhatikan kebiasaan makan penderita. Pengurangan
asupan garam secara drastis akan sulit dilaksanakan. Cara pengobatan ini
hendaknya tidak dipakai sebagai pengobatan tunggal, tetapi lebih baik digunakan
sebagai pelengkap pada pengobatan farmakologis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l20 level1 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ciptakan keadaan rileks<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 57.3pt; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Berbagai
cara relaksasi seperti meditasi, yoga atau hipnosis dapat mengontrol sistem
saraf yang akhirnya dapat menurunkan tekanan darah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l20 level1 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Melakukan olahraga seperti senam aerobik atau
jalan cepat selama 30-45 menit sebanyak 3-4 kali seminggu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l20 level1 lfo35; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Berhenti merokok dan mengurangi konsumsi
alkohol<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l23 level1 lfo34; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengobatan
dengan obat-obatan (farmakologis)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Obat-obatan anti hipertensi. Terdapat banyak jenis obat
anti hipertensi yang beredar saat ini. Untuk pemilihan obat yang tepat
diharapkan menghubungi dokter.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l16 level1 lfo36; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Diuretik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 2.0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Obat-obatan
jenis diuretik bekerja dengan cara mengeluarkan cairan tubuh (lewat kencing)
sehingga volume cairan ditubuh berkurang yang mengakibatkan daya pompa jantung
menjadi lebih ringan. Contoh obatannya adalah Hidroklorotiazid.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l16 level1 lfo36; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penghambat Simpatetik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 2.0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Golongan
obat ini bekerja dengan menghambat aktivitas saraf simpatis (saraf yang bekerja
pada saat kita beraktivitas). Contoh obatnya adalah : Metildopa, Klonidin dan Reserpin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l16 level1 lfo36; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Vasodilator<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 2.0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Obat golongan ini
bekerja langsung pada pembuluh darah
dengan relaksasi otot polos (otot pembuluh darah). Yang termasuk dalam golongan
ini adalah: Prasosin, Hidralasin. Efek samping yang kemungkinan akan terjadi
dari pemberian obat ini adalah: sakit kepala dan pusing.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.5.5.2
Strategi Terapi Hipertensi (Wirawan, 2013).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Hipertensi mungkin dapat
dikendalikan dengan terapi obat (non farmakoterapi) atau terapi dengan obat
(farmakoterapi). Semua pasien tanpa memperhatikan apakah terapi dengan obat
dibutuhkan, sebaiknya dipertimbangkan juga untuk terapi tanpa obat, caranya
antara lain:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l31 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mengendalikan berat badan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l31 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pembatasan asupan garam (Sodium/Na) dan lemak
jenuh ke dalam tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l31 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menjaga kondisi tubuh agar tetap rileks
(tidak stress) dan olahraga teratur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l31 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Serta meninggalkan kebiasaan merokok dan
minum alkohol.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l31 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ramuan tradisional : Kunyit (rimpang), labu
air (daging dan sari buah), selada air (semua bagian), ceplukan (semua bagian),
alang-alang (akar), mengkudu (buah), jeruk nipis (air buah), kumis kucing
(daun), ketumbar mengsi (biji), pegagan (daun dan akar), buah merag (sari
buah), mimba, sembung, temputung (daun) dan daun salam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.6 Perawatan
Lansia di Rumah<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurut
Hastings (2006), klasifikasi Perawatan Lansia di Rumah ada beberapa macam, di
antaranya:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.6.1 Mobilitas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Semakin
lama lansia dapat tetap mandiri dan menangani semua aktivitas sehari-hari
sendiri, akan semakinbaik. Pergi belanja, menemui teman, atau jalan-jalan ke
bioskop, atau ke perkumpulan sosial,
semuanya membantu menjaga lansia tetap melakukan aktivitas yang aktif di dalam
hidupnya. Kenyamanan tungkai kaki sangat penting untuk mobilitas. Lansia harus
menggunakan sepatu yang pas, bertumit rendah, dan harus mengunjungi tempat
perawatan kaki dan tangan dengan teratur, untuk memastikan bahwa kuku jari
mereka tetap dalam kondisi yang baik-kuku kaki cenderung menebal dan lebih
sulit dirawat seiring dengan pertambahan usia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.6.1.1
Berkebun<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Berkebun
adalah aktivitas yang banyak dinikmati orang, tentunya memberikan kesenangan
yang sangat besar dari akhirnya; berkebun menjaga pikiran dan tubuh tetap
aktif, menstimulasi nafsu makan, dan menciptakan perasaan mandiri dan prestasi.
Ide yang baik untuk berpikir ke depan dan merencanakan berkebun bila sudah
lansia. Tempat bunga dapat ditinggikan sehingga mudah perawatannya. Terdapat
berbagai jenis <i>kneelers</i>(kursi panjang
untuk berlutut) untuk individu yang mengalami kesulitan membungkuk dan
peralatan yang bergagang panjang juga merupakan peralatan berkebun yang
berguna.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.6.1.2
Tip Praktis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Fasilitasi
lansia berpakaian dengan lebih mudah tanpa bantuan, dengan lebih mudah tanpa
bantuan, dengan mengganti resleting dan kancing dengan<i> Velcro</i> dan memberikan alat pengunci pakaian di bagian depan<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Alat
bantu pemakaian sepatu, sisir dan sikat harus memiliki gagang yang panjang dan
penjepit kuku lebih mudah dipakai, daripada gunting kuku.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Letakkan
alat di kamar mandi untuk membantu penderita keluar atau masuk dengan cara yang
mudah, serta letakkan alas di lantainya untuk mencegah tergelincir atau jatuh<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pasang
pegangan tangan di dekat kamar mandi, <i>shower</i>,
dan toilet dengan mudah.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Naikkan
ketinggian tempat duduk toilet sehingga membantu lansia untuk lebih mandiri.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Alat
bantu berjalan berupa <i>walking frame </i>atau
tongkat akan membantu seseorang yang berdiri tidak tegap.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pastikan
bahwa ketinggian tempat tidur: apabila terlalu tinggi, lansia harus menjejakan
kakinya ketika bangun dari tempat tidur; apabila terlalu rendah, individu harus
mengangkat tubuhnya, ketika ia bangun dari tempat tidur<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kursi
lansia harus memiliki alas yang tidak terlalu rendah – sekitar 45 sampai 65 cm
dari tanah dan tidak terlalu dalam, sehingga dapat bangun dengan mudah. Kursi
tersebut harus memiliki sandaran punggung yang tinggi dan memiliki sandaran
punggung yang tinggi dan memiliki sandaran tangan yang kokoh untuk membantu
lansia berdiri dengan cara mendorong pegangan tangan tersebut. Apabila perihal
kursi ini menjadi masalah, kursi peloncat yang otomatis (<i>ejection seat</i>) dapat membantu.<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.6.2 Keamanan Rumah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lansia
terutama rentan terhadap terjadinya kecelakaan. Jatuh adalah masalah terumum
dan lansia sering menyakiti dirinya sendiri dengan cukup parah akibat jatuh,
yang tampaknya hanya insiden ringan, karena tulang mereka rapuh dan dengan
demikian menjadi lebih mudah patah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo23; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pastikan
bahwa tidak ada sisi karpet yang licin, atau agak terlipat, yang dapat
menyebabkan lansia tersandung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo23; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lantai
jangan terlalu sering di pel dan jangan terlalu licin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo23; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jalanan
dan anak tangga harus terang; rapikan mainan anak-anak, dan barang-barang lain
yang tertinggal di sekitarnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo23; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perapian
harus memiliki seorang penjaga dan minyak pemanas tidak boleh berada di posisi
yang tidak aman.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo23; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tabung
gas dan kompor harus diperiksa dengan teratur, untuk melihat adanya kebocoran;
gas dan kompor minyak hanya boleh digunakan di dalam ruangan yang ventilasinya
adekuat-lansia dapat tidak menyadari, bahwa terjadi sesuatu yang tidak benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo23; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Letakkan
persediaan obat dalam tempat yang aman dan pastikan bahwa lansia dapat membaca
label obat tersebut. Terutama jika lansi menggunakan pil tidur, pertahankan
agar botol tetap berada di lemari obat dan bukan diletakkan di samping tempat
tidur untuk mencegah terjadinya pemakaian yang berlebihan secara tidak sengaja.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-top: 12.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.6.3 Masalah Pendengaran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Sering kali, pendegaran lansia tidak
setajam dahulu. Bicara perlahan-lahan dan jelas, dan lihat langsung ke arah
lansia. Siap-siap untuk mengulangi perkataan, tanpa menyinggungnya sampai
lansia benar-benar mengerti, dan dengarkan perkataan lansia. Apabila
pendengaran lansia berkurang secara signifikan, ia mungkin membutuhkan sebuah
alat bantu pendengaran. Apabila individu tidak dapat menggunakan alat bantu
pendengaran, mungkin dapat digunakan terompet telinga dengan tabung yang
fleksibel atau mikrofon, amplifier kecil dan <i>earphone</i>mungkin jawaban terhadap masalah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.6.4 Perawatan Lansia dengan Hipertensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
darah tinggi merupakan tekanan darah darah yang melebihi tekanan darah yang
dapat diterima pada kelompok usia tertentu. Biasanya hipertensi tidak
menimbulkan gejala dan sering ditemukan hanya dengan pemeriksaa tekanan darah
rutin, kecuali tekanan darah sangat tinggi yang dapat menyebabkan pandangan
menjadi kabur, atau sakit kepala. Dengan demikian, setiap inidividu harus
memeriksakan tekanan darahnya secara rutin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">2.6.4.1
Perawatan Lansia dengan Hipertensi di rumah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">
Menurut Diana (2006), apabila individu yang sedang di rawat mengalami
tekanan darah tinggi, motivasi ia untuk:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l22 level1 lfo24; tab-stops: 14.2pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Berhenti
merokok<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo24; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Menurunkan
tekanan darah jika dokter berpikir bawha hal ini akan berguna<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo24; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kurangi
asupan garam dalam diet<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo24; tab-stops: 14.2pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Usahakan
untuk mengurangi jumlah stres dengan menyediakan waktu untuk relaks, banyak
tidur, bekerja dalam rentang waktu yang rasional, dan sedapat mungkin menghindari
situasi yang diketahui dapat menyebabkan stres, atau dapat menyebabkan
kecemasan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; tab-stops: 14.2pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sedangkan menurut
Siti Maryam, ddk, (2010), perawatan lansia dengan hipertensi di rumah, yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo27; tab-stops: 14.2pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hindari
makanan berlemak tinggi (gajih, usus, kulit ayam)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l12 level1 lfo27; tab-stops: 14.2pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Senam
secara teratur, minimal 3 kali seminggu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l12 level1 lfo27; tab-stops: 14.2pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hindari
stress dan lakukan relaksasi autogenik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l12 level1 lfo27; tab-stops: 14.2pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Dekatkan
diri kepada Tuhan Yang Maha Kuasa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l12 level1 lfo27; tab-stops: 14.2pt; text-align: justify; text-indent: -42.55pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Apabila
mendapat obat medis, minum sesuai aturan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l12 level1 lfo27; tab-stops: 14.2pt 21.3pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Konsumsi
obat herbal tradisional:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo28; tab-stops: 21.3pt 2.0cm 70.9pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Seledri (tidak boleh lebih dari 1-10 gr per
hari, karena dapat menyebabkan penurunan tekanan darah drastis). Caranya:
seledri cuci bersih, beri satu sendok makan air matang, peras dan minum airnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo28; tab-stops: 14.2pt 21.3pt 1.0cm; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Bawang
putih (tidak melebihi dari 3-5 siung sehari). Caranya: bawang putih dikupas,
boleh diiris-iris dan langsung ditelan. Apabila dikunyah akan terasa pedas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo28; tab-stops: 14.2pt 21.3pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Minuman sereh (teh sereh yang kering atau
sereh basah/segar)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo28; tab-stops: 14.2pt 1.0cm 35.45pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Rebusan air daun salam. Rebus 10 daun salam
dalam 2 gelas air dan angkat bila air rebusan telah menjadi 1 gelas. Minum 2
kali sehari (pagi dan sore).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 14.2pt 21.3pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">7. Berikut minuman jus yang dapat dibuat di rumah
untuk mencegah penyakit tekanan darah tinggi pada lansia menurut Fitrah dan Vina (2010):<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 39.0pt; mso-add-space: auto; mso-list: l36 level1 lfo26; tab-stops: 14.2pt 21.3pt; text-align: justify; text-indent: -39.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Minum
sari jus wortel 3 kali sehari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l36 level1 lfo26; tab-stops: 14.2pt 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Minum
1 buah ketimun di jus, tambahkan jus seledri secukupnya minum 2 kali sehari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l36 level1 lfo26; tab-stops: 14.2pt 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Minum jus yang dihidangkan dari 1 buah apel,
1 lobak kecil, air perasan yang diambil dari 75 gram seledri yang telah di jus,
<o:p></o:p></span></div>
<br />
<div class="MsoNormal">
<br /></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-39235237897822795202014-07-04T17:45:00.002+07:002015-06-13T17:29:28.581+07:00Cokelat - Grande Latte<div>
dengerin yee lagu kawan kami :) :) :)<br />
<br /></div>
<div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhbsDO3EANNqTJWxeqiKJRpprDWOcBocYNdzGZ0X88Z_vTYkLRsLR_8Zp2b6pOQ4RNNE_NwDRc_Vg_Dwno70-8mRn11cCzyOni41BrfHDyJipMjAkhsdU3_rDyT0jTFP_sRPm1cmDv08pc/s1600/folder.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="222" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhbsDO3EANNqTJWxeqiKJRpprDWOcBocYNdzGZ0X88Z_vTYkLRsLR_8Zp2b6pOQ4RNNE_NwDRc_Vg_Dwno70-8mRn11cCzyOni41BrfHDyJipMjAkhsdU3_rDyT0jTFP_sRPm1cmDv08pc/s1600/folder.jpg" width="400" /></a></div>
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lagu baru rekaman apa adanya, lagu nya anak negeri kijang dan tanjungpinang, kepulauan riau :)</div>
<div>
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<div>
check it out</div>
<div>
<br /></div>
<div>
link download ada di bawah</div>
<a href="http://adf.ly/1Inkya" target="_blank">Via 4shared</a><br />
<a href="http://www.youtube.com/watch?v=F3Zi8f5f28Q" target="_blank">Via Youtube</a>Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-12724948512440097212014-03-13T18:34:00.001+07:002015-06-13T17:32:32.811+07:00CATATAN PERKEMBANGAN (KEPERAWATAN JIWA)<table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 6.75pt; margin-right: 6.75pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-anchor-horizontal: column; mso-table-anchor-vertical: page; mso-table-left: left; mso-table-lspace: 9.0pt; mso-table-rspace: 9.0pt; mso-table-top: 103.55pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 34.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.3pt;" valign="top" width="138"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.35pt;" valign="top" width="178"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.0pt;" valign="top" width="281"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 175.4pt;" valign="top" width="234"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.65pt;" valign="top" width="114"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 347.0pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 347.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.3pt;" valign="top" width="138"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Selasa<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">04-03-2014<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">09.00 wib<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 347.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 133.35pt;" valign="top" width="178"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Gangguan persepsi sensori : halusinasi penglihatan.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 347.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.0pt;" valign="top" width="281"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Data : Klien tampak melamun,menyendiri,pandangan
klien kosong.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Tindakan Keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Mengidentifikasi jenis halusinasi
klien(isi,frekuensi,situasi,dan respon klien).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Mengajarkan menghardik halusinasi klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Mengajarkan klien memasukkan kedalam kegiatan
harian.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">RTL :</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Evaluasi SP 1</span><span lang="EN-GB" style="font-size: 12.0pt;"><br />
-La</span><span style="font-size: 12.0pt; mso-ansi-language: IN;">njut</span><span lang="EN-GB" style="font-size: 12.0pt;"> SP 2(</span><span style="font-size: 12.0pt; mso-ansi-language: IN;">latih </span><span lang="EN-GB" style="font-size: 12.0pt;">bercakap-cakap
dengan orang lain).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 347.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 175.4pt;" valign="top" width="234"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">S :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Klien mengatakan senang setelah belajar menghardik
halusinasinya.</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">O :</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Klien tampak </span><span style="font-size: 12.0pt; mso-ansi-language: IN;">mampu </span><span lang="EN-GB" style="font-size: 12.0pt;">menghardik
halusinasinya.</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">A :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Gangguan persepsi sensori : halusinasi penglihatan</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"> masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">P :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-GB" style="font-size: 12.0pt;">-</span><span style="font-size: 12.0pt; mso-ansi-language: IN;">Latihan menghardik halusinasi siang dan malam.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 347.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.65pt;" valign="top" width="114"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 141.7pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 141.7pt;" valign="top" width="189"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">4/MARET/2014</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">SELASA</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal">
09.30 wib<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Isolasi sosial<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Data</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">DS :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-Pasien mengatakan malas mau berinteraksi.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien lebih senang sendiri.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">DO :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak menyendiri.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tidak mau berinteraksi duluan.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak diam.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Tindakan </span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-</span>M<span lang="EN-GB">engkaji masalah isos ,keuntungan punya teman,dan kerugian tidak
punya teman,</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-Me<span lang="EN-GB">latih
cara berinteraksi dan cara memperkenalkan diri.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">RTI :</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-Evaluasi SP 1<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-</span>Lanjut SP
2 Isos (latih berkenalan dengan 2 orang).<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">S :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Pasien mengatakan malas berinteraksi.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">O :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-<span lang="EN-GB">Pasien
mampu menjelaskan masalah isos,keuntungan punya teman dan tidak punya teman
dan</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-<span lang="EN-GB">pasien </span>mampu <span lang="EN-GB">memperkenalkan
diri yang benar.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">A :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">ISOLASI SOSIAL</span> masih ada<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">P :</span></div>
<div class="MsoNormal">
Latihan berkenalan
dengan 1 orang.<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 34.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.
DX kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 375.35pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 375.35pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Selasa<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">04-03-2014<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">10.00 wib<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 375.35pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Gangguan persepsi sensori
halusinasi penglihatan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 375.35pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Data : klien tampak
melamun,klien tampak menyendiri,klien mengatakan melihat bayangan
keponakannya.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Tindakan keperawatan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">- Mengevaluasi jadwal
kegiatan harian klien<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">- Melatih klien
mengendalikan halusinasinya dengan bercakap-cakap dengan orang lain.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">- Menganjurkan klien
memasukkan kedalam kegiatan harian klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">RTL : </span><span style="font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Evaluasi SP 2<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">- La</span><span style="font-size: 12.0pt; mso-ansi-language: IN;">njut</span><span lang="EN-GB" style="font-size: 12.0pt;"> SP 3 (</span><span style="font-size: 12.0pt; mso-ansi-language: IN;">Latih </span><span lang="EN-GB" style="font-size: 12.0pt;">melakukan
aktivitas terjadwal).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 375.35pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">S : <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-klien mengatakan sudah </span><span style="font-size: 12.0pt; mso-ansi-language: IN;">latihan bercakap-cakap dengan
orang lain<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">- klien </span><span style="font-size: 12.0pt; mso-ansi-language: IN;">tampak mampu bercakap-cakap
dengan perawat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">A : <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Gangguan persepsi sensori :
Halusinasi pengihatan masih ada.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">P : <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Latihan </span><span lang="EN-GB" style="font-size: 12.0pt;">bercakap-cakap dengan orang lain</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"> 2x sehari.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 375.35pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br />
<a name='more'></a>Selengkapnya</div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 34.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.65pt;" valign="top" width="116"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 325.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 325.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Rabu<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">05-03-2014<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">08.30<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 325.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Gangguan persepsi sensori
Halusinasi penglihatan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 325.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Data : - klien mengatakan
masih melihat wujud keponakannya,klien terlihat duduk sendiri,pandangan klien
kosong.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Tindakan keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Mengevaluasi jadwal
kegiatan harian.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Melatih klien
mengendalikan halusinasi dengan melakukan kegiatan (jadwal kegiatan harian).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Menganjurkan klien
memasukkan kedalam kegiatan harian.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Evaluasi SP 3.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-La</span><span style="font-size: 12.0pt; mso-ansi-language: IN;">njut</span><span lang="EN-GB" style="font-size: 12.0pt;"> SP 4 (</span><span style="font-size: 12.0pt; mso-ansi-language: IN;">Latih mengontrol halusinasi dengan obat</span><span lang="EN-GB" style="font-size: 12.0pt;">).<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 325.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">S : <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Klien mengatakan sudah
bisa mengontrol halusinasi dengan 3 cara.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Klien tampak sudah dapat
mengontrol halusinasinya dengan melakukan kegiatan harian.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">A :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Gangguan persepsi sensori
halusinasi masih ada.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">P :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-ikut serta dalam
kegiatan dalam ruangan.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 325.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.65pt;" valign="top" width="116"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 141.7pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 141.7pt;" valign="top" width="189"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Rabu<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">05-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">09.00<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Defisit Perawatan Diri<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Data : klien mengatakan mau mencukur jenggot dan kumis, klien tampak
berjenggot dan kumis.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Tindakan Keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengevaluasi jadwal kegiatan klien<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengajarkan cara merawat diri (mencukur)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Evaluasi SP 1<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Lanjut SP 2 (Latih melakukan cara makan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S :<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien mengatakan mampu mencukur sendiri<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">O :<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Klien tampak mampu mempraktikkan cara mencukur<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A :<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Defisit pertawatan diri masih ada<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P:<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Latihan cara mencukur 3 hari sekali.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Rabu<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">05-03-2014<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal">
10.00 wib<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Isolasi Sosial<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Data </span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">DS : </span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien mengatakan malas berinteraksi.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien mengatakan lebih senang sendiri.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">DO :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-paien tampak menyendiri.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak diam.<br />
<br />
Tindakan :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-</span>mengevaluasi
SP 1 Isos<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-melatih pasien berkenalan dengan
2 orang.<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">RTL :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-</span>evaluasi
SP 2<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-lajut SP 3 ( Latih berkenalan
dengan 3 orang atau lebih ).<o:p></o:p></div>
<div class="MsoNormal">
<span lang="EN-GB">.</span><span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">S :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Pasien mengatakan mau berkenalan.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">O :</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien </span><span lang="EN-GB"> </span><span lang="EN-GB">mamp</span>u berkenalan dengan 2orang<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB"><br />
A : ISOLASI SOSIAL</span> mash ada.<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB">P : </span>Lataihan berkenalan dengan 2 orang yang lain.<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 34.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.65pt;" valign="top" width="116"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 332.65pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Kamis<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">06-03-2014<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">07.30 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Defisit Perawatan
Diri<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Klien tampak
makan sendiri tapi makanannya berserakan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Tindakan
Keperawatan:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Mengevaluasi SP
1<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Mengajarkan cara
makan yang benar.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Mengevaluasi SP
2<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Lanjut SP 3 (
Latihan toileting)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">S :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Klien mengatakan
sudah mampu makan sendiri.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Klien tampak
mampu makan dengan baik.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">A:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Defisit perawatan
diri masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">P:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Latihan cara
makan 3x sehari<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.65pt;" valign="top" width="116"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 34.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 34.95pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.65pt;" valign="top" width="116"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 332.65pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Kamis<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">06-03-2014<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">09.00 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Gangguan persepsi sensori
halusinasi penglihatan.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Data : klien mengatakan
sudah dapat mengontrol halusinasinya,klien tampak diam,klien tampak melamun.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Tindakan Keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Mengevaluasi jadwal
kegiatan harian klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Memberikan pendidikan
kesehatan tentang penggunaan obat secara teratur.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Menganjurkan klien
memasukkan kedalam kegiatan harian klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-</span><span lang="EN-GB" style="font-size: 12.0pt;">Mengevaluasi SP 1,2,3 dan</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"> 4<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Lanjut SP <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">S :</span><span style="font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-klien mengatakan </span><span style="font-size: 12.0pt; mso-ansi-language: IN;">minum obat 2x sehari<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-klien terlihat sudah dapat
mengontrol halusinasinya dengan penggunaan obat secara teratur dan di bantu
perawat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">P :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">-Menganjurkan klien melatih
cara mengontrol halusinasinya dengan penggunaan obat secara teratur <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 332.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.65pt;" valign="top" width="116"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 945px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.45pt;" valign="top" width="115"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 344.9pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 344.9pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Kamis<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">06-03-2014<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">10.00 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 344.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">ISOLASI SOSIAL</span><span lang="EN-GB" style="font-size: 12.0pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 344.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Data</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien masih jarang untuk berkomunikasi.<br />
-pasien tampak sendiri</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tidak mau memulai interaksi duluan.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">DS : pasien mengatakan senang menyendiri.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Tindakan :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-</span>mengevaluasi
SP 2<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-melatih pasien berkenalan dengan
3 orang atau lebih.<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">RTL :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-</span>evaluasi
SP 1, 2, dan 3<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-lanjut SP 3 DPD (toilet treining)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 344.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">S :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Pasien mengatakan mau berkenalan dengan perawat
lain.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">O :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien mampu memperaktekkan cara berkenalan dengan</span> 3<span lang="EN-GB"> orang</span> perawat.<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">A : Isolasi social</span> masih ada<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">P :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Latih</span>an<span lang="EN-GB"> berkenalan dengan perawat lain</span>.<span lang="EN-GB" style="font-size: 12.0pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 344.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 86.45pt;" valign="top" width="115"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Jumat<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">07-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">09.00<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Defisit Perawatan
Diri<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Klien bau
pesing.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Klien BAK
sembarangan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Tindakan
keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Mengevaluasi SP
2<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">- Mengajarkan
cara BAB/BAK di toilet<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Mengevaluasi SP
3<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">-Lanjut SP 4
(Latihan kebersihan diri mandi)<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S : <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien
mengatakan mampu BAK/BAB di toilet.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">O:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Klien tampak
mampu melakukan BAB/BAK di tolilet<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Defisit
Perawatan diri masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Melatih lagi
cara BAB/BAK di toilet <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Jumat<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">07-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">10.00<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Harga Diri Rendah<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Klien
mengatakan malu tidak punya anak<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Klien di
kucuilkan oleh keluarganya, --klien ntampak sedih, <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Tindakan
Keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengidentifikasi
aspek positif yang ada pada klien<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengidentifikasi
Kegiatan positif klien yang dapat dilakukan di Rumah Sakit<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Melatih Klien
melakukan kegiatan sesuai kemampuan (memrapikan tempat tidur)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Menganjurkan
klien memasukkan kedalam kegiatan harian kien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-lanjut SP 2 (
Latihan mencuci pirng )<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien
mengatakan dapat merapikan tempat tidur <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">O:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien tampak
dapat merapikan tempat tidur.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Harga Diri
Rendah masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Latihan
merapikan tempat tidur 2x sehari.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Sabtu<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">08-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">09.00<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Defisit Perawatan
Diri<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Klien
mengatakan mampu mandi sendiri.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Tindakan
keperawatan:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengevaluasi
SP 3<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengajarkan
cara mandi yang benar<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Menganjurkan
memasukkan kedalam kegiatan harian klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Evaluasi SP
1,2,3 dan 4<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Lanjut SP 2
HDR (Latihan mencuci piring)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien mengatakan
dapat memperaktikkan cara mandi.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">O:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien tampak
dapat melmpraktikkan cara mandi yang benar<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Defisit
Perawatan diri masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-menganjurkan
klien memasukkan ke dalam kegiatan harian klien.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Sabtu :<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">08-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">09.30 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Harga Diri Rendah<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Klien
mengatakan malu<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Klien tampak
sedih<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Tindakan
Keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengevaluasi
SP 1 HDR<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Melatih cara
mencuci piring<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Menganjurkan
klien memasukkan ke dalam kegiatan harian.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengevaluasi
SP 2<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Lanjut SP 1
RPK ( Latihan relaksasi nafas dalam )<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien
mengatakan mampu mencuci piring<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien tampak mampu
mencuci piring<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Harga diri
rendah masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Latihan cara
mencuci piring 3x sehari<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Senin <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">10-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">10.30 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Resiko Peilaku
Kekerasan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Data</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-<span lang="EN-GB"> pasien
mengatakan kesal dan marah dengan temannya.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak marah</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak memukuli temannya</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak melotot.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Tindakan :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-diskusikan bersama pasien penyebab RPK.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-diskusikan perasaan pasien jika terjadi penyebab
perilaku kekerasan.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-diskusikan bersama akibat perilaku kekerasan</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">RTL :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-</span>evaluasi
SP 1<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-lanjut Sp 2 (Latih mengontrol
marah dengan cara memukul bantal atau kasur).<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB">.</span><span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">S :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">Pasien mengatakan senang sudah di ajarkan.</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">O :</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-</span>klien
mampu melakukan cara mengontrol marah dengan cara tarik nafas dalam.<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">A : R</span>esiko
perilaku kekerasan masih ada<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">P :</span>L<span lang="EN-GB">atih</span>an<span lang="EN-GB"> cara mengontrol marah </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB">(tarik nafas dalam )</span> 2x
sehari<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Selasa <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">11-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">O9.00 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Resiko Perilaku
Kekerasan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-<span lang="EN-GB">pasien
mengatakan kesal dan marah dengan temannya.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak marah</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak memukuli temannya</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB">-pasien tampak melotot.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
Tindakan Keperawatan :<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Evaluasi SP 1<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Melatih cara mengontrol marah dengan memukul
batal/kasur<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Menganjurkan klien memasukkan kedalam kegian
harian klien<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
RTL :<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Evaluasi SP 2<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Lanjut SP 3 (Latihan cara mengontrol marah
dengan bercakap-cakap dengan orang lain)<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien
mengatakn mapu mengontrol marah dengan memukul bantal/kasur<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien tampak
mampu mengontrol marah dengan memukul bantal/kasur. <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Resiko
perilaku kekerasan masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Latihan cara
mengontrol marah dengan memukul bantal/kasur<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Selasa<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">11-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">10.00 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Resiko Perilaku
Kekerasan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-<span lang="EN-GB">pasien
mengatakan kesal dan marah dengan temannya.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak marah</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak memukuli temannya</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB">-pasien tampak melotot.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
Tindakan Keperawatan :<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Mengevaluasi SP 2<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Melatih cara mengontrol marah bercakap-cakap
dengan orang lain.<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Menganjurkan klien memasukkan kedalam kegiatan
harian.<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
RTL :<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Evaluasi SP 3<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
-Lanjut SP 4 ( Melatih cara mengontrol marah
dengan spiritual/ solat)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien mengatakan
mampu mengontrol marah dengan bercakap-cakap dengan orang lain<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">O :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien tampak
mampu mengontrol marah dengan bercakap=cakap dengan orang lain.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Resiko
perilaku kekerasan masih ada.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Latihan cara
mengontrol marah dengan bercakap –cakap dengan orang lain 3x sehari<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Rabu<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">12-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">09.00 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Resiko Perilaku
Kekerasan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-Klien<span lang="EN-GB">
mengatakan kesal dan marah dengan temannya.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak marah</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak memukuli temannya</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB">-pasien tampak melotot.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Tindakan
Keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Evaluasi SP 3<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengajarkan
cara mengontrol marah dengan melaksanakan solat<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Evaluasi SP 4<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Lanjut SP 5
(Latihan cara mengontrol marah dengan minum obat )<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien
mengatakan mampu mengontrol marah dengan melaksanakan solat<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">0 :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien tampak
dapat mengontrol marah dengan melaksanakan solat<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Resiko
perilaku kekerasan masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Latihan cara
mengontrol Halusinasi dengan melaksanakan solat 5x sehari.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 42.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Hari/tanggal/pukul<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">No.DX
kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Evaluasi/SOAP<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 42.05pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-GB" style="font-size: 12.0pt;">Paraf<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 346.7pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Rabu<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">12-03-2014<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">10.00 WIB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 12.0pt; mso-ansi-language: IN;">Resiko Perilaku
Kekerasan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.55pt;" valign="top" width="274"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Data :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
-Klien<span lang="EN-GB">
mengatakan kesal dan marah dengan temannya.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak marah</span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-GB">-pasien tampak memukuli temannya</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB">-pasien tampak melotot.</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Tindakan
Keperawatan :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Evaluasi SP 4<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Mengajarkan
cara mengontrol marah dengan minum obat teratur<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-menganjurkan
klien memasukkan kedalam kegiatan harian klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">RTL :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-Evaluasi SP
1,2,3,4 dan 5<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">S :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien
mengatakan mampu mengontrol marah dengan minum obat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">0 :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Klien tampak
dapat mengontrol marah dengan minum obat teratur<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">A :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">Resiko perilaku
kekerasan masih ada<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">P :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">-menganjurkan
klien memasukkan kedalam jadwal kegiatan harian klien<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 346.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 79.6pt;" valign="top" width="106"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN <o:p></o:p></div>
<div align="center" class="MsoNormal" style="text-align: center;">
SP I<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
A : PROSES KEPERAWATAN<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
1. Kondisi klien<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Do : klien tampak tidak rapi, karena kumis dan jenggot panjang<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Ds : Klien mengatakan sudah lama tidak mencukur kumis dan jenggot<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
2. Diadnosa Keperawatan<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Defisit Perawatan Diri<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
3. Tujuan Khusus<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
- klien dapat membina hubngan saling percaya<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
- klien dapat mengetahui pentingnya perawatan diri<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
- Klien mampu menjelaskan cara menjaga kebersihan diri<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
- membantu klien mempraktekkan cara menjaga kebersihan diri<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
- menganjurkan klien memasukkan kedalam jadwal kegiatan harian klien<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
2. STRATEGI KOMUNIKASI<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
A. Fase Orientasi<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Salam
Terapeutik<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Assalamualaikm , selamakt pagi bapak. Masih ingat dengan suter ? bagus..<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Evaluasi
Validasi<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Bagaimanana perasaan bapak hari ini ?<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Kontrak <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Topik : bagaimana kalau kita bercakap- cakap sesusai janji kita kemarin
tentang merawat kebersihan diri yaitu mencukur kumis dan jenggot ?<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Waktu :<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Berapa lama kita akan bercakap-cakap? Bagaimana kalau 15 menit ? baiklah...<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Tempat <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Dimana tempat kita akan bercakap=cakap? Bagaimana kalau di teras ? baiklah<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Tujuan <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Tujuan kita bercakap—cakap agat bapak tetap bersh dan bebas dari penyakit<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
FASE KERJA <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Baiklah, bapak
sebelumnya tahu cara mencukur ? bapak tahu melakukannya dengan menggunakan alat apa saja ?. baiklah pak, cara mencukur
itu sebelumnya kita harus menyiapkan alat mencukur dan jangan lupa cermin muka,
setelah itu bapak mencukur dari atas kebawah sampai semua jenggot dan kumis
tercukur habis. Apakah bapak menegrti ? coba bapak peraktikkan lagi. Ya bagus
sekali<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
FASE TERMINASI <o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Evaluasi
subjektif<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Bagaimana perasaan bapak setelah kita berlatih cara mencukur kumis dan
jenggot tadi ?<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Evaluasi
objektif <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Coba bapak peraktikkan lagi cara yang kita latih tadi yaitu cara mencuku
kumis dan jenggot.<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Rencana
Tindak Lanjut<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Nah, jangan lupa bapak selalu berlatih
cara yang sudah kita pelajari tadi dan jangan lupa memasukkan kedalan
jadwal kegiatan harian bapak.<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Kontrak :<o:p></o:p></div>
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Topik : bagaimana kalau kita berbincang lagi besok
tentang cara makan yang benar ?<o:p></o:p></div>
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Waktu : jam berpa kita akan bercakap-cakap ?
berapa lama kita akan bercakap-cakap?<o:p></o:p></div>
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Baiklah<o:p></o:p></div>
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Tempat :<o:p></o:p></div>
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Dimana kita akan bercakap – cakap ? baiklah.<o:p></o:p></div>
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Kalau begitu bincang-bincang kita asampai disini dulu, suter permisi dulu,
assalamualaikum.<o:p></o:p></div>
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STRATEGI PELAKSAAN TINDAKAN KEPERAWATAN<o:p></o:p></div>
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SP II<o:p></o:p></div>
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A. PROSES KEPERAWATAN <o:p></o:p></div>
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1. Kondisi Klien<o:p></o:p></div>
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Do : klien tampak mampu makan sendiri tapi makanan berserakan <o:p></o:p></div>
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Ds : klien mengatakan mampu makan sendiri.<o:p></o:p></div>
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<br /></div>
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2. Diagnosa Keperawatan <o:p></o:p></div>
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Defisit Perawatan Diri<o:p></o:p></div>
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3. Tujuan Khusus <o:p></o:p></div>
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- mengevaluasi jadwal kegiatan harian klien<o:p></o:p></div>
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- menjelaskan cara makan yang baik<o:p></o:p></div>
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- membantu klien berlatih cagra makan yang baik<o:p></o:p></div>
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- menganjurkan klien memasukkan kedalam kegiatan harian klien.<o:p></o:p></div>
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B. FASE ORIENTASI<o:p></o:p></div>
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</span><!--[endif]-->Salam
Terapeutik<o:p></o:p></div>
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Asslamulaikum, selamat pagi bapak ? bagaimana
masih ingat dengan saya? Ya bagus...<o:p></o:p></div>
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Validasi<o:p></o:p></div>
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Bagaiman perasaan bapak hari ini ? ya bagus..<o:p></o:p></div>
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</span><!--[endif]-->Kontrrak<o:p></o:p></div>
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Topik : sesuai dengan janji kita kemarin bagaimana
kalau kita bercakap-cakap tentang cara makan yang benar ?<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Waktu :
berapa lama kita akan bercakap –cakap ? bagaiman kalau 10 menit / ya baiklah<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Tempat :
dimana kita akan bercakap-cakap ? ya baiklah<o:p></o:p></div>
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</span><!--[endif]-->Tujuan :
tujuan kita bercakapp-cakap ini agar bapak mampu melakukan cara makan baik dan
benar.<o:p></o:p></div>
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C. FASE KERJA.<o:p></o:p></div>
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Baikkah bapak, cara makan yang benar adalah pertama mencuci tangan, berdoa,
makan dengan perlahan. Setelah makan jangan lupa mencuci tangan. Dan merapikan
meja setelah makan dan jangan lupa mencuci piring setelah makan. Bagaimana ?
bapak mengerti ? ayao coba bapak peragakan cara yang saya ajarkan tadi. Ya
bagus sekali..<o:p></o:p></div>
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D. FASE TERMINASI<o:p></o:p></div>
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subjektif <o:p></o:p></div>
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Bagaimana perasaan bapak setelah kita berlatih cara makan yang benar tad i
/ ya bagu<o:p></o:p></div>
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</span><!--[endif]-->Evaluasi onjektif<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Rencana
Tindak Lanjut<o:p></o:p></div>
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Bapak jangan lupa berlati terus cara makan yang benar dan jangan lupa
memasukkan kedalam jadwal kegiatan harian bapak.<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Kontrak yang
Akan Datang<o:p></o:p></div>
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Topik : bagaiman kalau besok kita bertemu dan
bercakap-cakap lagi tentang cara BAB/BAK di tolet yang benar ?<o:p></o:p></div>
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Waktu : jam berapa kita akan berbincang bincang ?
berapa lama ? baiklah<o:p></o:p></div>
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Tempat : dimana kita akan bercakap-cakap ?
baiklah..<o:p></o:p></div>
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Baiklah bercakap- cakapnya sampai disini dulu ya,
suster petmisi dulu ya. Assalamualaikum.. <o:p></o:p></div>
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Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-11159839984890333602013-12-28T16:11:00.001+07:002013-12-28T16:31:14.495+07:00Proposal Terapi Bermain : Mewarnai Gambar ( KEPERAWATAN ANAK )<div class="Section1">
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">BAB 1<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TERAPI
BERMAIN “MEWARNAI GAMBAR”<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">LATAR BELAKANG<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Aktivitas bermain merupakan salah satu
stimulasi bagi perkembangan anak secara optimal. Dalam kondisi sakit atau anak
dirawat di rumah sakit, aktivitas bermain ini tetap dilaksanakan, namun harus
disesuaikan dengan kondisi anak. Pada saat dirawat di rumah sakit, anak akan
mengalami berbagai perasaan yang sangat tidak menyenangkan, seperti marah,
takut, cemas, sedih, dan nyeri. Perasaan tersebut merupakan dampak dari
hospitalisasi yang dialami anak karena menghadapi beberapa stressor yang ada dilingkungan
rumah sakit. Untuk itu, dengan melakukan permainan anak akan terlepas dari
ketegangan dan stress yang dialaminya karena dengan melakukan permainan anak
akan dapa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">t</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
mengalihkan rasa sakitnya pada permainannya (distraksi) dan relaksasi melalui
kesenangannya melakukan permainan. Tujuan bermain di rumah sakit pada prinsipnya
adalah agar dapat melanjutkan fase pertumbuhan dan perkembangan secara optimal,
mengembangkan kreatifitas anak, dan dapat beradaptasi lebih efektif terhadap
stress.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> Bermain sangat penting bagi mental, emosional, dan
kesejahteraan anak seperti kebutuhan perkembangan dan kebutuhan bermain tidak
juga terhenti pada saat anak sakit atau anak di rumah sakit (Wong, 2009).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">B</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">erdasarkan
sensus penduduk </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">pada </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">tahun
2003 didapatkan jumlah anak usia </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">toddler
(1-3 tahun)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">di Indonesia adalah
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">13,50 juta anak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
Anak-anak pada usia toddler dapat memainkan sesuatu dengan tangannya serta
senang bermain dengan warna, oleh karena itu bermain dengan mewarnai gambar
menjadi alernatif untuk mengembangkan kreatifias anak dan dapat menurunkan
tingkat kecemasan pada anak selama dirawat. Mewarnai gambar dapat menjadi salah
satu media bagi perawat untuk mampu mengenali tingkat perkembangan anak.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Dinamika secara psikologis menggambarkan
bahwa selama anak bermain dengan sesuatu yang menggunakan alat mewarnai seperti
crayon atau pensil warna akan membantu anak untuk menggunakan tangannya secara
aktif sehingga merangsang motorik halusnya. Oleh karena sangat pentingnya
kegiatan bermain terhadap tumbuh kembang anak dan untuk mengurangi kecemasan
akibat hospitalisai, maka akan dilaksanakan terapi bermain pada anak usia
toddler dengan cara mewarnai gambar </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TUJUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TUJUAN
UMUM<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Meminimalkan dampak hospitalisasi pada
anak<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TUJUAN
KHUSUS<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
dapat lebih mengenali warna<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menurunkan
tingkat kecemasan pada anak<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengembangkan
imajinasi pada ana</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
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</div>
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
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<div class="Section2">
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">BAB
2<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TINJAUAN
TEORI</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-list: l1 level2 lfo42; tab-stops: 21.3pt; text-indent: 0cm;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PENGERTIAN BERMAIN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bermain merupakan suatu kegiatan yang
dilakukan seseorang untuk memperoleh kesenangan, tanpa mempertimbangkan hasil
akhir. Ada orang tua yang berpendapat bahwa anak yang terlalu banyak bermain
akan membuat anak menjadi malas bekerja dan bodoh. Anggapan ini kurang
bijaksana, karena beberapa ahli psikolog mengatakan bahwa permainan sangat
besar pengaruhnya terhadap perkembangan jiwa anak.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bermain adalah kegiatan yang dilakukan
berulang-ulang secara sukarela untuk memperoleh kesenangan atau kepuasan, tanpa
mempertimbangkan hasil akhir (Suhendi, 2001). Bermain merupakan suatu aktivitas
dimana anak dapat melakukan atau mempraktekkan ketrampilan, memberikan ekspresi
terhadap pemikiran, menjadi kreatif, mempersiapkan diri untuk berperan dan
berperilaku dewasa (Aziz A, 2005).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jadi
kesimpulannya bermain adalah cara untuk memperoleh kesenangan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> agar anak dapat
kreatif dan mengekspresikan pikiran, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">tanpa
mempertimbangkan hasil akhir.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-list: l1 level2 lfo42; tab-stops: 1.0cm; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KATEGORI
BERMAIN<o:p></o:p></span></b></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l35 level1 lfo2; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bermain
Aktif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">: A</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">nak
banyak menggunakan energy inisiatif dari anak sendiri.<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Contoh:
bermain sepak bola.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l35 level1 lfo2; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bermain
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">P</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">asif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Energi yang
dikeluarkan sedikit, anak tidak perlu melakkan aktivitas (hanya melihat)<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Contoh:
Memberikan support.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-list: l35 level2 lfo2; tab-stops: 1.0cm; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">CIRI-CIRI
BERMAIN</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Selalu bermain dengan sesuatu atau benda<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Selalu ada timbal balik interaksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Selalu dinamis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Ada aturan tertentu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menuntut ruangan tertentu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-list: l35 level2 lfo2; tab-stops: 1.0cm; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KLASIFIKASI
BERMAIN MENURUT ISI<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Social affective play<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Anak belajar memberi respon terhadap
respon yang diberikan oleh lingkungan dalam bentuk permainan, misalnya orang
tua berbicara memanjakan anak tertawa senang, dengan bermain anak diharapkan
dapat bersosialisasi dengan lingkungan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; tab-stops: 42.55pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sense of pleasure play<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Anak memperoleh kesenangan dari satu
obyek yang ada di sekitarnya, dengan bermain anak dapat merangsang perabaan
alat, misalnya bermain air atau pasir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Skill play<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memberikan kesempatan bagi anak
untuk memperoleh ketrampilan tertentu dan anak akan melakukan secara
berulang-ulang misalnya mengendarai sepeda.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Dramatika play role play<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak berfantasi menjalankan peran
tertentu misalnya menjadi ayah atau ibu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-list: l35 level2 lfo2; tab-stops: 1.0cm; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.5<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KLASIFIKASI
BERMAIN MENURUT KARAKTERISTIK SOSIAL<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Solitary play<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jenis permainan dimana anak bermain
sendiri walaupun ada beberapa orang lain yang bermain disekitarnya. Biasa
dilakukan oleh anak balita <i>Toddler</i>.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Paralel play<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Permaianan sejenis dilakukan oleh
suatu kelompok anak masing-masing mempunyai mainan yang sama tetapi yang satu
dengan yang lainnya tidak ada interaksi dan tidak saling tergantung, biasanya
dilakukan oleh anak <i>pre school</i>.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Contoh : bermain balok<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Asosiatif play<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Permainan dimana anak bermain dalam
keluarga dengan aktivitas yang sama tetapi belum terorganisasi dengan baik,
belum ada pembagian tugas, anak bermain sesukanya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kooperatif play<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak bermain bersama dengan
sejenisnya permainan yang terorganisasi dan terencana dan ada aturan tertentu.
Biasanya dilakukan oleh anak usia sekolah <i>Adolesen</i>.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.6 FUNGSI BERMAIN<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
dapat melangsungkan perkembangannya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PERKEMBANGAN SENSORIK MOTORIK<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membantu perkembangan gerak dengan
memainkan obyek tertentu, misalnya meraih pensil.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PERKEMBANGAN KOGNITIF<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membantu mengenal benda sekitar
(warna, bentuk kegunaan).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KREATIFITAS<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengembangkan kreatifitas menoba
ide baru misalnya menyusun balok.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PERKEMBANGAN SOSIAL<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Diperoleh dengan belajar
berinteraksi dengan orang lain dan mempelajari belajar dalam kelompok.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KESADARAN DIRI (SELF AWARENESS)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bermain belajar memahami kemampuan
diri, kelemahan, dan tingkah laku terhadap orang lain.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PERKEMBANGAN MORAL<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Interaksi dengan orang lain,
bertingkah laku sesuai harapan teman, menyesuaikan dengan aturan kelompok.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Contoh : dapat menerapkan kejujuran<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TERAPI<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bermain kesempatan pada anak untuk
mengekspresikan perasaan yang tidak enak, misalnya : marah, takut, benci.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KOMUNIKASI<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bermain sebagai alat komunikasi
terutama bagi anak yang belum dapat mengatakan secara verbal, misalnya :
melukis, menggambar, bermain peran.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.7 FAKTOR YANG MEMPENGARUHI AKTIVITAS BERMAIN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tahap perkembangan, tiap tahap mempunyai
potensi / keterbatasan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Status kesehatan, anak sakit </span><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;">à</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> perkembangan psikomotor kognitif
terganggu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jenis kelamin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Lingkungan </span><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;">à</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> lokasi, negara, kultur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Alat permainan </span><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;">à</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> senang dapat menggunakan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Intelegensia dan status sosial ekonomi<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.8 TAHAP PERKEMBANGAN BERMAIN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tahap eksplorasi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Merupakan tahapan menggali dengan melihat
cara bermain<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tahap permainan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Setelah tahu cara bermain, anak mulai
masuk dalam tahap permainan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tahap bermain sungguhan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak sudah ikut
dalam permainan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tahap melamun<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Merupakan
tahapan terakhir anak membayangkan permainan berikutnya.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.9 TAHAP TUMBUH KEMBANG dan KARAKTERISTIK
BERMAIN ANAK USIA TOODLER (1-3 TAHUN)<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tahap Pertumbuhan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perhitungan
berat badan : Umur (tahun) x 2
– 8 : 2<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perhitungan
panjang badan : Umur 1 tahun : 75
cm<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> : Umur 2 – 3 tahun = Umur (tahun) x 6 - 77<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tahap Perkembangan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perkembangan Psikoseksual menurut
Sigmeun Freud :<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> <i>Fase
anal (1 – 3 tahun)</i> : daerah anal aktifitas, pengeluaran tinja menjadi
sumber kepuasan libido yang penting. Menunjukkan keakuannya, sikap narsistik
(cinta terhadap diri sendiri), dan egoistik.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Tugas utama anak : latihan kebersiahan,
perkembangan bicara dan bahasa meniru dan mengulang kata sederahana, hubungan
interpersonal anak sangat terbatas, bermain sendiri, belum bisa bermain dengan
anak lain.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perkembangan Psikoseksual menurut
Erikson :<o:p></o:p></span></div>
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<b><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tahap ke 2</span></i></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
: Autonomi vs Shame and doubt<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Perkembangan ketrampilan motorik dan
bahasa dipelajari dari lingkungan dan keuntungan yang ia peroleh untuk mandiri,
jika orang tua terlalu melindungi, menuntut harapan terlalu tinggi maka anak
akan merasa malu dan ragu-ragu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Stimulasi dan perkembangan anak<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak umur 12 – 18 bulan : <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perkembangan anak : berjalan sendiri
tidak jatuh, mengambil benda kecil dengan jari telunjuk, mengungkapkan keinginan
secara sedehana, minum sendiri dari gelas tidak tumpah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Stimulasi dini : melatih anak naik turun
tangga, bermain dengan anak melempar dan menangkap bola besar kemudian kecil,
melatih anak menunjuk dan menyebut nama-nama bagian tubuh, memberi kesempatan
anak melepas pakaian sendiri.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak umur 18-24 bulan:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perkembangan
anak: berjalan mundur 5 langkah, mencoret-coret dengan alat tulis, menunjukkan
bagian tubuh dan menyebut namanya, meniru melakukan pekerjaan rumah tangga.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Stimulasi
dini: melatih anak berdiri dengan satu kaki, mengajari anak menggambar bulatan,
garis segi tiga dan gambar wajah, melatih anak mengikuti perintah sederhana,
melatih anak mau ditinggalkan ibunya sementara waktu.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak usia toddler menunjukkan
karakteristik yang khas, yaitu banyak bergerak, tidak bias diam dan mulai
mengembangkan otonomi dan kemampuannya untuk mandiri. Oleh karena itu, dalam
melakukan permainan, anak lebih bebas, spontan, dan menunjukkan otonomi baik
dalam memilih mainan maupun dalam aktivitas bermiannya. Anak mempunyai rasa
ingin tahu yang besar. Oleh karena itu seringkali mainannya di bongkar-pasang,
bahkan dirusaknya. Untuk itu harus diperhatikan keamanan dan keselamatan anak
dengan cara tidak memberikan alat permainan yang tajam dan menimbulkan
perlukaan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jenis permainan yang tepat dipilih untuk
anak usia toddler adalah “sollitary play dan parallel play”. Pada anak usia 1
sampai 2 tahun lebih jelas terlihat anak melakukan permainan sendiri dengan
mainannya sendiri, sedangkan pada usia lebih dari 2 tahun sampai 3 tahun, anak
mulai dapat melakukan permainan secara parallel karena sudah dapat
berkomunikasi dalam kelompoknya walaupun belum begitu jelas karena kemampuan
berbahasa belum begitu lancer. Jenis alat permainan yang tepat diberikan adalah
boneka, pasir, tanah liat dan lilin warna-warni yang dapat dibentuk benda
macam-macam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.10<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">BERMAIN
DI RUMAH SAKIT<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TUJUAN<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melanjutkan tugas kembang selama
perawatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengembangkan kreativitas melalui
pengalaman permainan yang tepat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Beradaptasi lebih efektif terhadap
stress karena sakit atau dirawat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PRINSIP<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tidak banyak energi, singkat dan
sederhana<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mempertimbangkan keamanan dan infeksi
silang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kelompok umur sama<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melibatkan keluarga/orangtua<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo19; tab-stops: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">UPAYA PERAWATAN DALAM PELAKSANAAN
BERMAIN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Lakukan saat tindakan keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sengaja mencari kesempatan khusus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo19; tab-stops: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">BEBERAPA HAL YANG PERLU DIPERHATIKAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Alat bermain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tempat bermain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo19; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PELAKSANAAN
BERMAIN DI RS DIPENGARUHI OLEH<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Faktor pendukung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pengetahuan perawat, fasilitas
kebijakan RS, kerjasama Tim dan keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Faktor penghambat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tidak semua RS mempunyai fasilitas
bermain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo18; tab-stops: 1.0cm; text-align: justify; text-indent: .05pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.11<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> BERMAIN </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">MEWARNAI GAMBAR</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Definisi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mewarnai adalah proses memberi warna
pada suatu media. Mewarnai gambar diartikan sebagai proses memberi warna pada
media yang sudah bergambar. Mewarnai gambar merupakan terapi permainan yang
kreatif untuk mengurangi stress dan kecemasan serta meningkatkan komunikasi
pada anak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Manfaat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memberikan
kesempatan pada anak untuk bebas berekspresi dan sangat terapeutik (sebagai
permainan penyembuh/”therapeutic play”).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Dengan
bereksplorasi menggunakan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">,
anak dapat membentuk, mengembangkan imajinasi dan bereksplorasi dengan
ketrampilan motorik halus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">Mewarnai gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> juga aman untuk anak
usia toddler, karena menggunakan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">media
kertas gambar dan crayon</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
dapat mengeskpresikan perasaannya atau memberikan pada anak suatu cara untuk
berkomunikasi, tanpa menggunakan kata.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sebagai
terapi kognitif, pada anak menghadapi kecemasan karena proses hospitalisasi,
karena pada keadaan cemas dan stress, kognitifnya tidak akurat dan negative.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bermain
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">mewarnai gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
dapat memberikan peluang untuk meningkatkan ekspresi emosinal anak, termasuk
pelepasan yang aman dari rasa marah dan benci.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Dapat
digunakan sebagai terapi permainan kreatif yang merupakan metode penyuluhan
kesehatan untuk merubah perilaku anak selama dirawat di rumah sakit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiqkv5xuOmTby6JUmQIP59qSfrPcs9RgU8RQ46cI_ZHggFbJyHfWxf2e5cnd1rV7l-NgQYHBt76CYY-TW5xGSGjPXoUs0ynHfo6krONw84pQZCi8WSdjtXzVacSizvaqlmJkIYzAVsmheU/s1600/filosofi-keperawatan-anak-300x281.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiqkv5xuOmTby6JUmQIP59qSfrPcs9RgU8RQ46cI_ZHggFbJyHfWxf2e5cnd1rV7l-NgQYHBt76CYY-TW5xGSGjPXoUs0ynHfo6krONw84pQZCi8WSdjtXzVacSizvaqlmJkIYzAVsmheU/s1600/filosofi-keperawatan-anak-300x281.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Add caption</td></tr>
</tbody></table>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<br />
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">SATUAN ACARA KEGIATAN<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TERAPI BERMAIN </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">MEWARNAI
GAMBAR<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 58.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Judul
: Terapi
bermain “</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">mewarnai gambar”<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 58.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tanggal
pelaksanaan : 09</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Desember 201</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">3<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 58.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Waktu : 1</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">0</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">.00 WIB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 58.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tempat :<b> </b>Di Ruang Anggrek<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">SASARAN<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 27.0pt; text-align: justify; text-indent: 13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
usia toddler (1-3 tahun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 27.0pt; text-align: justify; text-indent: 13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
yang dirawat di ruang Anggrek<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 27.0pt; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tidak mempunyai keterbatasan (fisik atau
akibat terapi lain) yang dapat menghalangi proses terapi bermain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 27.0pt; text-align: justify; text-indent: 13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kooperatif
dan mampu mengikuti proses kegiatan sampai selesai<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 27.0pt; text-align: justify; text-indent: 13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
yang dapat memegang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">crayon</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 27.0pt; text-align: justify; text-indent: 13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">Anak yang mau berpartisipasi dalam terapi bermain
mewarnai gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">MEDIA<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">Crayon </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo23; tab-stops: 27.0pt; text-align: justify; text-indent: 13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tissue<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">Karpet</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo23; tab-stops: 27.0pt; text-align: justify; text-indent: 13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">Kertas bergambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo23; tab-stops: 27.0pt; text-align: justify; text-indent: 13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Lembar
penilaian<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 27.0pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">SETTING TEMPAT</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
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<!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 252.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
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<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> : Fasilitator<o:p></o:p></span></div>
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<td height="20" width="383"></td>
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<td height="14" width="385"></td>
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<td></td>
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<br />
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">:
Observer<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">STRATEGI
PELAKSANAAN<o:p></o:p></span></b></div>
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<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">No.<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Waktu<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kegiatan<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Peserta<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;">
</span><br />
<ol start="1" style="margin-top: 0cm;" type="1"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;">
<li class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo37; text-align: center;"><span style="font-size: 12pt; line-height: 200%;"><o:p> </o:p></span></li>
</span></ol>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;">
</span></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">5 menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><div align="center" class="MsoNormalCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pembukaan
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo24; text-indent: -10.7pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membuka
kegiatan dengan mengucapkan salam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo24; text-indent: -10.7pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memperkenalkan
diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo24; text-indent: -10.7pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menjelaskan
tujuan dari terapi bermain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo24; text-indent: -10.7pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kontrak
waktu anak dan orang tua<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo26; text-indent: -13.85pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menjawab
salam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo26; text-indent: -13.85pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mendengarkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo26; text-indent: -13.85pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memperhatikan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo26; text-indent: -13.85pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memperhatikan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;">
</span><br />
<ol start="2" style="margin-top: 0cm;" type="1"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;">
<li class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo37; text-align: center;"><span style="font-size: 12pt; line-height: 200%;"><o:p> </o:p></span></li>
</span></ol>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;">
</span></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">20</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><div align="center" class="MsoNormalCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pelaksanaan
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo25; text-indent: -10.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menjelaskan
tata cara pelaksanaan terapi bermain </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">mewarnai </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">kepada anak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo25; text-indent: -10.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memberikan
kesempatan kepada anak untuk bertanya jika belum jelas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo25; text-indent: -10.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membagikan
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">kertas bergambar dan
crayon</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo25; text-indent: -10.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Fasilitator
mendampingi anak dan memberikan motivasi kepada anak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo25; text-indent: -10.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menanyakan
kepada anak apakah telah selesai </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">mewarnai gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo25; text-indent: -10.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memberitahu
anak bahwa waktu yang diberikan telah selesai<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo25; text-indent: -10.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memberikan
pujian terhadap anak yang mampu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"> mewarnai gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> sampai selesai<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memperhatikan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bertanya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Antusias
saat menerima peralatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memulai
untuk me</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">warnai gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menjawab
pertanyaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mendengarkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memperhatikan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">3.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">10
menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><div align="center" class="MsoNormalCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Evaluasi
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo28; text-indent: -12.65pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memotivasi
anak untuk menyebutkan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">apa yang diwarnai</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo28; text-indent: -12.65pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengumumkan
nama anak yang dapat me</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">warnai </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">dengan contoh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo28; text-indent: -12.65pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Membagikan
reward kepada seluruh peserta<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo29; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menceritakan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo29; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Gembira<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo29; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Gembira<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">4.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormalCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">5
menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><div align="center" class="MsoNormalCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Terminasi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo30; text-indent: -12.65pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memberikan
motivasi dan pujian kepada seluruh anak yang telah mengikuti program terapi
bermain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo30; text-indent: -12.65pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengucapkan
terima kasih kepada anak dan orang tua<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo30; text-indent: -12.65pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengucapkan
salam penutup<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo31; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memperhatikan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo31; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Gembira<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo31; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mendengarkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo31; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Menjawab
salam<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KRITERIA
EVALUASI<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo32; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Evalusi
Struktur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level2 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
hadir di ruangan minimal 6 orang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level2 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Penyelenggaraan
terapi bermain dilakukan di ruang hematologi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">BONA</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> lantai 2.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level2 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pengorganisasian
penyelenggaraan terapi dilakukan sebelumnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo32; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Evaluasi
Proses<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo38; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
antusias dalam kegiatan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">mewarnai
gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo38; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
mengikuti terapi bermain dari awal sampai akhir<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo38; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tidak terdapat anak yang rewel atau malas untuk </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">mewarnai gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo32; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kriteria
Hasil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
terlihat senang dan gembira<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Kecemasan
anak berkurang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">Mewarnai gambar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> sesuai dengan contoh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak
mampu menyebutkan warna yang dipakai<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PENGORGANISASIAN</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo33; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pembimbing
Pendidikan : Suharti SST., MPH<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo33; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">Pembimbing Ruangan :
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Marti</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Suprihatini., AMK<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo33; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Leader : Cindy Sukma Pertiwi Djais</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo33; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Co
Leader : M. Saiful<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Fasilitator : Yolla Maisusni<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> Alsyad Diki<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> Gatot Suparman<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> Eka Handayani<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> Devy Paskariz<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> Intan Jiwati <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> Nurasiah<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Observer : Tulus Dwi Anggono<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 18pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Anak : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">anak berusia 1-3 tahun dirawat di ruang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Anggrek<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">TUGAS
MASING-MASING<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Leader :
Memimpin jalannya program terapi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Fasilitator : Mendampingi dan mengarahkan saat anak terapi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Observer :
Mencatat dan mengevaluasi pelaksanaan kegiatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak : Mengikuti jalannya terapi
bermain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PERKIRAAN
HAMBATAN :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 65.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo35; text-indent: -29.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jadwal terapi bermain yang kurang sesuai
(lebih lambat dari yang di jadwalkan)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 65.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo35; text-indent: -29.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Anak rewel atau ingin keluar dari terapi
bermain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 65.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">ANTISIPASI
HAMBATAN/MASALAH<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jadwal terapi bermain disesuaikan (tidak
pada waktu terapi)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Melakukan
kerjasama dengan orang tua untuk mendampingi anak selama program terapi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 49.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 49.5pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.5pt; text-align: center; text-indent: -13.5pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.5pt; text-align: center; text-indent: -13.5pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.5pt; text-align: center; text-indent: -13.5pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.5pt; text-align: center; text-indent: -13.5pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.5pt; text-align: center; text-indent: -13.5pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.5pt; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Erlita, dr. (2006). <i>Pengaruh Permainan pada Perkembangan Anak. </i>Terdapat pada : </span><span lang="EN-US"><a href="http://info/"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">http://info</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">.
balitacerdas.com. Diakses pada tanggal 21 Desember 2009<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.5pt; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Foster and Humsberger, 1998, <i>Family Centered Nursing Care of Children.</i>
WB sauders Company, Philadelpia USA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.5pt; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Hurlock, E B.1991. <i>Perkembangan Anak Jilid 1.</i> Erlangga : Jakarta<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">L. Wong, Donna. 2003. <i>Pedoman Klinik Keperawatan Pediatrik Edisi
4. </i>EGC<i> </i>: Jakarta </span><span lang="EN-US"><a href="http://www.pediatrik.com/"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">www.Pediatrik.com</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
Selasa 21 Desember 2009. Jam 15.25<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Markum, dkk. 1990.<i>Buku Ajar Ilmu Kesehatan Anak, </i>EGC : Jakarta<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Soetjiningsih, 1995,<i>Tumbuh Kembang Anak, </i>EGC : Jakarta<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Whaley and Wong, 1991, <i>Nursing Care Infanst and Children. Fourth
Edition. </i>Mosby Year Book. Toronto Canada<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-45029225064271206142013-11-20T21:34:00.000+07:002013-11-20T21:34:00.562+07:00LAPORAN PENDAHULUAN ASKEP FRAKTUR VERTEBRAE<div class="Section1">
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Definisi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Fraktur adalah
diskontinuitas jaringan tulang dan tulang rawan (R. Syamsuhidayat, 1997).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Fraktur vertebra
adalah terputusnya discus invertebralis yang berdekatan danberbagai tingkat
perpindahan fragmen tulang (Theodore, 1993).<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Etiologi<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Fraktur vertebra, khususnya vertebra servikalis dapat disebabkan oleh
trauma hiperekstensi, hiperfleksi, ekstensi rotasi, fleksi rotasi, atau
kompresi servikalis.Fraktur vertebra thorakal bagian atas dan tengah jarang
terjadi, kecuali bila trauma berat atau ada osteoporosis.Karena kanalis spinal
di daerah ini sempit, maka sering disertai gejala neurologis.Mekanisme trauma
biasanya bersifat kompresi atau trauma langsung.Pada kompresi terjadi fraktur
kompresi vertebra, tampak korpus vertebra berbentuk baji pada foto lateral.Pada
trauma langsung dapat timbul fraktur pada elemen posterior vertebra, korpus
vertebra dan iga di dekatnya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Fraktur dapat
disebabkan oleh berbagai hal, yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kecelakaan</span><span lang="EN-GB" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kebanyakan fraktur
terjadi karena kecelakaan lalu lintas</span><span lang="EN-GB" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Cidera
olah raga<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Saat melakukan oleh
raga yang berat tanpa pemanasan sehingga terjadi cidera olah raga yang
menyebabkan fraktur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Osteoporosis<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Lebih sering terjadi
pada wanita usia di atas 45 tahun karena terjadi perubahan hormon menopause<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">4
Malnutrisi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pada orang yang
malnutrisi terjadi defsit kalsium pada tulang sehingga tulang rapuh dan sangat
beresiko sekali terjadi fraktur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">5
Kecelekaan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kecerobohan di tempat
kerja biasa terjadi, yang dapat menyebabkan fraktur.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">(Reeves, 2000)<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Patofisiologi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Fraktur tulang
belakang dapat terjadi di sepanjang kolumna bertebra tetapi lebih sering
terjadi di daerah servikal bagian bawah dan di daerah lumbal bagian atas. Pada
dislokasi akan tampak bahwa kanalis vertebralis di daerah dislokasi tersebut
menjadi sempit, keadaan ini akan menimbulkan penekanan atau kompresi pada
medulla spinalis atau rediks saraf spinalis.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Dengan adanya
penekanan atau kompresi yang berlangsung lama mengakibatkan jaringan terputus
akibatnya daerah sekitar fraktur mengalami oedema / hematoma.Kompresi akibatnya
sering menyebabkan iskemia otot.Gejala dan tanda yang menyertai peningkatan
tekanan “compartmental” mencakup nyeri, kehilangan sensasi dan
paralisis.Hilangnya tonjolan tulang yang normal, pemendekan atau pemanjangan
tulang dan kedudukan yang khas untuk dislokasi tertentu menyebabkan terjadinya
perubahan bentuk (deformitas).Imobilisasi membentuk terapi awal pasien
fraktur.Imobilisasi harus dicapai sebelum pasien ditransfer dan bila mungkin,
bidai harus dijulurkan paling kurang satu sendi di atas dan di bawah tempat
fraktur, dengan imobilisasi mengakibatkan sirkulasi darah menurun sehingga
terjadi perubahan perfusi jaringan primer. (Markam, Soemarmo, 1992; Sabiston,
1995; Mansjoer, 2000)</span></div>
</div>
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi
Klinik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
terus menerus dan bertambah beratnya sampai fragmen tulang diimobilisasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Deformitas
adalah pergeseran fragmen pada fraktur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
pemendekan tulang akibat kontraksi otot yang melekat diatas dan dibawah tempat
fraktur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Krepitus
adalah derik tulang yang teraba akibat gesekan antara fragmen satu dengan yang
lainnya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pembengkakan
dan perubahan warna lokal pada kulit terjadi sebagai akibat trauma dan
perubahan yang mengikuti fraktur.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">(Smeltzer, S, 2001)<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Syok
hipovolemik atau traumatic<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Sindrom
emboli lemak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l4 level1 lfo5; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Sindrom
kompartemen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l4 level1 lfo5; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Koagulasi
intravaskuler diseminata (KID)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">(Smeltzer, S, 2001)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Penunjang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Foto
Rontgen Spinal, yang memperlihatkan adanya perubahan degeneratif pada tulang
belakang, atau tulang intervetebralis atau mengesampingkan kecurigaan patologis
lain seperti tumor, osteomielitis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Elektromiografi,
untuk melokalisasi lesi pada tingkat akar syaraf spinal utama yang terkena.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Venogram
Epidural, yang dapat dilakukan di mana keakuratan dan miogram terbatas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
Lumbal, yang dapat mengkesampingkan kondisi yang berhubungan, infeksi adanya
darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tanda
Le Seque (tes dengan mengangkat kaki lurus ke atas) untuk mendukung diagnosa
awal dari herniasi discus intervertebralis ketika muncul nyeri pada kaki
posterior.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">CT
- Scan yang dapat menunjukkan kanal spinal yang mengecil, adanya protrusi
discus intervetebralis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">MRI,
termasuk pemeriksaan non invasif yang dapat menunjukkan adanya perubahan tulang
dan jaringan lunak dan dapat memperkuat adanya herniasi discus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Mielogram,
hasilnya mungkin normal atau memperlihatkan “penyempitan” dari ruang discus,
menentukan lokasi dan ukuran herniasi secara spesifik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Penatalaksanaan pada kasus ini adalah tirah baring total disertai dengan
fisioterapi.</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa
Keperawatan Yang Mungkin Muncul<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Hambatan
mobilitas fisik b.d ganggun musculoskeletal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NOC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan tingkat
mobilitas, ditandai dengan indikator berikut (ketergantungan(tidak
berpartisipasi), membutuhkan bantuan orang lain dan alat, membutuhkan bantuan orang
lain, mandiri dengan pertolongan alat bantu, atau mandiri penuh)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tujuan/Kriteria
Hasil:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pasien akan meminta
bantuan untuk aktivitas mobilisasi, jika diperlukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NIC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Terapi aktivitas,
ambulasi : meningkatkan dan membantu berjalan untuk mempertahankan atau
memperbaiki fungsi tubuh volunter dan autonom selama perawatan serta pemulihan
dari sakit atau cedera<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Perubahan posisi :
memindahkan pasien atau bagian tubuh untuk memberikan kenyamanan, menurunkan
risiko kerusakan kulit, mendukung integritas kulit, dan meningkatkan
penyembuhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas
Keperawatan: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Ajarkan dan bantu pasien
dalam proses perpindahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
mengajarkan hal itu pasien akan meningkat kesembuhannya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Berikan penguatan positif
selama aktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
penguatan positif pasien akan lebih mempunyai dorongan untuk beraktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Ajarkan pasien bagaimana
menggunakan postur dan mekanika tubuh yang benar saat melakukan aktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
mengajarkan hal itu dapat menambah pengetahuan pasien tentang perpindahan yang
benar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kaji kebutuhan pasien akan
pendidikan kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
pengkajian itu dapat mengetahui
kemampuan pasien tentang kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Awasi seluruh kegiatan
mobilisasi dan bantu pasien, jika diperlukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Agar tidak
terjadi cedera pada pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Berikan analgesik sebelum
memulai aktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Mengurangi
nyeri yang bisa terjadi selama pasien beraktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Dukung pasien/keluarga untuk
memandang keterbatasan dengan realistis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
dukungan itu pasien/keluarga akan menerima dengan ikhlas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Letakkan tempat tidur
terapeutik yang benar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : hal yang
mendukung mobilisasi pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Dukung latihan ROM aktif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : dengan
latihan itu mempercepat kesembuhan pasien khususnya dalam pergerakan sendi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Ubah posisi pasien yang
imobilisasi minimal 2 jam, berdasarkan jadwal spesifik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : membuat
pasien nyaman dengan perubahan posisi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
akut/kronis b.d agen cidera: fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NOC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
kenyamanan perasaan senang secara fisik & psikologis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Prilaku
mengendalikan nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Nyeri:
efek merusak terhadap emosi dan prilaku yang diamati<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
nyeri: jumlah nyeri yang dilaporkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kriteria evaluasi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan
nyeri efek merusak dengan skala 1-5: ekstrim, berat, sedang, ringan, atau tidak
ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan
teknik relaksasi secara individu yang efektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Mengenali
factor penyebab dan menggunakan tindakan untuk mencegah nyeri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NIC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
analgesik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Sedasi
sadar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan
nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Bantuan
Analgesika yang Dikendalikan oleh Pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas
keperawatan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Minta
pasien untuk menilai nyeri/ketidak nyamanan pada skala 0 sampai 10<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
pengkajian nyeri yang komprehensif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Observasi
isyarat ketidak nyamanan nonverbal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Gangguan
identitas personal b.d perubahan peran social<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NOC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Gangguan identitas
personal berkurang <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tujuan/Kriteria Hasil:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pasien
akan mengaku terhadap perubahan aktual pada penampilan tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pasien
akan memelihara hubungan sosial yang dekat dan hubungan personal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NIC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pencapaian Citra
Tubuh : peningkatan kesadaran pasien dan ketidaksadaran persepsi dan tingkah
laku terhadap tubuh pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas
Keperawatan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kaji
dan dokumentasikan respon verbal dan non verbal pasien tentang tubuh pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
mengkaji dapat mengetahui respon yang dirasakan pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tentukan
apakah perubahan fisik saat ini telah dikaitkan ke dalam citra tubuh pasien <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
menentukan hal itu dapat mengetahui perubahan apa yang terjadi pada pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Identifikasi
budaya, agama, ras, jenis kelamin, dan usia dari orang penting bagi pasien
menyangkut citra tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
identifikasi dapat mengetahui apa yang dirasakan pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pantau
frekuensi pernyataan yang mengkritik diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : mengetahui
seberapa besar pasien menghargai dirinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Beri
dorongan kepada pasien/keluarga untuk mengidentifikasi mekanisme koping dan
kekuatan personal dan pengakuan keterbatasan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Akan
membantu pasien/keluarga mengidentifikasi mekanisme yang terjadi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Berikan
perawatan dengan cara yang tidak menghakimi, pelihara privasi dan martabat
pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
cara itu pasien akan merasa terjaga privasinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tentukan
harapan pasien tentang gambaran tubuh berdasarkan tahap perkembangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
tahu harapan pasien akan dapat mengetahui apa yang diinginkan pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Dengarkan
pasien/keluarga secara aktif dan akui realitas adanya perhatian terhadap
perawatan, kemajuan, dan prognosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Rasional : Dengan
menjadi pendengar yang baik dapat membina trust<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Ansietas
b.d perubahan dalam: status kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NOC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kontrol Agresi:
Kemampuan untuk menahan perilaku kekerasan, kekacauan, atau perilaku destruktif
pada orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kontrol Ansietas:
Kemampuan untuk menghilangkan atau mengurangi perasaan khawatir dan tegang dari
suatu sumber yang tidak dapat diidentifikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Koping: Tindakan
untuk mengatasi stressor yang membebani sumber-sumber individu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kontrol Impuls: Kemampuan
untuk menahan diri dari perilaku kompulsif atau impulsive.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Penahanan Mutilasi
Diri: Kemampuan untuk berhenti dari tindakan yang mengakibatkan cedera diri
sendiri (non-letal) yang tidak diperhatikan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Keterampilan
Interaksi Sosial: Penggunaan diri untuk melakukan interaksi yang efektif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tuuan/Kriteria Hasil:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Ansietas berkurang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan Kontrol Ansietas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NIC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pengurangan Ansietas:
Minimalkan kekhawatiran, ketakutan, berprasangka atau rasa gelisah yang
dikaitkan dengan sumber bahaya yang tidak dapat diidentifikasi dari bahaya yang
dapat diantisipasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas
Keperawatan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kaji dan dokumentasikan
tingkat kecemasan pasien secara berkala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Menentukan kemampuan
pengambilan keputusan pada pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas Kolaboratif:
Berikan pengobatan untuk mengurangi ansietas, sesuai dengan kebutuhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Difisiensi
pengetahuan b.d keterbatasan kognitif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NOC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan:
Pengendalian infeksi : tingkat pemahaman pada apa yang disampaikan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tujuan/Kriterioa
Hasil:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l3 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan pengetahuan:
Pengendalian Infeksi: dibuktikan dengan indicator 1-5: tidak ada, terbatas,
cukup, banyak, atau luas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l3 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Mengidentifikasi keperluan
untuk penambahan informasi menurut penanganan yang dianjurkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NIC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Panduan Sistem
Kesehatan: memfasilitasi daerah pasien dan penggunaan layanan kesehatan yang
tepat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pengajaran, Proses
Penyakit: Membantu pasien dalam memahami informasi yang berhubungan dengan
proses timbulnya penyakit secara khusus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pengajaran, Individu:
Perencanaan, implementasi, dan evaluasi penyusunan program pengajaran yang
dirancang uuntuk kebutuhan khusus pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas
Keperawatan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l3 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tentukan kebutuhan
pengajaran pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l3 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Lakukan penilaian tingkat
pengetahuan pasien dan pahami isinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l3 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tentukan kemampuan pasien
untuk mempelajari informasi khusus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l3 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Berinteraksi kepada pasien
dengan cara yang tidak menghakimi untuk memfasilitasi pengajaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Intoleran
aktivitas b.d imobilitas <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NOC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">klien
mentoleransikan aktivitas yang biasa dilakukan dan ditunjukkan dengan daya
tahan penghimatan energi, dan perawatan diri,</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">kritria
evaluasi:</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">mengedentivikasikan
aktivitas/situasi yang menimbulkan kecemasan </span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">mengungkap secara verbal
pemahaman tentang kebutuhan oksigen,pengubatan dan perawatan yang dapat
meningkatkan aktivitas</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">menampilkan aktivitas
kehehidupan sehari</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">-</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">hari(AKS)&beberapa
bantuan</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NIC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">- </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Terapi Aktivitas</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">- </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pengelolaan energi</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Aktivitas
keperawatan:</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l11 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji respon,sosial dan
spritual terhadap aktivitas</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l11 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tentukan penyebab
keletihan</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l11 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">pantau pola istirahat
klien dan lamanya waktu tidur</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 58.5pt; mso-add-space: auto; mso-list: l11 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kaloborasikan dengan
ahli okupasi,fisik atau rekreasi untuk merencenakan dan memantau
aktivitas,sesuai dengan kebutuhan.</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Defisit
perawatan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NOC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perawatan diri : aktivitas kehidupan sehari-hari: kemampuan
untuk melakukan tugas fisik paling dasar dan aktivitas perawatan pribadi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Personal hygiene : kemampuan untuk mempertahankan hygnie
dirinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan/Kriteria Hasil:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.75pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menerima bantuan / perawatan total dari pemberi perawatan</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.75pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mengungkapkan secara verbal kepuasan tentang kebersihan
tubuh dan hygine mulut.</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.75pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mempertahankan mobilitas yang diperlukan untuk kekamar
mandi menyediakan perlengkapan mandi</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NIC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mandi :membersihkan tubuh berguna untuk relaksasi,
kebersihan dan penyembuhan</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Bantuan perawatan diri, mandi/hygine : membantu pasien
untk memenuhi hygine pribadi</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aktivitas Keperawatan</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kaji kemampuan u</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">n</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">t</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">u</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">k menggunakan
alat bantu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.75pt; mso-add-space: auto;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">R: pasien dapat ber mobilitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kaji kondisi kulit saat ma</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">n</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">di<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.75pt; mso-add-space: auto;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">R: agar pasien terlihat segar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Ajarkan pasien/ keluarga penggunaan metode alternatif u</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">n</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">t</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">u</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">k mandi dan
hygine mulut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.75pt; mso-add-space: auto;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">R: dibantu keluarga/ perawat utk memandikan/ diseka <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Libatkan keluarga dalam penentuan rencana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">R </span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> agar keluarga
tetap memperhatihan hygine pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Risiko
infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NOC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Status imun:
Keadekuatan alami yang didapat dan secara tepat ditujukan untuk menahan
antigen-antigen internal maupun eksternal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan: Pengendalian
Infeksi: tingkat pemahaman mengenai pencegahan dan pengendalian infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian resiko:
tindakan untuk menghilangkan atau mengurangi ancaman kesehatan akual, pribadi,
serta dapat dimodifikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Deteksi Resiko:
indakan yang dilakukan untuk mengidentifikasi ancaman kesehatan seseorang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tujuan/Kriteria
Evaluasi:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Fakto resiko infeksi akan
hilang dengan dibuktikan oleh keadekuatan status imun pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pasien menunjukkan
Pengendalian Risiko.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">NIC:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
Imunisasi/Vaksinasi: Pemberian imunisasi untuk mencegah penyakit menuar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian Infeksi:
Meminimalkan penularan agen infeksius.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Perlindungan terhadap
Infeksi: Mencegah dan mendeteksi dini infeksi pada pasien yang berisiko.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas
Keperawatan:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pantau tanda gejala infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kaji factor yang
meningkatkan serangan infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Patau hasil laboratorium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Amati penampilan praktik
hygiene pribadi untuk perlindungan terhadap infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas Kolaboratif:
Berikan terapi antibiotic, bila diperlukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">CATATAN : NOC - TUJUAN KEPERAWATAN</span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> NIC - INTERVENSI KEPERAWATAN</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Daftar Pustaka<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 67.5pt 72.0pt; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Herdman,
Heather T. 2010. <i>Diagnosis Keperawatan
Definisi dan Klasifikasi 2009-2011</i>.Jakarta : EGC. Allih bahasa: Made
Sumarwati, Dwi Widiarti, Etsu Tiar.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 67.5pt 72.0pt; text-align: justify; text-indent: -35.45pt;">
<i><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Wilkinson</span></i><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">, M. Judith. 2007. <i>Buku
Saku Diagnosis Keperawatan edisi 7</i>. Jakarta :EGC.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-69324392076810817852013-11-17T22:58:00.001+07:002015-06-13T17:37:18.816+07:00LAPORAN PENDAHULUAN ASKEP ASMA BRONKIAL<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<span lang="EN-US">KONSEP DASAR</span></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<span lang="EN-US">ASMA BRONCHIALE</span></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.75pt;">
<!--[if !supportLists]--><span lang="EN-US">A.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Konsep Medis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l1 level2 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">PENGERTIAN</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Asma bronchiale adalah penyakit dari
system pernafasan yang meliputi dari jalan nafas dan gejala-gejala bronkospasme
yang bersifat reversible (Antony C, 1997).</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Asma bronkhiale adalah mengi
berulang-ulang/ batuk bersistem dalam keadaan di mana asma yang paling mungkin.
(Arief Mansjoer dkk, 2000).</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Asma bronkhiale adalah suatu sindrom
obstruksi jalan nafas yang berulang yang ditandai kontraksi otot polos,
hypereksi mucus dan inflamasi. (Buyton, 1994).</span><br />
<a name='more'></a><span lang="EN-US">Selengkapnya</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l1 level2 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">ETIOLOGI</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l1 level3 lfo1; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Imunologik atau alergik atau
autopik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Dalam bentuk ekstrinsik antigen berupa suatu bahan yang
dapat berbentuk:</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l1 level4 lfo1; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.75pt;">
<!--[if !supportLists]--><span lang="EN-US">1)<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Inhalen yang masuk dalam bahan
dengan melalui alat pernafasan misalnya debu rumah, bahan-bahan yang terlepas
(sepih kulit) dari binatang misalnya anjing, kucing, kuda dan sebagainya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l1 level4 lfo1; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.75pt;">
<!--[if !supportLists]--><span lang="EN-US">2)<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ingestan yang masuk dalam tubuh
melalui mulut, biasanya berupa makanan seperti susu, telur, ikan-ikanan,
obat-obatan dan lain sebagainya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l1 level4 lfo1; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.75pt;">
<!--[if !supportLists]--><span lang="EN-US">3)<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kontaktan yang masuk dalam
tubuh dengan jalan kontak dengan kulit seperti obat-obatan dalam bentuk salep,
berbagai logam dalam bentuk perhiasan, jam tangan dan lain sebagainya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l1 level3 lfo1; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Non imunologik atau non alergik
atau non autopik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Seringkali dicetuskan oleh infeksi pada serangan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l1 level2 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">PATOFISIOLOGI</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Zat oksigen masuk dalam tubuh melalui
pernafasan, mulut dan kontak kulit. Dari jenis allergen yang masuk dalam tubuh,
bila pada orang yang tidak atopik tidak akan menyebabkan apa-apa. Bila jenis
allergen masuk dalam tubuh orang yang mempunyai factor keturunan untuk bereaksi
terhadap bahan allergen akan menyebabkan alergik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Akibat reaksi dari tubuh untuk
melepaskan zat histamine menyebabkan reaksi kontraksi otot-otot polos saluran
pernafasan sehingga terjadi broncospasme. Broncospasme akan timbul kerusakan
dinding bronkus yang akan mengakibatkan kualitas otot polos bronkus dapat
ditembus oleh cairan atau zat dalam larutan yang dapat meningkatkan
permeabilitas kapiler yang berperan terjadinya edema mukosa.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Dari edema mukosa akan menimbulkan
peningkatan sekresi kelenjar mukosa dan peningkatan produksi sputum sebagai
akibatnya akan terjadi penyempitan saluran pernafasan kemudian menghambat
saluran pernafasan. Hambatan aliran pernafasan ini menyebabkan distribusi
ventilasi yang tidak rata dengan sirkulasi darah paru sehingga mengganggu
difusi gas di tingkat alveoli. Bila hal ini berlanjut akan terjadi hipoksemia.
Proses tersebut pada penderita asma bronkhiale sering akan terjadi
ketidakmampuan tentang penyakitnya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Karena hambatan aliran nafas yang
menyebabkan gangguan aliran udara terjadi hipoventilasi karena hipersekresi
sputum yang tertahan sehingga menyebabkan jalan nafas tidak efektif di mana
gejala dan tanda yang muncul pada penderita asma bronkhiale terjadi sesak
nafas, bunyi nafas tidak normal (wheezing), batuk yang menerus dan semakin lama
terjadinya serangan akan mengakibatkan kurangnya tenaga atau kelemahan, serta
tidak nafsu makan, dalam kondisi demikian akan menyebabkan perubahan nutrisi
kurang dari kebutuhan tubuh, gangguan pemenuhan istirahat tidur, intoleransi
aktivitas dan mengalami penurunan perawatan diri sendiri. Dari proses seringnya
kekambuhan atau serangan asma bronchial didukung ketidaktahuan tentang proses
penyakitnya akan berpotensial infeksi. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l1 level2 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">MANIFESTASI KLINIK</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Gangguan klinik: tachicardi,
tachipnea, mengi, pernafasan pendek, rasa sesek di dada, serangan biasanya
menghilang dalam waktu 30-60 menit, sputum dalam bentuk kental dan jumlah
banyak, diaphoresis, kelelahan terjadi setelah serangan. Kontraksi yang kaku
dari bronkiolus, penurunan kecepatan ekspirasi, batuk pada malam hari
berlangsung 10-14 hari.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l1 level2 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">PATHWAYS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 17.45pt;">
<span lang="EN-US">Zat alergen masuk ke dalam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 17.45pt;">
<span lang="EN-US">Tubuh melalui pernafasan mulut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 17.45pt;">
<span lang="EN-US">Dan kontak kulit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<!--[if gte vml 1]><v:line id="_x0000_s1027" style='position:absolute;
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<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 2;"><span style="height: 27px; left: 0px; left: 114px; position: absolute; top: -1px; width: 12px;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1027" width="12" /></span></span><!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:line id="_x0000_s1039" style='position:absolute;
left:0;text-align:left;z-index:14' from="90pt,18.6pt" to="252pt,33.6pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 119px; margin-top: 24px; mso-ignore: vglayout; position: absolute; width: 219px; z-index: 14;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1039" width="219" /></span><!--[endif]--><span lang="EN-US">Reaksi tubuh terhadap
allergen</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="114"></td>
</tr>
<tr>
<td></td>
<td><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1028" width="12" /></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<!--[if gte vml 1]><v:line id="_x0000_s1028" style='position:absolute;
left:0;text-align:left;z-index:3' from="90pt,.9pt" to="90pt,18.9pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]-->
<!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:line id="_x0000_s1029"
style='position:absolute;left:0;text-align:left;z-index:4' from="90pt,19.2pt"
to="90pt,37.2pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 114px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 4;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1029" width="12" /></span><!--[endif]--><span lang="EN-US">Tubuh tidak tahan
reaksi alergik tubuh tahan/tidak
alergik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 234.0pt; text-align: justify; text-indent: 17.45pt;">
<span lang="EN-US">Kontraksi otot
polos pernafasan</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="2" width="114"></td>
</tr>
<tr>
<td></td>
<td><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1031" width="12" /></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 234.0pt; text-align: justify;">
<!--[if gte vml 1]><v:line id="_x0000_s1031" style='position:absolute;
left:0;text-align:left;z-index:6' from="90pt,2.1pt" to="90pt,20.1pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]-->
<!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 234.0pt; text-align: justify; text-indent: 17.45pt;">
<span lang="EN-US">Bronchospasme</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="3" width="114"></td>
</tr>
<tr>
<td></td>
<td><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1034" width="12" /></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 234.0pt; text-align: justify;">
<!--[if gte vml 1]><v:line id="_x0000_s1034" style='position:absolute;
left:0;text-align:left;z-index:9' from="90pt,2.7pt" to="90pt,20.7pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]-->
<!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 234.0pt; text-align: justify; text-indent: 17.45pt;">
<span lang="EN-US">Hypersekresi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 234.0pt; text-align: justify;">
<!--[if gte vml 1]><v:line id="_x0000_s1038" style='position:absolute;
left:0;text-align:left;z-index:13' from="90pt,.35pt" to="90pt,18.35pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 13;"><span style="height: 27px; left: 0px; left: 114px; position: absolute; top: -1px; width: 12px;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1038" width="12" /></span></span><!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 234.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:line id="_x0000_s1037"
style='position:absolute;left:0;text-align:left;z-index:12' from="90pt,19.65pt"
to="90pt,37.65pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 114px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 12;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1037" width="12" /></span><!--[endif]--><span lang="EN-US">Penyempitan saluran
pernafasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify;">
<span lang="EN-US"> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:line id="_x0000_s1041"
style='position:absolute;left:0;text-align:left;z-index:16' from="90pt,19.25pt"
to="207pt,28.25pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 19px; left: 0px; margin-left: 119px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 159px; z-index: 16;"><img height="19" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_s1041" width="159" /></span><!--[endif]--><!--[if gte vml 1]><v:line id="_x0000_s1040"
style='position:absolute;left:0;text-align:left;z-index:15' from="90pt,19.25pt"
to="90pt,37.25pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 114px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 15;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1040" width="12" /></span><!--[endif]--><span lang="EN-US">Hambatan aliran
pernafasan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify;">
<!--[if gte vml 1]><v:line id="_x0000_s1035" style='position:absolute;
left:0;text-align:left;z-index:10' from="4in,19.55pt" to="4in,37.55pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 378px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 10;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1035" width="12" /></span><!--[endif]--><span lang="EN-US"> gangguan
ventilasi (hipoventilasi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:rect id="_x0000_s1051"
style='position:absolute;left:0;text-align:left;margin-left:207pt;
margin-top:13.85pt;width:153pt;height:27pt;z-index:-1'>
<w:wrap side="left"/>
</v:rect><![endif]--><!--[if !vml]--><span style="height: 38px; left: 0px; margin-left: 275px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 206px; z-index: -1;"><img height="38" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" v:shapes="_x0000_s1051" width="206" /></span><!--[endif]--><span lang="EN-US">Distribusi ventilasi
yang tidak </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:line id="_x0000_s1042"
style='position:absolute;left:0;text-align:left;z-index:17' from="4in,20.15pt"
to="4in,38.15pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 378px; margin-top: 26px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 17;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1042" width="12" /></span><!--[endif]--><span lang="EN-US">Rata dengan sirkulasi
paru</span><!--[if gte vml 1]><v:line id="_x0000_s1033" style='position:absolute;
left:0;text-align:left;z-index:8;mso-position-horizontal-relative:text;
mso-position-vertical-relative:text' from="90pt,20.15pt" to="90pt,38.15pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 114px; margin-top: 26px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 8;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1033" width="12" /></span><!--[endif]--><span lang="EN-US"> jalan nafas tidak efektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify;">
<span lang="EN-US"> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify; text-indent: 17.45pt;">
<span lang="EN-US">Gangguan difusi
gas penurunan
sirkulasi darah, dispnea,</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 216.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:line id="_x0000_s1044"
style='position:absolute;left:0;text-align:left;z-index:19' from="297pt,14.05pt"
to="324pt,41.05pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 42px; left: 0px; margin-left: 395px; margin-top: 18px; mso-ignore: vglayout; position: absolute; width: 42px; z-index: 19;"><img height="42" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" v:shapes="_x0000_s1044" width="42" /></span><!--[endif]--><!--[if gte vml 1]><v:line id="_x0000_s1043"
style='position:absolute;left:0;text-align:left;flip:x;z-index:18' from="225pt,14.05pt"
to="297pt,41.05pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 43px; left: 0px; margin-left: 296px; margin-top: 18px; mso-ignore: vglayout; position: absolute; width: 101px; z-index: 18;"><img height="43" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" v:shapes="_x0000_s1043" width="101" /></span><!--[endif]--><span lang="EN-US">Di tingkat alveoli Wheezing,
kelemahan dan anoreksia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 180.0pt 306.0pt; text-align: justify;">
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<w:wrap side="left"/>
</v:rect><![endif]--><!--[if !vml]--><span style="height: 62px; left: 0px; margin-left: 395px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 109px; z-index: -4;"><img height="62" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" v:shapes="_x0000_s1048" width="109" /></span><!--[endif]--><!--[if gte vml 1]><v:rect id="_x0000_s1026"
style='position:absolute;left:0;text-align:left;margin-left:171pt;
margin-top:18.35pt;width:108pt;height:63pt;z-index:-26'>
<w:wrap side="left"/>
</v:rect><![endif]--><!--[if !vml]--><span style="height: 86px; left: 0px; margin-left: 227px; margin-top: 23px; mso-ignore: vglayout; position: absolute; width: 146px; z-index: -26;"><img height="86" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" v:shapes="_x0000_s1026" width="146" /></span><!--[endif]--><!--[if gte vml 1]><v:line id="_x0000_s1036"
style='position:absolute;left:0;text-align:left;z-index:11' from="90pt,.35pt"
to="90pt,18.35pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 11;"><span style="height: 27px; left: 0px; left: 114px; position: absolute; top: -1px; width: 12px;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1036" width="12" /></span></span><!--[endif]--><span lang="EN-US"> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 180.0pt 306.0pt; text-align: justify; text-indent: 17.45pt;">
<span lang="EN-US">Hipoksemia</span><!--[if gte vml 1]><v:line
id="_x0000_s1032" style='position:absolute;left:0;text-align:left;z-index:7;
mso-position-horizontal-relative:text;mso-position-vertical-relative:text'
from="90pt,15.65pt" to="90pt,33.65pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 114px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 7;"><img height="27" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1032" width="12" /></span><!--[endif]--><span lang="EN-US"> perubahan intoleransi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 180.0pt 306.0pt; text-align: justify;">
<span lang="EN-US"> nutrisi kurang
dari aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 180.0pt 306.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:line
id="_x0000_s1030" style='position:absolute;left:0;text-align:left;z-index:5'
from="324pt,10.25pt" to="324pt,55.25pt">
<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 63px; left: 0px; margin-left: 426px; margin-top: 13px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 5;"><img height="63" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" v:shapes="_x0000_s1030" width="12" /></span><!--[endif]--><!--[if gte vml 1]><v:line id="_x0000_s1047"
style='position:absolute;left:0;text-align:left;flip:x;z-index:22' from="162pt,19.25pt"
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<v:stroke endarrow="block"/>
<w:wrap side="left"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 54px; left: 0px; margin-left: 211px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 78px; z-index: 22;"><img height="54" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" v:shapes="_x0000_s1047" width="78" /></span><!--[endif]--><span lang="EN-US">Ketidaktahuan Kebutuhan tubuh </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 180.0pt 288.0pt; text-align: justify; text-indent: 17.45pt;">
<!--[if gte vml 1]><v:line
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</v:line><![endif]--><!--[if !vml]--><span style="height: 42px; left: 0px; margin-left: 119px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 31px; z-index: 20;"><img height="42" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" v:shapes="_x0000_s1045" width="31" /></span><!--[endif]--><span lang="EN-US">Tentang penyakit </span></div>
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</v:rect><![endif]--><!--[if !vml]--><span style="height: 38px; left: 0px; margin-left: 147px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 130px; z-index: -3;"><img height="38" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" v:shapes="_x0000_s1049" width="130" /></span><!--[endif]--><span lang="EN-US"> </span></div>
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</v:line><![endif]--><!--[if !vml]--><span style="height: 12px; left: 0px; margin-left: 274px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 51px; z-index: 21;"><img height="12" src="file:///C:/Users/toshiba/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" v:shapes="_x0000_s1046" width="51" /></span><!--[endif]--><span lang="EN-US"> Potensial
infeksi defi</span>s<span lang="EN-US">it perawatan diri</span></div>
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<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">PEMERIKSAAN PENUNJANG</span></div>
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<span lang="EN-US">Pemeriksaan laboratorium</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Gas-gas darah arteri</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Pa O2 dan Pa CO2 sedikit menurun, umum terjadi di antara
serangan hebat.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Pemeriksaan sinar X dada</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Hiperinflamasi pada serangan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tes kulit</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tes fungsi pulmoner</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Volume paru-paru normal atau meningkat</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penurunan kecepatan aliran,
dengan bronkodilator</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Pemeriksaan SDP dan sputum</span></div>
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<span lang="EN-US">Eosinofilia darah dan sputum umum ditemukan kadar 1% E
serum meningkat pada asma ekstrinsik.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Edema pulmoner</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Gagal pernafasan.</span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">PENATALAKSANAAN MEDIS</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Terapi O2 dengan humidifikasi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penatalaksanaan cairan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Jalan nafas buatan dan ventilator</span></div>
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<span lang="EN-US">Bila diperlukan:</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Obat-obatan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bronkodilator: parental, aerosol, oral</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Simpatominetik</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Teofilin</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Steroid</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Antibiotic</span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US">B.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Konsep Keperawatan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">PENGKAJIAN</span></div>
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<span lang="EN-US">Proses pengkajian adalah pemikiran
dasar dari proses keperawatan yang bertujuan untuk mengumpulkan data tentang
pasien agar dapat mengidentifikasi, mengenali masalah kesehatan dan keperawatan
pasien. (Effendy, 1995: 10).</span></div>
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<span lang="EN-US">Adapun hal-hal yang perlu dikaji
adalah:</span></div>
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<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">aktifitas/istirahat</span></div>
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<span lang="EN-US">gejala : keletihan, kelelahan, malaise.</span></div>
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<span lang="EN-US"> Ketidakmampuan untuk melakukan
aktifitas sehari-hari karena sulit bernafas.</span></div>
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<span lang="EN-US"> Ketidakmampuan untuk tidur,
perlu tidur dalam posisi duduk tinggi.</span></div>
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<span lang="EN-US"> Dispnea pada saat istirahat
atau respon terhadap aktifitas atau latihan.</span></div>
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<span lang="EN-US">Tanda : keletihan,
gelisah, insomnia.</span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sirkulasi</span></div>
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<span lang="EN-US">Gejala : pembengkakan
pada ekstremitas bawah</span></div>
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<span lang="EN-US">Tanda : peningkatan
tekanan darah</span></div>
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<span lang="EN-US"> Peningkatan frekuensi jantung</span></div>
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<span lang="EN-US"> Distensi vena leher</span></div>
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<span lang="EN-US"> Sianosis: area sirkumolar
dasar kuku</span></div>
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<span lang="EN-US"> Pucat dapat menunjukkan anemia.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">integritas ego</span></div>
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<span lang="EN-US">gejala : peningkatan
factor risiko</span></div>
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<span lang="EN-US"> perubahan pola hidup</span></div>
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<span lang="EN-US">tanda : ansietas,
ketakutan, peka rangsang.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">makanan/cairan</span></div>
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<span lang="EN-US">gejala : mual/muntah</span></div>
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<span lang="EN-US"> ketidakmampuan untuk makan
karena distress</span></div>
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<span lang="EN-US">tanda : diaforesis</span></div>
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<span lang="EN-US"> penurunan berat badan.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Hygiene</span></div>
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<span lang="EN-US">Gejala : penurunan
kemampuan/peningkatan kebutuhan bantuan melakukan aktifitas sehari-hari</span></div>
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<span lang="EN-US">Tanda : kebersihan
buruk</span></div>
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<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pernafasan</span></div>
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<span lang="EN-US">Gejala : nafas
pendek</span></div>
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<span lang="EN-US">Tanda : awitan
distress pernafasan tiba-tiba</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Perpanjangan ekspirasi mengi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; mso-list: l0 level1 lfo3; tab-stops: 99.0pt 108.0pt list 126.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Perpendekan periode inspirasi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Retraksi interkostal sternal</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; mso-list: l0 level1 lfo3; tab-stops: 99.0pt 108.0pt list 126.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penggunaan otot-otot eksesorik
pernafasan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sesak nafas</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Klekels</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt list 126.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US"> Bunyi nafas</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Mengi, penurunan nafas sampai
bunyi nafas tidak terdengar.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">g.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Keamanan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US">Gejala : riwayat
reaksi alergi</span></div>
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<span lang="EN-US"> Kemerahan (diaforesis)</span></div>
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<!--[if !supportLists]--><span lang="EN-US">h.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Seksualitas</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US">Gejala : penurunan
libido</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l1 level3 lfo1; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">i.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">interaksi social</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US">gejala : hubungan
ketergantungan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US"> kurang sistem pendukung</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US"> penyakit lama/ketidakmampuan
membaik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US">tanda : ketidakmampuan
untuk membuat/mempertahankan suara karena distress pernafasan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US"> keterbatasan mobilitas fisik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l1 level3 lfo1; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">j.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">penyuluhan/pembelajaran</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US">gejala : penyalahgunaan
obat pernafasan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US"> kesulitan menghentikan merokok</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US"> penggunaan alcohol</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span lang="EN-US"> kegagalan untuk membaik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; tab-stops: 99.0pt 108.0pt; text-align: justify; text-indent: -54.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l1 level2 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">FOKUS INTERVENSI</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">Diagnosa keperawatan I : kerusakan
pertukaran gas berhubungan dengan factor serangan asma menetap.</span></div>
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<span lang="EN-US">Batasan
karakteristik : mengi dan dispnea yang berat, sianosis dan
penggunaan obat asesori pernafasan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US">Hasil
pasien : mendemonstrasikan perbaikan ventilasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US">Criteria
evaluasi : frekuensi nafas 12-24/menit, bunyi nafas
bersih, frekuensi nadi 60-100/menit, warna kulit normal, tidak ada dispnea, GDA
dalam batas normal.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 23.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480; width: 544px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.15pt;" width="42"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">NO.</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" width="261"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 180.85pt;" width="241"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">Rasional</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.15pt;" valign="top" width="42"><div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">1.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">2.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">3.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">4.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">5.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">6.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">7.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">8.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">9.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Pantau</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">status pernafasan (apendiks
A) setiap 4 jam</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">hasil keadaan teofilin serum</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">hasil GDA</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">nadi oksimetri</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">hasil sinar X dada, fungsi
paru dan analisa sputum</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">masukan dan haluaran</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">tempatkan pasien pada posisi fowler’s</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">mulailah pemberian terapi IV sesuai anjuran. Lakukan perawatan
infus.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Berikan oksigen melalui kanul nasal 4 liter/menit selanjutnya
sesuaikan dengan hasil PaO2.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Berikan pengobatan yang telah ditentukan, seperti epinefrin,
terbutelin, aminopilin, dan kortikosteroid.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Evaluasi keefektifannya, konsul dokter jika terjadi reaksi yang
merugikan. Teliti kembali semua pengobatan yang telah ditentukan jika
interaki antara obat merugikan. Lihat referensi farmakologi dan konsul kepada
ahli farmasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Laksanakan pengobatan dan konsul dokter bila tanda-tanda
toksisetas teofilin terjadi (mual, muntah, distensi abnormal, teofilin serum
di atas rencana normal).</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Gunakan spirometer intensif setiap 2 jam.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Yakinkan bahwa pengobatan paru (fisioterapi, terapi aerosol)
diberikan sesuai dengan yang telah ditentukan. Tentukan pengobatan aerosol
tambahan bila kegawatan nafas terjadi antara interfal yang telah ditentukan.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Konsul dokter jika gejala-gejala terjadi setelah 1 jam pemberian
terapi atau bila kondisi bertambah jelek (bila tercapainya keadaan di mana PaCO2
melebihi PaO2 apnea terjadi, status mental menurun atau pasien dalam keadaan
hampir kolaps akibat kelelahan yang disebabkan usaha yang sulit bernafas).</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 180.85pt;" valign="top" width="241"><div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Untuk mengidentifikasi indikasi kearah kemajuan atau penyimpangan
dari hasil pasien.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Posisi tegak memungkinkan ekspansi paru-paru lebih baik.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Untuk meningkatkan rehidrasi yang cepat dan dapat mengkaji keadaan
vaskuler untuk pemberian obat-obatan darurat, kebanyakan pasien telah
mengalami dehidrasi ketika mereka meminta pertolongan medis.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Pemberian O2 mengurangi beban kerja otot-otot pernafasan.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Epinefrin dan ebutalin menghentikan reaksi alergi dan adilatasi
bronkiolus dengan meniadakan aktifitas histamine aminofilin melebarkan
bronkiolus dengan merangsang peningkatan produksi zat kimia yang menghambat
penyempitan otot bronchial. Kortikosteroid membantu mengurangi peradangan
lapisan mukosa bronchial.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Dokter akan mengurangi dosis untuk memperbaiki toksisitas.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Untuk memudahkan nafas dalam dan mencegah atelektasis.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Tindakan ini mengurangi sekresi bronchial.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Hal-hal ini menunjukkan dibutuhkannya intubasi endotrakeal dan
pemasangan ventilator mekanis.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">Diagnosa keperawatan II : ansietas
berhubungan dengan factor takut sulit bernafas disebabkan gagal nafas yang
berat, kurang pengetahuan tentang rencana pengobatan dan pemeriksaan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US">Batasan
karakteristik : menyampaikan perasaan takut sulit bernafas,
ketakutan, ekspresi wajah tegang, menyatakan kesulitan bernafas.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US">Hasil
pasien : mendemonstrasikan ansietas berkurang.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US">Criteria
evaluasi : ekspresi wajah tenang, pernafasan 12-24/ menit,
rasa takut dan gugup berkurang.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 23.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480; width: 544px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.15pt;" width="42"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">NO.</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" width="261"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 180.85pt;" width="241"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">Rasional</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.15pt;" valign="top" width="42"><div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">1.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">2.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">3.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Tetap berada di samping pasien atau minta seseorang untuk
mendampinginya sampai gawat nafas mulai berkurang, pertahankan pendekatan
yang tenang dan percaya diri.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Batasi pengunjung sampai batas nafas teratasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 17.45pt;">
<span lang="EN-US">Gunakan penjelas yang mudah dan singkat bila memberikan informasi
atau instruksi, contoh “duduk” nafas lambat dan dalam jelaskan dari tujuan
semua pengobatan yang telah dilakukan. Berikan penjelasan pemeriksaan
diagnostic</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">tujuan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">gambaran singkat</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">persiapan yang dibutuhkan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 17.45pt; mso-list: l0 level2 lfo3; tab-stops: 17.45pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">perawatan sesudah pemeriksaan
tersebut.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 180.85pt;" valign="top" width="241"><div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Ansietas akan berkurang apabila pasien merasa ditangani oleh tim
kesehatan yang kompeten.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Pengunjung dapat menjadi sumber stress.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Tingkat ansietas yang tinggi menghambat pembelajaran penjelasan
tentang apa yang diharapkan membantu mengontrol ansietas.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">Diagnosa keperawatan III : perubahan
nutrisi kurang dari kebutuhan tubuh</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US">Berhubungan
dengan : dispnea, kelemahan, efek samping obat, produksi sputum, anoreksia,
mual/muntah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US">Kemungkinan
dibuktikan : penurunan berat badan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US"> Kehilangan
massa otot, tonus otot buruk</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US"> Kelemahan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US"> Mengeluh
gangguan sensasi pengecap</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US"> Keengganan
untuk makan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<span lang="EN-US">Criteria
hasil : menunjukkan peningkatan BB.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 23.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480; width: 544px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.15pt;" width="42"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">NO.</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" width="261"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 180.85pt;" width="241"><div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: center;">
<span lang="EN-US">Rasional</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.15pt;" valign="top" width="42"><div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">1.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">2.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">3.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">4.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">5.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">6.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">7.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">8.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">kaji kebiasaan diet, masukan makanan saat ini, catat derajat
kesulitan makan, evaluasi berat badan dan ukuran tubuh.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Auskultasi bunyi usus.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Berikan perawatan oral sering, buang secret, berikan wadah khusus
untuk sekali pakai.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Dorong periode istirahat semalam 1 jam sebelum dan sesudah makan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Hindari makanan penghasil gas dan minuman karbonat.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Hindari makanan yang sangat panas atau sangat dingin </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Timbang BB sesuai indikasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Konsul ahli gizi untuk memberikan makanan yang mudah cerna dan
nutrisi seimbang.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: -.55pt; tab-stops: 17.45pt;">
<span lang="EN-US">Kaji pemeriksaan laboratorium, mis: albumin serum, transferin,
dll.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 180.85pt;" valign="top" width="241"><div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Pasien distress pernafasan akut sering anoreksia karena dispnea.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Penurunan/inproaktif bising usus menunjukkan penurunan motilitas
gaster dan konstipasi yang berhubungan dengan pembatasan pemasukan cairan,
penurunan aktifitas, hipoksemia.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Rasa tak enak, bau dan penampilan adalah pencegah utama terhadap
nafsu makan.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Membantu menurunkan kelemahan selama waktu makan dan memberikan
kesempatan untuk meningkatkan masukan kalori total.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Dapat menghasilkan distensi abdomen yang mengganggu nafas abdomen
dan gerakan diafragma, dan dapat meningkatkan dispnea.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Suhu ekstrim dapat mencetuskan spasme batuk.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Untuk menentukan kebutuhan kalori.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Metode makan dan kebutuhan kalori didasarkan pada situasi/
kebutuhan individu.</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 162.0pt 171.0pt;">
<span lang="EN-US">Mengatasi kekurangan dan mengawasi keefektifan terapi nutrisi.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; margin-left: 171.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify; text-indent: -135.0pt;">
<br /></div>
<br />
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-77413294509317161332013-11-09T08:37:00.000+07:002013-11-09T08:42:24.351+07:00ASKEP HIPERTENSI KRISIS ( HIPERTENSI EMERGENCY)<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-indent: 36.0pt;">
<b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB I<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-indent: 36.0pt;">
<b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Hipertensi
atau tekanan darah tinggi </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">diderita</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">oleh</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">hampir </span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">semua golongan masyarakat di</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"> </span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">seluruh dunia. Jumlah mereka
yang menderita hipertensi terus bertambah</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">;</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"><br />
</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">t</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">erdapat sekitar 50 juta
(21,7%) orang dewasa Amerika yang menderita hipertensi, Thailand 17%, Vietnam
34,6%, Singapura 24,9%, Malaysia 29,9%. Di Indonesia, prevalensi hipertensi
berkisar 6-15%.</span><sup><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">1</span></sup><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Menurut
perkiraan, sekitar 30% penduduk dunia tidak terdiagnosa adanya hipertensi
(underdiagnosed condition). Hal ini disebabkan tidak adanya gejala atau dengan
gejala ringan bagi mereka yang menderita hipertensi. Sedangkan, hipertensi ini
sudah dipastikan dapat merusak organ tubuh, seperti jantung (70% penderita
hipertensi akan merusak jantung), ginjal, otak, mata serta organ tubuh lainnya.
Sehingga, hipertensi disebut sebagai <i>silent
killer</i>.</span><sup><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">1</span></sup><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span class="apple-style-span"><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Penderita hipertensi yang
tidak terkontrol sewaktu</span></span><span class="apple-style-span"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"> -</span></span><span class="apple-style-span"><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">
waktu bisa jatuh kedalam keadaan gawat darurat. Diperkirakan sekitar 1-8%
penderita hipertensi berlanjut menjadi “Krisis Hipertensi”, dan banyak terjadi
pada usia sekitar 30-70 tahun. Tetapi krisis hipertensi jarang ditemukan pada
penderita dengan tekanan darah normal tanpa penyebab sebelumnya.</span></span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"> <span class="apple-style-span">Pengobatan yang baik dan teratur dapat mencegah insiden
krisis hipertensi menjadi kurang dari 1 %.<sup>2</sup></span></span><sup><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></sup></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB II<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TINJAUAN KEPUSTAKAAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.1. Definisi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Hipertensi
darurat (<i>emergency hypertension</i>)</span></b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"> : kenaikan
tekanan darah mendadak (</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">sistolik ≥180 mm Hg dan / atau diastolik ≥120 mm Hg</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">) dengan
kerusakan organ target yang bersifat progresif, sehingga tekanan darah harus
diturunkan segera, dalam hitungan menit sampai jam.</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"> </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
darah yang sangat tinggi dan terdapat kerusakan organ, sehingga tekanan darah
harus diturunkan dengan segera (dalam menit atau jam) agar dapat membatasi
kerusakan yang terjadi. Tingginya tekanan darah untuk dapat dikategorikan
sebagai hipertensi darurat tidaklah mutlak, namun kebanyakan referensi di
Indonesia memakan patokan >220/140.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">2.2. Etiologi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Hipertensi
emergensi merupakan spektrum klinis dari hipertensi dimana terjadi kondisi
peningkatan tekanan darah yang tidak terkontrol yang berakibat pada kerusakan
organ target yang progresif. Berbagai sistem organ yang menjadi organ target
pada hipertensi emergensi ini adalah sistem saraf yang dapat mengakibatkan
hipertensi ensefalopati, infark serebral, perdarahan subarakhnoid, perdarahan
intrakranial; sistem kardiovaskular yang dapat mengakibatkan infark miokard,
disfungsi ventrikel kiri akut, edema paru akut, diseksi aorta; dan sistem organ
lainnya seperti gagal ginjal akut, retinopati, eklamsia, dan anemia hemolitik
mikroangiopatik. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">Faktor Resiko Krisis Hipertensi
<o:p></o:p></span></b></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Penderita hipertensi tidak minum obat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> atau</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"> tidak
teratur minum obat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Kehamilan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Penderita hipertensi dengan penyakit parenkim
ginjal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Pengguna NAPZA</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Penderita dengan rangsangan simpatis tinggi.
(luka bakar,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">trauma kepala, penyakit
vaskular/ kolagen)</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></b></li>
</ul>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">2.3. Klasifikasi Hipertensi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 115%;">Table 1. Klasifikasi Tekanan Darah Pada
Dewasa <o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="3" class="MsoTableWeb1" style="mso-cellspacing: 2.0pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 160; width: 539px;">
<tbody>
<tr style="height: 15.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: -1;">
<td style="background: navy; border-bottom: solid black 1.0pt; border: inset 1.0pt; height: 15.4pt; mso-border-alt: inset windowtext .75pt; mso-border-bottom-alt: solid black .75pt; mso-pattern: solid navy; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.5pt;" width="173"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<b><span lang="EN-MY" style="color: white; font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-language: IN;">Kategori<o:p></o:p></span></b></div>
</td>
<td style="background: navy; border-bottom: solid black 1.0pt; border: inset 1.0pt; height: 15.4pt; mso-border-alt: inset windowtext .75pt; mso-border-bottom-alt: solid black .75pt; mso-pattern: solid navy; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.15pt;" width="172"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<b><span lang="EN-MY" style="color: white; font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-language: IN;">Tekanan Darah
Sistolik<o:p></o:p></span></b></div>
</td>
<td style="background: navy; border-bottom: solid black 1.0pt; border: inset 1.0pt; height: 15.4pt; mso-border-alt: inset windowtext .75pt; mso-border-bottom-alt: solid black .75pt; mso-pattern: solid navy; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 137.5pt;" width="183"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<b><span lang="EN-MY" style="color: white; font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-language: IN;">Tekanan Darah
Diastolik<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 15.95pt; mso-yfti-irow: 0;">
<td style="height: 15.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.5pt;" width="173"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;">Normal<o:p></o:p></span></div>
</td>
<td style="height: 15.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.15pt;" width="172"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;">Dibawah 130 mmHg<o:p></o:p></span></div>
</td>
<td style="height: 15.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 137.5pt;" width="183"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;">Dibawah 85 mmHg<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.4pt; mso-yfti-irow: 1;">
<td style="height: 15.4pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.5pt;" width="173"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">Normal tinggi</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
<td style="height: 15.4pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.15pt;" width="172"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">130-139 mmHg</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
<td style="height: 15.4pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 137.5pt;" width="183"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">85-89 mmHg</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 30.75pt; mso-yfti-irow: 2;">
<td style="height: 30.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.5pt;" width="173"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">Stadium 1<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">(Hipertensi ringan)</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
<td style="height: 30.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.15pt;" width="172"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">140-159 mmHg</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
<td style="height: 30.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 137.5pt;" width="183"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">90-99 mmHg</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 30.75pt; mso-yfti-irow: 3;">
<td style="height: 30.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.5pt;" width="173"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">Stadium 2<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">(Hipertensi sedang)</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
<td style="height: 30.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.15pt;" width="172"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">160-179 mmHg</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
<td style="height: 30.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 137.5pt;" width="183"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">100-109 mmHg</span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 10pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 30.2pt; mso-yfti-irow: 4;">
<td style="height: 30.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.5pt;" width="173"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">Stadium 3<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">(Hipertensi berat)<o:p></o:p></span></div>
</td>
<td style="height: 30.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.15pt;" width="172"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">180-209 mmHg<o:p></o:p></span></div>
</td>
<td style="height: 30.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 137.5pt;" width="183"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">110-119 mmHg<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 31.3pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="height: 31.3pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.5pt;" width="173"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">Stadium 4<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">(Hipertensi maligna)<o:p></o:p></span></div>
</td>
<td style="height: 31.3pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.15pt;" width="172"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">210 mmHg atau lebih<o:p></o:p></span></div>
</td>
<td style="height: 31.3pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 137.5pt;" width="183"><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 10pt;">120 mmHg atau lebih<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span class="apple-style-span"><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Penderita hipertensi yang
tidak terkontrol sewaktu</span></span><span class="apple-style-span"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"> -</span></span><span class="apple-style-span"><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">
waktu bisa jatuh kedalam keadaan gawat darurat. Diperkirakan sekitar 1-8%
penderita hipertensi berlanjut menjadi “Krisis Hipertensi”, dan banyak terjadi
pada usia sekitar 30-70 tahun. Tetapi krisis hipertensi jarang ditemukan pada
penderita dengan tekanan darah normal tanpa penyebab sebelumnya.</span></span><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"> <span class="apple-style-span">Pengobatan yang baik dan teratur dapat mencegah insiden
krisis hipertensi menjadi kurang dari 1 %.</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.4. Patofisiologi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bentuk manapun
dari hipertensi yang menetap, baik primer maupun sekunder, dapat dengan
mendadak mengalami percepatan kenaikan dengan tekanan diastolik meningkat cepat
sampai di atas 130 mmHg dan menetap lebih dari 6 jam. Hal ini dapat menyebabkan
nekrosis arterial yang lama dan tersebar luas, serta hiperplasi intima arterial
interlobuler nefron-nefron. Perubahan patologis jelas terjadi terutama pada
retina, otak dan ginjal.</span><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"> </span></b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pada
retina akan timbul perubahan eksudat, perdarahan dan udem papil. Gejala
retinopati dapat mendahului penemuan klinis kelainan ginjal dan merupakan
gejala paling terpercaya dari hipertensi maligna.</span><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Otak mempunyai suatu mekanisme
otoregulasi terhadap kenaikan ataupun penurunan tekanan darah. Batas perubahan
pada orang normal adalah sekitar 60-160 mmHg. Apabila tekanan darah melampaui
tonus pembuluh darah sehingga tidak mampu lagi menahan kenaikan tekanan darah
maka akan terjadi udem otak. Tekanan diastolik yang sangat tinggi memungkinkan
pecahnya pembuluh darah otak yang dapat mengakibatkan kerusakan otak yang
irreversible.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pada jantung kenaikan tekanan darah
yang cepat dan tinggi akan menyebabkan kenaikan after load, sehingga terjadi
payah jantung. Sedangkan pada hipertensi kronis hal ini akan terjadi lebih
lambat karena ada mekanisme adaptasi. Penderita feokromositoma dengan krisis
hipertensi akan terjadi pengeluaran norefinefrin yang menetap atau berkala.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
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<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span lang="EN-MY" style="font-size: 12.0pt; line-height: 200%;">Gambar 1. Skema Patofisiologi Hipertensi Emergensi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Aliran darah ke otak pada penderita
hipertensi kronis tidak mengalami perubahan bila Mean Arterial Pressure ( MAP )
120 mmHg – 160 mmHg, sedangkan pada penderita hipertensi baru dengan MAP
diantara 60 – 120 mmHg. Pada keadaan hiper kapnia, autoregulasi menjadi lebih
sempit dengan batas tertinggi 125 mmHg, sehingga perubahan yang sedikit saja
dari TD menyebabkan asidosis otak akan mempercepat timbulnya oedema otak.</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">
Meningkatnya tekanan darah di dalam arteri bisa
terjadi melalui beberapa cara: <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-MY" style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Meningkatnya tekanan darah di dalam arteri bisa terjadi sehingga
mengalirkan lebih banyak cairan pada setiap detiknya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Arteri besar kehilangan kelenturannya dan menjadi kaku, sehingga mereka
tidak dapat mengembang pada saat jantung memompa darah melalui arteri tersebut.
Karena itu darah pada setiap denyut jantung dipaksa untuk melalui pembuluh yang
sempit daripada biasanya dan menyebabkan naiknya tekanan. Inilah yang terjadi
pada usia lanjut, dimana dinding arterinya telah menebal dan kaku karena
arteriosklerosis. Dengan cara yang sama, tekanan darah juga meningkat pada saat
terjadi vasokonstriksi, yaitu jika arteri kecil (arteriola) untuk sementara
waktu mengkerut karena perangsangan saraf atau hormon di dalam darah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: Wingdings; font-size: 12.0pt; line-height: 200%; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Bertambahnya cairan dalam sirkulasi bisa menyebabkan meningkatnya tekanan
darah. Hal ini terjadi jika terdapat kelainan fungsi ginjal sehingga tidak
mampu membuang sejumlah garam dan air dari dalam tubuh. Volume darah dalam tubuh
meningkat, sehingga tekanan darah juga meningkat. Sebaliknya, jika aktivitas
memompa jantung berkurang, arteri mengalami pelebaran, dan banyak cairan keluar
dari sirkulasi maka tekanan darah akan menurun. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.5. Manifestasi Klinis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">Gambaran klinis </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">krisis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> h</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">ipertensi
umumnya adalah gejala organ target yang terganggu, diantaranya nyeri dada dan
sesak nafas pada gangguan jantung dan diseksi aorta; mata kabur dan edema
papilla mata; sakit kepala hebat, gangguan kesadaran dan lateralisasi pada
gangguan otak; gagal ginjal akut pada gangguan ginjal; di samping sakit kepala
dan nyeri tengkuk pada kenaikan tekanan darah umumnya. Gambaran klinik
hipertensi darurat dapat dilihat pada table 2.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-bottom-alt: solid black 1.0pt; mso-border-top-alt: solid black 1.0pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 616px;">
<tbody>
<tr>
<td colspan="6" style="border-bottom: solid black 1.0pt; border-left: none; border-right: none; border-top: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 462.1pt;" valign="top" width="616"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Tabel 2.
Gambaran Klinik Hipertensi Darurat</span></b><b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;"> </span></b><b><sup><span style="font-family: 'Times New Roman', serif; line-height: 200%;">5</span></sup></b><b><span style="font-family: 'Times New Roman', serif; line-height: 200%;"><o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="background: silver; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.85pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Tekanan
darah<o:p></o:p></span></b></div>
</td>
<td style="background: silver; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 76.4pt;" valign="top" width="102"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Funduskopi<o:p></o:p></span></div>
</td>
<td style="background: silver; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.05pt;" valign="top" width="116"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Status
neurologi<o:p></o:p></span></div>
</td>
<td style="background: silver; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Jantung<o:p></o:p></span></div>
</td>
<td style="background: silver; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Ginjal<o:p></o:p></span></div>
</td>
<td style="background: silver; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.05pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Gastrointestinal<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid black 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 75.85pt;" valign="top" width="101"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">>
220/140 mmHg<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 76.4pt;" valign="top" width="102"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Perdarahan,
eksudat, edema papilla<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.05pt;" valign="top" width="116"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Sakit
kepala, kacau, gangguan kesadaran, kejang.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Denyut
jelas, membesar, dekompensasi, oliguria<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Uremia,
proteinuria<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.05pt;" valign="top" width="108"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; line-height: 200%;">Mual,
muntah<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"> <b>Table
3. Hipertensi Emergensi (darurat)</b></span><span lang="EN-US"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
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<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Tingginya TD yang dapat menyebabkan
kerusakan organ sasaran tidak hany dari tingkatan TD aktual, tapi juga dari
tingginya TD sebelumnya, cepatnya kenaikan TD, bangsa, seks dan usia penderita.
Penderita hipertensi kronis dapat mentolelir kenaikan TD yang lebih tinggi
dibanding dengan normotensi, sebagai contoh : pada penderita hipertensi kronis,
jarang terjadi hipertensi ensefalopati, gangguan ginjal dan kardiovaskular dan
kejadian ini dijumpai bila TD Diastolik > 140 mmHg. Sebaliknya pada
penderita normotensi ataupun pada penderita hipertensi baru dengan penghentian
obat yang tiba-tiba, dapat timbul hipertensi ensefalopati demikian juga pada
eklampsi, hipertensi ensefalopati dapat timbul walaupun TD 160/110 mmHg. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">2.6.
Diagnosis</span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Diagn</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">o</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">s</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">is</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"> hipertensi emergensi
harus ditegakkan sedini mungkin, karena hasil terapi tergantung kepada tindakan
yang cepat dan tepat. Tidak perlu menunggu hasil pemeriksaan yang menyeluruh
walaupun dengan data-data yang minimal kita sudah dapat mendiagnos</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">is</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"> suatu krisis hipertensi. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">2.6.1</span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Anamne</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">sis <sup>2</sup></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">Sewaktu penderita masuk, dilakukan anamnesa singkat. Hal yang penting
ditanyakan : </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Calibri;">Riwayat hipertensi, lama dan beratnya. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Calibri;">Obat anti hipertensi yang digunakan dan kepatuhannya. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Calibri;">Usia, sering pada usia 30 – 70 tahun. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Calibri;">Gejala sistem syaraf ( sakit kepala, pusing, perubahan mental,
ansietas ). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Calibri;">Gejala sistem ginjal ( gross hematuri, jumlah urine berkurang )<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Calibri;">Gejala sistem kardiovascular ( adanya payah jantung, kongestif dan
oedem paru, nyeri dada ). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Calibri;">Riwayat penyakit glomerulonefrosis, pyelonefritis. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Calibri;">Riwayat kehamilan, tanda- tanda
eklampsi. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">2.6.2</span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Pemeriksaan fisik</span></b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"> </span><b><sup><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">2,4</span></sup></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Pada pemeriksaan fisik
dilakukan pengukuran </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">tekanan darah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">dikedua lengan,</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"> mencari kerusakan organ sasaran (
retinopati, gangguan neurologi, payah jantung kongestif, diseksi</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">orta</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">
).</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Palpasi denyut
nadi di keempat ekstremitas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">
Auskultasi untuk mendengar ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> atau </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">tidak bruit pembuluh darah besar, bising jantung dan ronki</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">paru. </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Perlu dibedakan
komplikasi krisis hipertensi dengan kegawatan neurologi ataupun payah jantung,
kongestif dan oedema paru. Perlu dicari penyakit penyerta lain seperti penyakit
jantung koroner. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">2.6.3 Pemeriksaan
penunjang</span></b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"> </span><b><sup><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">2,4</span></sup></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo4; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Pemeriksaan
laboratorium awal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">u</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">rinalisis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Hb, Ht, ureum, kreatinin, gula darah dan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">elektrolit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo4; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Pemeriksaan
penunjang: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">elektrokardiografi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">, foto t</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">horak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo4; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">Pemeriksaan
penunjang lain bila memungkinkan:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">CT scan kepala, ekokardiogram, ultrasonogram.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></li>
</ul>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.7. Penatalaksanaan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 14.7pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Tujuan pengobatan pada keadaan darurat hipertensi
ialah menurunkan tekanan darah secepat dan seaman mungkin yang disesuaikan
dengan keadaan klinis penderita. Pengobatan biasanya diberikan secara
parenteral dan memerlukan pemantauan yang ketat terhadap penurunan tekanan darah
untuk menghindari keadaan yang merugikan atau munculnya masalah baru.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 14.7pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Obat yang ideal untuk keadaan ini adalah obat yang
mempunyai sifat bekerja cepat, mempunyai jangka waktu kerja yang pendek,
menurunkan tekanan darah dengan cara yang dapat diperhitungkan sebelumnya,
mempunyai efek yang tidak tergantung kepada sikap tubuh dan efek samping
minimal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Penurunan tekanan darah harus dilakukan dengan
segera namun tidak terburu-buru. Penurunan
tekanan darah yang terburu-buru dapat menyebabkan iskemik pada otak dan
ginjal. Tekanan darah harus dikurangi 25% dalam waktu 1 menit sampai 2 jam dan
diturunkan lagi ke 160/100 dalam 2 sampai 6 jam. Medikasi yang diberikan
sebaiknya per parenteral (Infus drip, BUKAN INJEKSI). Obat yang cukup sering
digunakan adalah Nitroprusid IV dengan dosis 0,25 ug/kg/menit. Bila tidak ada,
pengobatan oral dapat diberikan sambil merujuk penderita ke Rumah Sakit.
Pengobatan oral yang dapat diberikan meliputi Nifedipinde 5-10 mg, Captorpil
12,5-25 mg, Clonidin 75-100 ug, Propanolol 10-40 mg. Penderita harus dirawat
inap.<o:p></o:p></span></div>
<h6 style="margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-MY" style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt;">Tabel
4: Algoritma untuk Evaluasi </span><span style="font-size: 11.0pt; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt;">Krisis Hipertensi <sup>3,5</sup><o:p></o:p></span></h6>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 100%px;">
<tbody>
<tr style="height: 30.75pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="border: solid black 1.0pt; height: 30.75pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 17.14%;" valign="top" width="17%"><div class="MsoNormal" style="line-height: 16.8pt;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Parameter<o:p></o:p></span></b></div>
</td>
<td colspan="2" style="border-left: none; border: solid black 1.0pt; height: 30.75pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.12%;" valign="top" width="49%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Hipertensi
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Mendesak<o:p></o:p></span></b></div>
</td>
<td rowspan="2" style="border-left: none; border: solid black 1.0pt; height: 30.75pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.74%;" valign="top" width="33%"><div class="MsoNormal" style="line-height: 16.8pt;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Hipertensi Darurat<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 14.8pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 14.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.0%;" valign="top" width="23%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Biasa<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 14.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.12%;" valign="top" width="26%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Mendesak<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 45.0pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; height: 45.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 17.14%;" valign="top" width="17%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Tekanan
darah (mmHg)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 45.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.0%;" valign="top" width="23%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">>
180/110<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 45.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.12%;" valign="top" width="26%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">>
180/110<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 45.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.74%;" valign="top" width="33%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">>
220/140<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 45.7pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; height: 45.7pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 17.14%;" valign="top" width="17%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Gejala<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 45.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.0%;" valign="top" width="23%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Sakit
kepala, kecemasan; sering</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">kali tanpa gejala<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 45.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.12%;" valign="top" width="26%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Sakit
kepala </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">hebat</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">, sesak
napas<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 45.7pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.74%;" valign="top" width="33%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Sesak
napas, nyeri d</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">a</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">da,
nokturia, dysarthria, kelemahan, kesadaran menurun<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 60.45pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 17.14%;" valign="top" width="17%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pemeriksaan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.0%;" valign="top" width="23%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Tidak
ada kerusakan organ target, tidak ada penyakit kardiovaskular </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.12%;" valign="top" width="26%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kerusakan
organ target; </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">muncul</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> klinis penyakit kardiovaskuler, stabil<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.74%;" valign="top" width="33%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ensefalopati,
edema paru, insufisiensi ginjal,</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">iskemia jantung<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 75.25pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; height: 75.25pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 17.14%;" valign="top" width="17%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Terapi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 75.25pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.0%;" valign="top" width="23%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Awasi </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1-3 jam; memulai</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">/teruskan obat oral,
naikkan dosis<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 75.25pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.12%;" valign="top" width="26%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Awasi </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">3-6 jam; </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">obat oral berjangka kerja
pendek<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 75.25pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.74%;" valign="top" width="33%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pasang jalur IV, periksa laboratorium standar, terapi obat IV<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 63.15pt; mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 63.15pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 17.14%;" valign="top" width="17%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Rencana<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 63.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.0%;" valign="top" width="23%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Periksa ulang dalam 3 hari<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 63.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.12%;" valign="top" width="26%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Periksa ulang dalam 24 jam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 63.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.74%;" valign="top" width="33%"><div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Rawat ruangan/ICU<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">Adapun obat
hipertensi oral yang dapat dipakai untuk hipertensi mendesak (<i>urgency</i>) dapat dilihat pada tabel </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">5</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 6pt;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Tabel </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5</span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">: </span></b><b><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Obat hipertensi oral <sup>3,5</sup><o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 100%px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Obat<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Dosis</span></b><b><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"><o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Efek</span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> / </span></b><b><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Lama Kerja<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Perhatian khusus<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Captopril<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">12,5 - </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">25 mg PO; ulangi </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">per 30 min </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">; SL,
25 mg<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">15-30
min/6-8 jam</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> ; </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">SL
10-20 min/2-6 jam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Hipotensi,
gagal ginjal, stenosis arteri </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">renalis<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Clonidine<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">PO </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">75 - 150</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">u</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">g,
ulangi </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">per jam</span><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> <span lang="EN-MY"><o:p></o:p></span></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">30-60 </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">min/8-16 jam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Hipotensi,
mengantuk, mulut kering<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Propanolol<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">10 - 40</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> mg PO; ulangi setiap </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">30 min<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">15-30 min/3-6 jam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Bronkokonstriksi,
blok jantung, hipotensi ortostatik<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nifedipine<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5 - 10 </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> mg</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> PO; ulangi setiap 15 menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5 -15 min/4-6 jam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ta</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">kikardi</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">, hipotensi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">, gangguan koroner<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">Sedangkan untuk
hipertensi darurat (<i>emergency</i>) lebih
dianjurkan untuk pemakaian parenteral, daftar obat hipertensi parenteral yang
dapat dipakai dapat dilihat pada tabel </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">6</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 6pt;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Tabel </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">6</span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">: </span></b><b><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Obat hipertensi parenteral <sup>3,5</sup><o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 100%px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Obat<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Dosis<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Efek</span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> / </span></b><b><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Lama Kerja<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Perhatian
khusus<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Sodium nitroprusside<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">0,25-10 </span><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">m</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">g / kg / menit sebagai infus IV<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">langsung</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">/2-3 menit setelah infus<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Mual, muntah, penggunaan jangka
panjang dapat menyebabkan keracunan tiosianat, methemoglobinemia, asidosis,
keracunan sianida</span><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Selang infus lapis perak<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nitrogliserin<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">500-100 mg sebagai infus IV</span><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">2-5 min /5-10</span><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> min<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Sakit kepala, takikardia,
muntah, , methemoglobinemia; membutuhkan sistem pengiriman khusus karena obat
mengikat pipa PVC<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nicardipine<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5-15 mg / jam sebagai infus IV<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1-5 m</span><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">in/15-30 min</span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Takikardi, mual, muntah, sakit
kepala, peningkatan tekanan intrakranial; hipotensi <o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Klonidin<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">150 ug, 6 amp per 250 cc
Glukosa 5% mikrodrip<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">30-60 min/ 24 jam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ensepalopati dengan gangguan
koroner<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Diltiazem<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5-15 ug/kg/menit sebagi
infus IV<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1-5 min/ 15- 30 min<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Takikardi, mual, muntah, sakit
kepala, peningkatan tekanan intrakranial; hipotensi <o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">Pada hipertensi
darurat (<i>emergency</i>) dengan komplikasi
seperti hipertensi emergensi dengan penyakit payah jantung, maka memerlukan
pemilihan obat yang tepat sehingga tidak memperparah keadaannya. Pemilihan obat
untuk hipertensi dengan komplikasi dapat dilihat pada tabel </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;">7</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-size: 11.0pt;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 6pt;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Tabel </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">7</span></b><b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">: Obat yang dipilih untuk </span></b><b><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Hipertensi darurat dengan komplikasi <sup>2,5</sup><o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 100%px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Komplikasi<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Obat Pilihan<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Target Tekanan Darah<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Diseksi aorta<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nitroprusside + esmolol<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">SBP 110-120 sesegera mungkin<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">AMI, iskemia<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nitrogliserin, nitroprusside, nicardipine<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Sekunder untuk bantuan iskemia<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Edema paru<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nitroprusside, nitrogliserin, labetalol<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">10% -15% dalam 1-2 jam<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Gangguan </span><span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ginjal <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Fenoldopam, nitroprusside, labetalol<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">20% -25% dalam 2-3 jam<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kelebihan katekolamin<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Phentolamine, labetalol<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">10% -15% dalam 1-2 jam<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Hipertensi ensefalopati<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nitroprusside<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">20% -25% dalam 2-3 jam<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Subarachnoid hemorrhage<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nitroprusside, nimodipine, nicardipine<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">20% -25% dalam 2-3 jam<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Stroke Iskemik<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">nicardipine<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="top"><div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-MY" style="font-family: "Times New Roman","serif"; line-height: 200%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">0% -20% dalam 6-12 jam<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-outline-level: 1; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-outline-level: 1; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; mso-outline-level: 1; text-align: justify; text-autospace: none;">
<b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Pemakaian obat-obat
untuk krisis hipertensi </span></b><span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-MY" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Obat
anti hipertensi oral atau parenteral yang digunakan pada krisis hipertensi
tergantung dari apakah pasien dengan hipertensi emergensi atau urgensi. Jika
hipertensi emergensi dan disertai dengan kerusakan organ sasaran maka penderita
dirawat diruangan intensive care unit, ( ICU ) dan diberi salah satu dari obat
anti hipertensi intravena ( IV ).<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Sodium
Nitroprusside : merupakan vasodelator direkuat baik arterial maupun venous.
Secara i. V mempunyai onsep of action yang cepat yaitu : 1 – 2 dosis 1 – 6 ug /
kg / menit. Efek samping : mual, muntah, keringat, foto sensitif, hipotensi. <o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Nitroglycerini
: merupakan vasodilator vena pada dosis rendah tetapi bila dengan dosis tinggi
sebagai vasodilator arteri dan vena. Onset of action 2 – 5 menit, duration of
action 3 – 5 menit. Dosis : 5 – 100 ug /
menit, secara infus i. V. Efek samping :
sakit kepala, mual, muntah, hipotensi. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Diazolxide
: merupakan vasodilator arteri direk yang kuat diberikan secara i. V bolus.
Onset of action 1 – 2 menit, efek puncak pada 3 – 5 menit, duration of action 4
– 12 jam. Dosis permulaan : 50 mg bolus,
dapat diulang dengan 25 – 75 mg setiap 5 menit sampai TD yang diinginkan. Efek samping : hipotensi dan shock, mual,
muntah, distensi abdomen, hiperuricemia, aritmia, dll. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Hydralazine
: merupakan vasodilator direk arteri. Onset
of action : oral 0,5 – 1 jam, i.v : 10 – 20 menit duration of action : 6 – 12
jam. Dosis : 10 – 20 mg i.v bolus : 10 –
40 mg i.m Pemberiannya bersama dengan
alpha agonist central ataupun Beta Blocker untuk mengurangi refleks takhikardi
dan diuretik untuk mengurangi volume intravaskular. Efeksamping : refleks takhikardi, meningkatkan
stroke volume dan cardiac out put, eksaserbasi angina, MCI akut dll. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Enalapriat
: merupakan vasodelator golongan ACE inhibitor. Onsep on action 15 – 60 menit.
Dosis 0,625 – 1,25 mg tiap 6 jam i.v. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Phentolamine
( regitine ) : termasuk golongan alpha andrenergic blockers. Terutama untuk
mengatasi kelainan akibat kelebihan ketekholamin. Dosis 5 – 20 mg secar i.v bolus atau i.m. Onset of action 11 – 2 menit, duration of
action 3 – 10 menit. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Trimethaphan
camsylate : termasuk ganglion blocking agent dan menginhibisi sistem simpatis
dan parasimpatis. Dosis : 1 – 4 mg /
menit secara infus i.v. Onset of action
: 1 – 5 menit. Duration of action : 10
menit. Efek samping : opstipasi, ileus,
retensia urine, respiratori arrest, glaukoma, hipotensi, mulut kering. <o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Labetalol :
termasuk golongan beta dan alpha blocking agent. Dosis : 20 – 80 mg secara i.v. bolus setiap 10
menit ; 2 mg / menit secara infus i.v. Onset
of action 5 – 10 menit Efek samping :
hipotensi orthostatik, somnolen, hoyong, sakit kepala, bradikardi, dll. Juga tersedia dalam bentuk oral dengan onset
of action 2 jam, duration of action 10 jam dan efek samping hipotensi, respons
unpredictable dan komplikasi lebih sering dijumpai. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Methyldopa
: termasuk golongan alpha agonist sentral dan menekan sistem syaraf simpatis.
Dosis : 250 – 500 mg secara infus i.v / 6 jam. Onset of action : 30 – 60 menit, duration of
action kira-kira 12 jam. Efek samping :
Coombs test ( + ) demam, gangguan gastrointestino, with drawal sindrome dll.
Karena onset of actionnya bisa takterduga dan kasiatnya tidak konsisten, obat
ini kurang disukai untuk terapi awal. <o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 200%;">Clonidine : termasuk golongan alpha agonist sentral. Dosis : 0,15 mg i.v pelan-pelan dalam 10 cc
dekstrose 5% atau i.m.150 ug dalam 100 cc dekstrose dengan titrasi dosis. Onset of action 5 –10 menit dan mencapai
maksimal setelah 1 jam atau beberapa jam. Efek samping : rasa ngantuk, sedasi, hoyong,
mulut kering, rasa sakit pada parotis. Bila dihentikan secara tiba-tiba dapat
menimbulkan sindroma putus obat. <o:p></o:p></span></div>
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<b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pengobatan khusus krisis hipertensi</span></b><span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Ensefalopati
Hipertensi<o:p></o:p></span></b></div>
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<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pada Ensefalofati hipertensi biasanya ada keluhan
serebral. Bisa terjadi dari hipertensi esensial atau hipertensi maligna,
feokromositoma dan eklamsia. Biasanya tekanan darah naik dengan cepat, dengan keluhan
: nyeri kepala, mual-muntah, bingung dan gejala saraf fokal (nistagmus,
gangguan penglihatan, babinsky positif, reflek asimetris, dan parese terbatas)
melanjut menjadi stupor, koma, kejang-kejang dan akhirnya meninggal. Obat yang
dianjurkan : <b>Natrium Nitroprusid,
Diazoxide dan Trimetapan.<o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Gagal
Jantung Kiri Akut</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></b></div>
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<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Biasanya terjadi pada penderita hipertensi sedang
atau berat, sebagai akibat dari bertambahnya beban pada ventrikel kiri. Udem
paru akut akan membaik bila tensi telah terkontrol.<o:p></o:p></span></div>
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<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Obat pilihan : Trimetapan dan Natrium nitroprusid.
Pemberian Diuretik IV akan mempercepat perbaikan<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Feokromositoma<o:p></o:p></span></b></div>
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<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Katekolamin dalam jumlah berlebihan yang dikeluarkan
oleh tumor akan berakibat kenaikan tekanan darah. Gejala biasanya timbul
mendadak : nyeri kepala, palpitasi, keringat banyak dan tremor. Obat pilihan :
Pentolamin 5-10 mg IV.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Deseksi
Aorta Anerisma Akut<o:p></o:p></span></b></div>
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<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Awalnya terjadi robekan tunika intima, sehingga
timbul hematom yang meluas. Bila terjadi ruptur maka akan terjadi kematian.
Gejala yang timbul biasanya adalah nyeri dada tidaj khas yang menjalar ke
punggung perut dan anggota bawah. Auskultasi : didapatkan bising kelainan katup
aorta atau cabangnya dan perbedaan tekanan darah pada kedua lengan. Pengobatan
dengan pembedahan, dimana sebelumnya tekanan darah diturunkan terlebih dulu
dengan obat pilihan : Trimetapan atau Sodium Nitroprusid.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Toksemia
Gravidarum</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Gejala yang muncul
adalah kejang-kejang dan kebingungan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Obat
pilihan : Hidralazin kemudian dilanjutkan dengan klonidin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perdarahan
Intrakranial</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></b></div>
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<span lang="EN-MY" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pengobatan hipertensi pada kasus ini harus dilakukan
dengan hati-hati, karena penurunan tekanan yang cepat dapat menghilangkan
spasme pembuluh darah disekitar tempat perdarahan, yang justru akan menambah
perdarahan. Penurunan tekanan darah dilakukan sebanyak 10-15 % atau diastolik
dipertahankan sekitar 110-120 mmHg Obat pilihan : Trimetapan atau Hidralazin.<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-16067690895206381442013-10-12T09:02:00.000+07:002013-10-12T09:02:02.992+07:00KARYA TULIS ILMIAH BAB II DAN III "HUBUNGAN PENGETAHUAN REMAJA TENTANG INFEKSI MENULAR SEKSUAL ( IMS ) TERHADAP PERILAKU PENCEGAHAN IMS"<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt;">BAB II<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 115%;">TINJAUAN
TEORITIS<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.1
Pengetahuan<o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.1.1
Pengertian<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan
adalah hasil dari tahu yang terjadi setelah orang melakukan pengindraan
terhadap suatu objek tertentu. Pengindraan terjadi melalui panca indra manusia,
yakni : indra penglihatan, pendengaran, penciuman, rasa dan raba. Sebagian
pengetahuan manusia diperoleh melalui mata dan telinga. (Notoatmodjo, 2003).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan
atau kognitif merupakan domain yang sangat penting untuk terbentuknya tindakan
seseorang (overt behaviour) karena dari pengalaman dan penelitian ternyata
perilaku yang didasari pengetahuan akan lebih langgeng dari pada yang tidak
didasari pengetahuan. (Notoatmodjo, 2005).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.2 Tingkatan Pengetahuan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan
yang dicakup di dalam domain kognitif mempunyai 6 tingkatan, yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahu
(<i>Know</i>)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yaitu
mengingat suatu materi yang telah dipelajari sebelumnya, termasuk ke dalam
pengetahuan tingkat ini adalah mengingat kembali (<i>recall</i>) terhadap sesuatu yang spesifik dari seluruh badan yang
dipelajari/rangsangan yang telah diterimanya. Kata kerja untuk mengukur bahwa
orang tahu tentang apa yang dipelajari antara lain : menyebutkan, menguraikan,
mendefinisikan, menyatakan, dan sebagainya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Memahami
(<i>Comprehension</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yaitu suatu kemampuan
untuk menjelaskan secara benar tentang objek yang diketahui dan dapat
menginterprestasikan materi tersebut secara benar. Orang yang telah paham
terhadap objek atau materi harus dapat menjelaskan, menyebutkan, contoh :
menyimpulkan, meramalkan, dan sebagainya terhadap objek yang dipelajari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Aplikasi
(<i>Application</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diartikan sebagai
kemampuan untuk menggunakan materi yang telah dipelajari pada situasi atau
kondisi atau kondisi rill (sebenarnya). Aplikasi ini dapat diartikan sebagi
aplikasi atau penggunaaan hukum-hukum, rumus, metode, prinsip, dan sebagainya
dalam konteks atau situasi yang lain<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Analisis
(<i>Analysis</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yaitu suatu kemampuan
untuk menjabarkan materi/suatu objek ke dalam komponen-komponen tetapi masih di
dalam suatu struktur organisasi tersebut dan masih ada hubunga satu sama lain.
Kemampuan analisis ini dapat dilihat dari penggunaan kata-kata kerja : dapat
menggambarkan (membuat bagan), membedakan, memisahkan, mengelompokan, dan
sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sintesis
(<i>syntesis</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan kepada suatu kemampuan untuk
meletakkan/menghubungkan bagian-bagian di dalam suatu bentuk keseluruhan yang
baru atau suatu kemampuan untuk menyusun suaru formulasi baru dan
formulasi-formulasi yang ada. Misalnya dapat menyusun, dapat merencanakan,
dapat meringkas, dapat menyusuaikan dan sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Evaluasi
(<i>Evaluation</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berkaitan dengan kemampuan untuk melakukan
justifikasi atau penelitian terhadap suatu materi atau objek. Penilaian ini
berdasarkan suatu kinerja yang ditentukan sendiri atau menggunakan kriteria
yang telah ada.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengukuran pengetahuan dapat dilakukan dengan
wawancara atau angket yang menanyakan tentang isi materi yang diukur dari
subjek penelitian atau responden. (Notoatmodjo, 2003).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 12.0pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.3 Faktor-Faktor
Yang Mempengaruhi Pengetahuan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pendidikan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan adalah suatu usaha untuk
mengembangkan kepribadian dan kemampuan di dalam dan di luar sekolah dan
berlangsung seumur hidup. Pendidikan mempengaruhi proses belajar, makin tinggi
pendidikan seseorang makin mudah orang tersebut untuk menerima informasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan pendidikan tinggi maka
seseorang akan cenderung mendapatkan informasi, baik dari orang lain maupun
dari media massa. Semakin banyak informasi yang masuk semakin banyak pula
pengetahuan yang didapat tentang kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan sangat erat kaitannya
dengan pendidikan dimana diharapkan seseorang dengan pendidikan tinggi, maka
orang tersebut akan semakin luas pula pengetahuannya. Namun perlu ditekankan
bahwa seseorang yang berpendidikan rendah tidak berarti mutlak berpengetahuan
rendah pula.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkatan pengetahuan tidak
mutlak di peroleh di pendidikan formal, akan tetapi juga dapat di peroleh pada
pendidikan non formal. Pengetahuan seseorang tentang suatu objek juga
mengandung dua aspek yaitu aspek positif dan negatif. Kedua aspek inilah yang
akhirnya akan menentukan sikap seseorang terhadap obyek tertentu. Semakin
banyak aspek positif dari objek yang diketahui, akan menumbuhkan sikap makin
positif terhadap obyek tersebut. (Cholil, 2010)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mass
media / informasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Informasi yang di peroleh baik dari
pendidikan formal maupun non formal dapat memberikan pengaruh jangka pendek (<i>immediate impact</i>) sehingga menghasilkan
perubahan atau peningkatan pengetahuan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Majunya teknologi akan tersedia
bermacam-macam media massa yang dapat mempengaruhi pengetahuan masyarakat
tentang inovasi baru. Sebagai sarana komunikasi, berbagai bentuk media massa
seperti televisi, radio, surat kabar, majalah, dan lain-lain mempunyai pengaruh
besar terhadap pembentukan opini dan kepercayaan orang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam penyampaian informasi sebagai
tugas pokoknya, media massa membawa pula pesan-pesan yang berisi sugesti yang
dapat mengarahkan opini seseorang. Adanya informasi baru mengenai sesuatu hal
memberikan landasan kognitif baru bagi terbentuknya pengetahuan terhadap hal
tersebut. (Cholil, 2010).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pengalaman<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengalaman sebagai sumber
pengetahuan adalah suatu cara untuk memperoleh kebenaran pengetahuan dengan
cara mengulang kembali pengetahuan yang diperoleh dalam memecahkan masalah yang
dihadapi masa lalu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengalaman belajar dalam bekerja
yang dikembangkan memberikan pengetahuan dan keterampilan profesional serta
pengalaman belajar selama bekerja akan dapat mengembangkan kemampuan mengambil
keputusan yang merupakan manifestasi dari keterpaduan menalar secara ilmiah dan
etik yang bertolak dari masalah nyata dalam bidang kerjanya. (Cholil, 2010).’<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"> Usia<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia mempengaruhi terhadap daya
tangkap dan pola pikir seseorang. Semakin bertambah usia akan semakin
berkembang pula daya tangkap dan pola pikirnya, sehingga pengetahuan yang
diperolehnya semakin membaik.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada usia madya, individu akan
lebih berperan aktif dalam masyarakat dan kehidupan sosial serta lebih banyak
melakukan persiapan demi suksesnya upaya menyesuaikan diri menuju usia tua,
selain itu orang usia madya akan lebih banyak menggunakan banyak waktu untuk
membaca.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemampuan intelektual, pemecahan
masalah, dan kemampuan verbal dilaporkan hampir tidak ada penurunan pada usia
ini. Dua sikap tradisional mengenai jalannya perkembangan selama hidup :
semakin tua semakin bijaksana, semakin banyak informasi yang dijumpai dan
semakin banyak hal yang di kerjakan sehingga banyak hal yang di kerjakan
sehingga menambah pengetahuannya. (Cholil, 2010)<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pekerjaan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seseorang yang bekerja
pengetahuannya akan lebih luas dari pada seseorang yang tidak bekerja, karena
dengan bekerja akan mempunyai banyak informasi dan pengalaman. (Notoatmodjo,
2005)<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.1.4
Cara memperoleh Pengetahuan<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
Tradisional <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
Coba-Salah (Trial and Error)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara coba-coba ini dilakukan dengan menggunakan
kemungkinan dalam menyelesaikan masalah, dan apabila kemungkinan tersebut tidak
berhasil, dicoba kemungkinan yang lain.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
Kekuasaan atau Otoritas<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan tersebut di peroleh berdasarkan pada
otoritas atau kekuasan, baik tradisi, otoritas pemerintah, otoritas pemimpin
agama, maupun ahli ilmu pengetahuan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan
Pengalaman Pribadi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 42.55pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengalaman pribadi dapat digunakan sebagai upaya
memperoleh pengetahuan. Hal ini dilakukan dengan cara mengulang kembali
pengalaman yang diperoleh dalam memecahkan permasalahan yang dihadapi pada masa
yang lalu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melalui
Jalan Pikiran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 42.55pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam memperoleh kebenaran pengetahuan manusia telah
menggunakan jalan pikirannya, baik induksi maupun deduksi. Induksi adalah
proses penarikan kesimpulan yang dimulai dari pernyataan-pernyataan khusus
kepernyataan yang bersifat umum. Deduksi adalah pembuatan kesimpulan dari
pernyataan-pernyataan umum ke khusus. (Notoatmodjo, 2005).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
Modern<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara memperoleh pengetahuan ini lebih sistematis,
logis dan ilmiah. Cara ini disebut juga ‘metode penelitian ilmiah’.
(Notoatmodjo, 2005).<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.2 Perilaku<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.2.1 Pengertian<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian adalah tindakan atau
aktivitas dari manusia itu sendiri yang mempunyai bentangan yang sangat luas antara lain :
berjalan, berbicara, menangis, tertawa, bekerja, kuliah, menulis, membaca, dan
sebagainya. Dari uraian ini dapat disimpulkan bahwa yang dimaksud perilaku
manusia adalah semua kegiatan atau aktivitas manusia, baik yang diamati
langsung, maupun yang tidak diamati oleh pihak luar.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 12.0pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut Skinner, seperti yang dikutip
oleh Notoatmodjo (2003), Merumuskan bahwa perilaku merupakan respon atau reaksi
seseorang terhadap stimulus atau rangsangan dari luar. Oleh karena perilaku ini
terjadi melalui proses adanya stimulus terhadap organisme, dan kemudian
organisme tersebut merespons, maka teori Skinner ini disebut teori <i>“S-O-R” atau Stimulus – Organisme – Respon</i>.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 12.0pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dilihat dari bentuk respons terhadap
stimulus ini, maka perilaku dapat dibedakan menjadi dua (Notoatmodjo, 2003) :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l14 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perilaku
tertutup (convert behaviour)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perilaku tertutup adalah respon
seseorang terhadap stimulus dalam bentuk terselubung atau tertutup (convert).
Respon atau reaksi terhadap stimulus ini masih terbatas pada perhatian,
persepsi, pengetahuan, kesadaran, dan sikap yang terjadi pada orang yang
menerima stimulus tersebut, dan belum dapat diamati secara jelas oleh orang
lain.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Perilaku
terbuka (overt behaviour)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Respon seseorang terhadap stimulus
dalam bentuk tindakan nyata atau terbuka. Respon terhadap stimulus tersebut
sudah jelas dalam bentuk tindakan atau praktek, yang dengan mudah dapat diamati
atau dilihat oleh orang lain.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.2.2
Klasifikasi Perilaku Kesehatan<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perilaku kesehatan menurut
Notoatmodjo (2003) adalah suatu respon seseorang (organisme) terhadap stimulus
atau objek yang berkaitan dengan sakit atau penyakit, sistem pelayanan
kesehatan, makanan, dan minuman, serta lingkungan. Dari batasan ini, perilaku
kesehatan dapat diklasifikasikan menjadi 3 kelompok : <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perilaku
pemeliharaan kesehatan (health maintanace).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adalah perilaku atau usaha-usaha seseorang untuk
memelihara atau menjaga kesehatan agar tidak sakit dan usaha untuk penyembuhan
bilamana sakit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perilaku
pencarian atau penggunaaan sistem atau fasilitas kesehatan, atau sering disebut
perilaku pengobatan (health seeking behaviour).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perilaku ini adalah menyangkut upaya atau tindakan
seseorang pada saat menderita penyakit dan atau kecelakaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l11 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perilaku
kesehatan lingkungan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adalah apabila seseorang merespon lingkungan, baik
lingkungan fisik maupun sosial budaya, dan sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2.2.3
Domain perilaku<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meskipun perilaku adalah bentuk
respons atau reaksi terhadap stimulus ata rangsangan dariluar organisme (orang)
namun dalam memberikan respons sangat tergantung pada karakteristik atau
faktor-faktor lain dari orang yang bersangkutan. Hal ini berarti bahwa meskipun
stimulusnya saat bagi beberapa orang, namun respons tiap-tiap orang berbeda
disebut determinan perilau. Determinan perilaku dapat dibedakan menjadi dua,
yakni :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 12pt 0cm 10pt; text-align: justify; text-indent: 1cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l13 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Determinan
atau faktor internal, yakni karakteristik orang yang bersangkutan, yang
bersifat <i>given </i>atau bawaan, misalnya
: tingkat kecerdasan, tingkat emosional jenis kelamin, dan sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l13 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Determinan atau faktor eksternal, yakni lingkungan, baik
lingkungan fisik, sosial, budaya, ekonomi, politik dan sebagainya. Faktor
lingkungan ini semua merupakan faktor yang dominan yang mewarnai perilaku
seseorang.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut Bloom, seperti dikutip
Notoatmodjo (2003), membagi perilaku itu didalam 3 domain (ranah/kawasan),
meskipun kawasan-kawasan tersebut tidak mempunyai batasan yang jelas dan tegas.
Pembagian kawasan ini dilakukan untuk kepentingan tujuan pendidikan, yaitu
mengembangkan atau meningkatkan ketiga
domain perilaku tersebut, yang terdiri dari ranah kognitif (<i>kognitif domain</i>), ranah affektif (<i>affective domain</i>), dan ranah psikomotor
(<i>psikomotor domain</i>).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut Notoatmodjo (2003) bahwa dalam
perkembangan selanjutnya oleh para ahli pendidikan dan untuk kepentingan
pengukuran hasil, ketiga domain itu diukur dari :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 12pt 0cm 10pt; text-align: justify; text-indent: 1cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Pengetahuan
(<i>knowledge</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan adalah hasil dari tahu,
dan ini terjadi setelah seseorang melakukan penginderaan terhadap suatu objek
tertentu. Tanpa pengetahuan seseorang tidak mempunyai dasar untuk mengambil
keputusan dan menentukan tindakan terhadap masalah yang dihadapi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor-faktor yang mempengaruhi
pengetahuan seseorang :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor Internal : faktor dari dalam diri
sendiri, misalnya intelegensia, minat, kondisi fisik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor Eksternal : faktor dari luar
diri, misalnya keluarga, masyarakat, sarana.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor pendekatan belajar : faktor upaya
belajar, misalnya strategi dan metode dalam pembelajaran.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Sikap
(attitude)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sikap merupakan reaksi atau respon
yang masih tertutup dari seseorang terhadap suatu stimulus atau objek. Allport
(1954) menjelaskan bahwa sikap mempunyai tiga komponen pokok :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepercayaan
(keyakinan), ide, konsep terhadap suatu objek<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehidupan
emosional atau evaluasi terhadap suatu objek<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kecenderungan
untuk bertindak (<i>tend to behave)</i><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Praktik
atau tindakan (practice)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suatu sikap belum otomatis terwujud
dalam suatu tindakan. Untuk mewujudkkan sikap menjadi suatu perbuatan yang
nyata diperlukan faktor pendukung atau suatu kondisi yang memungkinkan, antara
lain adalah fasilitas dan faktor dukungan (<i>support</i>)
praktik ini mempunyai beberapa tindakan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l17 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persepsi
(<i>perception</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengenal dan memilih berbagai objek sehubungan
dengan tindakan yang akan diambil adalah merupakan praktik tingkat pertama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l17 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Respon
terpimpin (guide response)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat melakukan sesuatu sesuai dengan urutan yang
benar dan sesuai dengan contoh adalah merupakan indikator praktek tingkat
kedua.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l17 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme
(<i>mecanism</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apabila seseorang telah dapat melakukan sesuatu
dengan benar secara otomatis, atau sesuatu itu sudah merupakan kebiasaan, maka
ia sudah mencapai praktik tingkat tiga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l17 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adopsi
(<i>adoption</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adaptasi adalah suatu praktik atau tindakan yang
sudah berkembang dengan baik. Artinya tindakan itu sudah dimodifikasi tanpa
mengurangi kebenaran tindakan tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 14.2pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam hal ini perilaku dapat dikur
dengan dengan menggunakan skala likert. Menurut Hidayat (2007), bahwa skala ini
digunakan untuk mengukur sikap, pendapat, persepsi seseorang tentang gejala
atau masalah yang ada di masyarakat dan dialaminya. Beberapa bentuk pertanyaan
atau pernyataan yang masuk dalam kategori skala likert adalah sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sangat Setuju/Selalu/Sangat positif diberi skor 5<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setuju/Sering/Positif diberi skor 4<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ragu-ragu/Kadang-kadang/Netral diberi skor 3<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak setuju/Hampir tidak
pernah/Negatif diberi skor 2<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sangat tidak setuju/Tidak
pernah/Sangat negatif diberi skor 1<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Skala likert dapat dibuat / disusun
dalam bentuk check-list dan pilihan berganda.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut penelitian Rogers (1974)
seperti dikutip Notoatmodjo (2003), mengungkapkan bahwa sebelum orang
mengadopsi perilaku baru didalam diri orang tersebut terjadi proses berurutan
yakni :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesadaran (<i>awareness</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dimana orang tersebut menyadari dalam arti
mengetahui terlebih dahulu terhadap stimulus (objek)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l16 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tertarik
(<i>interest</i>)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dimana orang mulai tertarik pada stimulus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Evaluasi
(<i>evaluation</i>) <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menimbang-nimbang terhadap baik dan tidaknya
stimulus tersebut bagi dirinya. Hal ini berarti sikap responden sudah lebih
baik lagi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencoba
(<i>trial</i>)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dimana orang telah
mulai mencoba perilaku baru<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menerima
(<i>Adoption</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dimana subjek telah
berperilaku baru sesuai dengan pengetahuan, kesadaran dan sikapnya terhadap
stimulus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3
Remaja<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3.1
Pengertian<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Remaja adalah
masa peralihan dari masa kanak-kanak yang tergantung menuju masa dewasa. Pada
masa remaja individu remaja menjadi mandiri serta terjadi perubahan fisik,
mental, emosi dan sosial. (Tukiran dkk, 2010)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada tahun 1974,
<i>World Health Organization </i>(WHO)
memberikan definisi tentang remaja lebih konseptual. Dalam definisi tersebut
dikemukakan 3 ktriteria yaitu biologis, psikologis, dan sosial ekonomi. Remaja
adalah suatu masa dimana:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Individu
berkembang dari saat pertama kaliia menunjukkan tanda-tanda seksual sekundernya
sampai ia mencapai kematangan seksual.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Individu
mengalami perkembangan psikologis dan pola indentifikasi dari kanak-kanak
menjadi dewasa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
peralihan ketergantungan sosial-ekonomi yang penuh kepada yang relatif mandiri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ditinjau
dari kesehatan WHO menetapkan batas usia 10-20 tahun sebagai batasan usia
remaja. Selanjutnya WHO menyatakan walaupun definisi di atas di dasarkan pada
usia kesuburan wanita, batasan tersebut berlaku juga untuk remaja pria dan WHO
membagi kurun usia tersebut dalam 2 bagian yaitu remaja awal 10-14 tahun dan
remaja akhir 15-20 tahun. (Sarwono, 2006).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Carbello 1978 dalam Sarwono (2006) ada enam penyesuaian diri yang harus
dilakukan remaja yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menerima
dan mengintegrasikan pertumbuhan badannya dalam kepribadiannya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menentukan
peran dan fungsi seksualnya yang adekuat dalam kebudayaan tempatnya berada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencapai
kedewasaan dengan kemandirian, kepercayaan diri, dan kemampuan untuk menghadapi
kehidupan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencapai
posisi yang diterima oleh masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengembangkan
hati nurani, tanggung jawab, moralitas, dan nilai-nilai yang sesuai dengan
lingkungan dan kebudayaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l9 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memecahkan
problem-problem nyata dalam pengalaman sendiri dalam kaitannya dengan
lingkungan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3.2
Tahap Perkembangan Remaja<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut Blos
1963 dalam Sarwono (2006) bahwa perkembangan pada hakikatnya adalah usaha
penyesuaian diri ( <i>coping</i> ) yaitu
untuk secara aktif mengatasi stress dan mencari jalan keluar baru dari berbagai
masalah. Dalam penyesuaian diri menuju kedewasaan ada tiga tahap perkembangan
remaja :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Remaja
Awal ( <i>Early Adolescence</i> )<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
tahap ini remaja mengembangkan pikiran-pikiran baru, cepat tertaik pada lawan
jenis, dan mudah terangsang secara erotis. Dengan dipegang bahunya saja oleh
lawan jenis, ia sudah berfantasi erotik. Kepekaan yang berlebih-lebihan ini
ditambah dengan berkurangnya kendali terhadap “ego”. Hal ini menyebabkan para
remaja awal sulit mengerti dan dimengerti oleh orang dewasa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Remaja
Madya (<i>Middle Adolescence</i>)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
tahap ini remaja membutuhkan kawan. Ada kecenderungan <i>“narcistis”</i> yaitu mencintai diri sendiri, dengan menyukai teman-teman
yang mempunyai sifat-sifat yang sama dengan dirinya. Selain itu pada tahap ini
remaja berada dalam kondisi kebingungan karena tidak tahu dalam menetapkan
pilihan. Pada remaja pria harus membebaskan diri dari <i>Oedipus Complex</i> (perasaan cinta terhadap ibu sendiri pada masa
kanak-kanak) dengan mempererat hubungan dengan kawan-kawan dari lawan jenis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Remaja
Akhir ( <i>Late Adolescence</i> )<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahap
ini adalah masa konsolidasi menuju periode dewasa dan ditandai dengan
pencapaian lima hal dibawah ini :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minat
yang makin mantap terhadap fungsi-fungsi intelek.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Egonya
mencari kesempatan untuk bersatu dengan orang lain dan dalam
pengalaman-pengalaman baru<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terbentuk
identitas seksual yang tidak akan berubah lagi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Egosentrisme</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
( terlalu memusatkan perhatian pada diri sendiri ) diganti dengan keseimbangan
antara kepentingan diri sendiri dengan orang lain.<i><o:p></o:p></i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tumbuh “dinding” yang memisahkan
diri pribadinya (<i>private self</i>) dan
masyarakat umum ( <i>the public) <o:p></o:p></i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4
Infeksi Menular Seksual<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.1
Pengertian<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi
menular seksual (IMS) adalah infeksi yang disebabkan oleh bakteri, virus,
parasit, atau jamur yang penularannya terutama melalui hubungan seksual dari
seseorang yang terinfeksi kepada mitra seksualnya. (Prawirihardjo, 2008).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.2
Jenis-jenis Infeksi Menular Seksual<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gonore<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gonorae
adalah penyakit yang disebabkan infeksi bakteri Neisseria gonorrhea. Lesi
primer pada laki-laki berupa uretritis gonore dan pada perempuan adalah
servistis gonore. Cara penularannya melalui hubungan seks vaginal, anal dan
oral. Walaupun beberapa kasus tidak menunjukkan gejala, jika gejala muncul,
sering hanya ringan dan muncul dalam 2-10 hari setelah terpapar. Gejala-gejala
meliputi discharge dari penis, vagina, atau rektum dan rasa panas atau gatal
saat buang air kecil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sifilis
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sifilis
adalah infeksi menular seksual yang disebabkan oleh bakteri <i>Treponema pallidum</i> sangat kronis dan
sejak awal bersifat sistemik dan dapat menyerang hampir semua organ tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
fase awal, penyakit ini menimbulkan luka yang tidak terasa sakit atau
“chancres” yang biasanya munvul di daerah kelamin tetapi dapat juga muncul di
bagian tubuh yang lain, jika tidak diobati penyakit akan berkembang ke fase
berikutnya yang dapat meliputi adanya gejala ruam kulit, demam, luka pada
tenggorokan, rambut rontok dan pembengkakan kelenjar di seluruh tubuh.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trikomonas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trikomonas
adalah infeksi saluran urogenital yang disebabkan oleh protozoa <i>Trichomonas Vaginalis</i>, dapat bersifat
akut maupun kronis. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diperkirakan,
5 juta kasus baru terjadi pada perempuan dan laki-laki. Trikomoniasis menular
melalui kontak seksual. <i>Trichomonas
vaginalis </i>dapat bertahan hidup pada benda-benda seperti baju-baju yang
dicuci, dan dapat menular dengan pinjam meminjam pakaian tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HIV/AIDS
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 7.1pt; mso-add-space: auto; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Acquired
Immunodeficiency Syndrome (AIDS) adalah sindrom dengan gejala penyakit infeksi
oportunistic atau kanker tertentu akibat menurunnya sistem kekebalan tubuh oleh
infeksi <i>Human Immunodeficiency Virus</i>
(HIV). Cara penularannya melalui hubungan seks vaginal, oral dan khususnya
anal; darah atau produk darah yang terinfeksi; memakai jarum suntik bergantian
pada pengguna narkoba; dan dari ibu yang terinfeksi kepada janin dalam
kandungannya, saat persalinan, atau saat menyusui.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5
Faktor-Faktor yang Mempengaruhi Resiko Penularan IMS pada Remaja<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5.1
Faktor Biologi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertumbuhan dari
anak-anak menjadi remaja dan dewasa, membawa perubahan yang sangat dramatis
terhadap histologis serviks dan vagina. Pada masa remaja oleh pengaruh hormon
estrogen, lapisan epitel vagina menjadi berlapis tipis. Perubahan epitel
seperti ini penting artinya bagi serviks, karena epitel berlapis silinder
sangat rentan terhadap IMS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5.2
Faktor Psikologis<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbagai
perkembangan terjadi dari waktu meningkat remaja (11-15 tahun) sampai remaja
mendekati dewasa, termasuk perkembangan psikologi dan kognitif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5.3
Perilaku Seksual<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam perilaku
seksual, terutama pada remaja perubahan-perubahan ini jelas terlihat. Pengaruh
sosio-budaya yang disebutkan di atas bersama0sama dengan perubahan
psiko-biologis menyebabkan para remaja lebih beresiko terkena IMS<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6
Pencegahan IMS pada Remaja<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6.1
Program Sekolah<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
memberikan pendidikan kesehatan, khususnya kesehatan reproduksi remaja.
Termasuk didalam materi pelajaran misalnya tentang IMS secara garis besar,
pergaulan antar remaja dan perilaku seksual yang sehat, umur yang dianggap
cukup untuk hubungan seks, kehamilan yang tidak dikehendaki, bahaya-bahaya
pengguguran kandungan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6.2
Luar Sekolah<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lembaga
Swadaya Masyarakat (LSM) : melalui LSM ini program pencegahan IMS pada remaja sangat mungkin dapat dilaksanakan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluarga
: Merupakan unit terkecil dari masyarakat tetapi paling penting perannya dalam
menumbuhkan anak menjadi remaja yang sehat secara biologis, psikologi dan
sosial termasuk seksualitas yang sehat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Organisasi
pramuka : merupakan arena juga untuk menitipkan pesan-pesan mengenai kesehatan
reproduksi dan seksualitas yang sehat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6.3 Media Massa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Media massa
sangat efektif untuk menyampaikan informasi, terutama juga untuk mempromosikan
hal-hal yang bersifat spesifik seperti manfaat pemakaian kondom, bagaimana
mestinya para remaja berperilaku seksual yang sehat, usia menikah yang duanggap
cukup dan sebagainya. (Romauli dkk, 2009).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center; text-indent: 1.0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center; text-indent: 1.0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">KERANGKA KONSEP DAN DEFINISI
OPERASIONAL<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1
Kerangka Konsep Penelitian<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Notoatmodjo (2005), Konsep merupakan abstraksi yang terbentuk oleh generalisasi
suatu penelitian, sedangkan kerangka konsep penelitian adalah suatu hubungan
atau kaitan antara konsep satu dengan konsep yang lainnya dari masalah yang
ingin diamati atau diukur melalui penelitian-penelitian yang akan dilakukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Variabel. Merupakan gejala yang
menjadi fokus dalam penelitia. Berdasarkan hubungannya variabel dibedakan
menjadi dua, yaitu variabel bebas(<i>independent
variabel</i>) dan variabel terikat (<i>dependent
variabel</i>). Variabel bebas atau variabel independent merupakan variabel yang
menjadi sebab timbulnya atau berubahnya variabel dependent (terikat). Sedangkan
variabel dependen atau terikat merupakan variabel yang dipengaruhi atau yang
menjadi akibat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan uraian di atas maka
kerangka konsep dalam pemelitian ini adalah :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Variabel
Independent Variabel Dependen<o:p></o:p></span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
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<td height="10" width="9"></td>
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<td></td>
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</tr>
</tbody></table>
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<span
style='font-family:"Times New Roman","serif"'>Pengetahuan Remaja tentang
IMS<o:p></o:p></span></p>
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<span
style='font-family:"Times New Roman","serif"'>Perilaku pencegahan IMS<o:p></o:p></span></p>
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<!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">
Gambar 3.1<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">
Kerangka Konsep<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> <o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
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<div class="MsoNormal" style="text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">3.2 Definisi Operasional<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Definisi
operasional variabel adalah rumusan pengertian variabel yang diamati, diteliti
dan diber batasan (Notoatmodjo, 2005).<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Tabel 3.1<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Definisi
Operasional<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center; text-indent: 21.3pt;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 574px;">
<tbody>
<tr style="height: 24.8pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 24.8pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.05pt;" valign="top" width="31">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">No<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Jenis
Variabel<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 62.9pt;" valign="top" width="84">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Variabel
Penelitian<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.45pt;" valign="top" width="85">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Definisi
Operasional<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.2pt;" valign="top" width="68">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Alat
Ukur<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="74">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Cara
Ukur<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.15pt;" valign="top" width="91">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Hasil
Ukur<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.8pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.8pt;" valign="top" width="61">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Skala
Ukur<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 60.45pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.05pt;" valign="top" width="31">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Dependent<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 62.9pt;" valign="top" width="84">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Perilaku
Pencegahan IMS<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.45pt;" valign="top" width="85">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Tindakan
atau aktivitas remaja dalam pencegahan penularan IMS<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.2pt;" valign="top" width="68">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Angket<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="74">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Responden
menjawab sendiri angket yang diberikan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.15pt;" valign="top" width="91">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">1.
Perilaku positif : jika hasilnya > mean (>29,3)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">2.
Perilaku negatif : jika hasilnya( ≤ 29,3)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 60.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.8pt;" valign="top" width="61">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Nominal<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 124.7pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 124.7pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 23.05pt;" valign="top" width="31">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">2.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 124.7pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.85pt;" valign="top" width="81">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Independen
<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 124.7pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 62.9pt;" valign="top" width="84">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Pengetahuan
remaja tentang IMS<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 124.7pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.45pt;" valign="top" width="85">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Segala
sesuatu yang diketahui remaja tentang IMS<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 124.7pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.2pt;" valign="top" width="68">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Angket<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 124.7pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.25pt;" valign="top" width="74">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Responden
menjawab sendiri angket yag diberikan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 124.7pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.15pt;" valign="top" width="91">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">1.
Baik : bila hasil benar 76 %-100%<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">2.
Cukup : Bila hasil benar 56%-75%<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">3.
Kurang : Bila hasil benar <56%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 124.7pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.8pt;" valign="top" width="61">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Ordinal<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 21.3pt;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center; text-indent: 21.3pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">3.3
Hipotesis <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ha :
Ada hubungan antara pengetahuan remaja tentang IMS terhadap perilaku pencegahan IMS<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ho :
Tidak ada hubungan antara pengetahuan remaja tentang IMS terhadap
perilaku pencegahan IMS<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-63420070818221182062013-07-10T11:26:00.001+07:002013-09-16T11:51:31.313+07:00ASKEP DEFISIT PERAWATAN DIRI<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
I<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang<o:p></o:p></span></div>
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<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawatan diri adalah salah satu kemampuan dasar manusia
dalam memenuhi kebutuhan hidupnya, kesehatan dan kesejahteraan sesuai dengan
kondisi kesehatannya.<o:p></o:p></span></div>
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<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defisit perawatan diri merupakan suatu kondisi pada seseorang
yang mengalami kelemahan kemampuan dalam melakukan/melewati aktivitas perawatan
diri secara mandiri.<o:p></o:p></span></div>
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<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.2 Tujuan Penulisan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk membahas tentang Defisit Perawatan Diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo51; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk Pengetahuan Dasar Praktek Lapangan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo51; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk membahas Asuhan Keperawatan Jiwa dengan Defisit
Perawatan Diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.3 Metode Penulisan<o:p></o:p></span></div>
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<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam penulisan makalah ini menggunakan penulisan metode
studi pustaka, diskusi kelompok dan browsing internet.</span></div>
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<a href="http://swietdolpin.blogspot.com/2011/04/askep-defisit-perawatan-diri-dan-kasus.html#main"><b><span style="color: blue; display: none; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hide: all; text-decoration: none; text-underline: none;">skip to main </span></b></a><b><span style="display: none; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hide: all;">| </span></b><a href="http://swietdolpin.blogspot.com/2011/04/askep-defisit-perawatan-diri-dan-kasus.html#sidebar"><b><span style="color: blue; display: none; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hide: all; text-decoration: none; text-underline: none;">skip to sidebar</span></b></a><b><span style="display: none; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hide: all;"> </span></b><a href="https://www.blogger.com/blogger.g?blogID=1788393968502795316" name="2425092292938139790"></a><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB II<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PEMBAHASAN<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. 1 Masalah
Utama<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri<o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2 Proses
Terjadinya Masalah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.1 Pengertian<o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawatan diri adalah salah satu kemampuan dasar manusia dalam memenuhi kebutuhannya guna
memepertahankan kehidupannya, kesehatan
dan kesejahteraan sesuai </span><a href="http://blog.ilmukeperawatan.com/tag/dengan" title="dengan"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">dengan</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> kondisi kesehatannya, klien dinyatakan terganggu </span><a href="http://blog.ilmukeperawatan.com/tag/keperawatan" title="keperawatan"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">keperawatan</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dirinya jika tidak </span><a href="http://blog.ilmukeperawatan.com/tag/dapat" title="dapat"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">dapat</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> melakukan perawatan diri (Depkes 2000). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri adalah gangguan kemampuan untuk melakukan aktifitas perawatan diri (mandi,
berhias, makan, toileting) (Nurjannah, 2004).<o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Poter. Perry (2005), Personal hygiene adalah suatu tindakan untuk
memelihara kebersihan dan kesehatan seseorang untuk kesejahteraan fisik dan
psikis, kurang perawatan diri adalah kondisi dimana seseorang tidak mampu
melakukan perawatan kebersihan untuk dirinya (Tarwoto dan Wartonah 2000).<o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.2 Jenis–Jenis Perawatan Diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang perawatan diri : Mandi /
kebersihan<o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang perawatan diri (mandi) adalah gangguan kemampuan untuk melakukan aktivitas
mandi/kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang perawatan diri : Mengenakan
pakaian / berhias</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
<span style="color: #262626;">Kurang perawatan diri (mengenakan pakaian) adalah
gangguan kemampuan memakai pakaian dan aktivitas berdandan sendiri.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang perawatan diri : Makan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
<span style="color: #262626;">Kurang perawatan diri (makan) adalah gangguan kemampuan untuk menunjukkan aktivitas
makan.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang perawatan diri : Toileting</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
<span style="color: #262626;">Kurang perawatan diri (toileting) adalah gangguan
kemampuan untuk melakukan atau menyelesaikan aktivitas toileting sendiri
(Nurjannah : 2004, 79).<o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -36.55pt;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.3 Etiologi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
<span style="color: #262626;">Menurut Tarwoto dan Wartonah (2000), Penyebab
kurang perawatan diri adalah sebagai berikut :<o:p></o:p></span></span></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelelahan fisik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan kesadaran<o:p></o:p></span></div>
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<br /></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut DepKes (2000: 20) Penyebab kurang perawatan diri adalah :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor Predisposisi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perkembangan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
<span style="color: #262626;">Keluarga terlalu melindungi dan memanjakan klien
sehingga perkembangan inisiatif terganggu.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo4; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biologis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
<span style="color: #262626;">Penyakit kronis </span></span><a href="http://blog.ilmukeperawatan.com/tag/yang" title="yang"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">yang</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> menyebabkan klien tidak
mampu melakukan perawatan diri.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemampuan realitas turun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien </span><a href="http://blog.ilmukeperawatan.com/tag/dengan" title="dengan"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">dengan</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> gangguan jiwa </span><a href="http://blog.ilmukeperawatan.com/tag/dengan" title="dengan"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">dengan</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> kemampuan realitas </span><a href="http://blog.ilmukeperawatan.com/tag/yang" title="yang"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">yang</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> kurang menyebabkan ketidakpedulian dirinya dan lingkungan termasuk
perawatan diri.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sosial</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
<span style="color: #262626;">Kurang dukungan dan latihan kemampuan perawatan
diri lingkungannya. Situasi lingkungan mempengaruhi latihan kemampuan dalam perawatan diri.<o:p></o:p></span></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor Presipitasi<o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yang merupakan faktor presiptasi defisit
perawatan diri adalah kurang penurunan motivasi, kerusakan kognisi atau perseptual,
cemas, lelah/lemah </span><a href="http://blog.ilmukeperawatan.com/tag/yang" title="yang"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">yang</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dialami individu sehingga menyebabkan individu kurang mampu melakukan
perawatan diri.<o:p></o:p></span></div>
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<br /></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Depkes (2000: 59) Faktor –
faktor yang mempengaruhi personal hygiene adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Body Image<o:p></o:p></span></div>
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<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gambaran individu terhadap dirinya
sangat mempengaruhi kebersihan diri misalnya dengan adanya perubahan fisik
sehingga individu tidak peduli dengan kebersihan dirinya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Praktik Sosial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada anak – anak selalu dimanja dalam kebersihan diri, maka kemungkinan
akan terjadi perubahan pola personal hygiene.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status Sosial Ekonomi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Personal hygiene memerlukan alat dan
bahan seperti sabun, pasta gigi, sikat gigi, shampo, alat mandi yang semuanya
memerlukan uang untuk menyediakannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengetahuan<br />
Pengetahuan personal hygiene sangat penting karena pengetahuan yang baik </span><a href="http://blog.ilmukeperawatan.com/tag/dapat" title="dapat"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">dapat</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> meningkatkan kesehatan. Misalnya pada pasien penderita diabetes mellitus ia harus menjaga kebersihan
kakinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Budaya<br />
Di sebagian masyarakat jika individu sakit tertentu tidak boleh dimandikan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebiasaan Seseorang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada kebiasaan orang yang menggunakan produk
tertentu dalam perawatan diri seperti penggunaan sabun, sampo dan lain – lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondisi Fisik atau Psikis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada keadaan tertentu / sakit kemampuan
untuk merawat diri berkurang dan perlu bantuan untuk melakukannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dampak yang sering timbul pada masalah
personal hygiene.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dampak Fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Banyak gangguan kesehatan yang diderita seseorang karena tidak
terpeliharanya kebersihan perorangan dengan baik, gangguan fisik yang sering
terjadi adalah : gangguan integritas kulit, gangguan membran mukosa mulut,
infeksi pada mata dan telinga dan gangguan fisik pada kuku.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dampak Psikososial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah sosial yang berhubungan dengan
personal hygiene adalah gangguan kebutuhan rasa nyaman, kebutuhan dicintai dan mencintai, kebutuhan harga
diri, aktualisasi diri dan gangguan interaksi sosial.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -36.55pt;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.4 Tanda dan Gejala<br />
Menurut Depkes (2000: 20), Tanda dan gejala klien dengan defisit perawatan diri adalah :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fisik<br />
Badan bau, pakaian kotor, rambut dan kulit
kotor, kuku panjang dan kotor, gigi kotor disertai, mulut bau, penampilan tidak
rapi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Psikologis<br />
Malas, tidak ada inisiatif, menarik diri, isolasi diri, merasa tak berdaya,
rendah diri dan merasa hina.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sosial<br />
Interaksi kurang, kegiatan kurang, tidak mampu berperilaku sesuai norma, cara
makan tidak teratur, BAK dan BAB di sembarang tempat, gosok gigi dan mandi
tidak mampu mandiri.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 38.7pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.5 Pohon Masalah<span style="color: #262626;"><o:p></o:p></span></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<!--[if gte vml 1]><v:shapetype
id="_x0000_t32" coordsize="21600,21600" o:spt="32" o:oned="t" path="m,l21600,21600e"
filled="f">
<v:path arrowok="t" fillok="f" o:connecttype="none"/>
<o:lock v:ext="edit" shapetype="t"/>
</v:shapetype><v:shape id="_x0000_s1027" type="#_x0000_t32" style='position:absolute;
left:0;text-align:left;margin-left:227.25pt;margin-top:35.5pt;width:0;
height:21.75pt;flip:y;z-index:251661312' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 32px; left: 0px; margin-left: 297px; margin-top: 45px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251661312;"><img height="32" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1027" width="12" /></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Penurunan kemampuan dan motivasi merawat diri<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<!--[if gte vml 1]><v:shape id="_x0000_s1026"
type="#_x0000_t32" style='position:absolute;left:0;text-align:left;
margin-left:227.25pt;margin-top:17.55pt;width:0;height:21.75pt;flip:y;
z-index:251660288' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 32px; left: 0px; margin-left: 297px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251660288;"><img height="32" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1026" width="12" /></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Isolasi sosial<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<!--[if gte vml 1]><v:shape id="_x0000_s1028"
type="#_x0000_t32" style='position:absolute;left:0;text-align:left;
margin-left:227.25pt;margin-top:17.55pt;width:0;height:21.75pt;flip:y;
z-index:251662336' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 32px; left: 0px; margin-left: 297px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251662336;"><img height="32" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1028" width="12" /></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri : mandi, berdandan<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Harga diri rendah<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.6 Masalah Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan kemampuan dan motivasi merawat diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri :
mandi, berdandan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Isolasi sosial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.7 Data yang Perlu Dikaji<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data
Subyektif <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengatakan malas mandi, tak mau menyisir rambut, tak mau menggosok gigi,
tak mau memotong kuku, tak mau berhias, tak bisa menggunakan alat mandi /
kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2) Data Obyektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Badan bau, pakaian kotor, rambut dan kulit kotor, kuku
panjang dan kotor, gigi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kotor, mulut bau, penampilan tidak rapih, tak bisa
menggunakan alat mandi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 14.15pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.8 Diagnosa Keperawatan<o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 1) Penurunan kemampuan dan motivasi merawat
diri<o:p></o:p></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 2) Defisit perawatan diri<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 2.2.9 Strategi Pelaksanaan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo33; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Proses Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondisi Klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo25; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data Sujektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien mengatakan sudah mandi tapi tidak pakai
sabun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo25; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data Objektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien tampak kurang rapi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kumis tampak berserakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rambut tidak rapi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Baju belum diganti<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri :
berdandan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Umum : klien dapat
mandiri dalam perawatan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Khusus : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo25; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat membina hubungan
saling percaya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo25; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat mengetahui
pentingnya perawatan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo25; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien mampu melakukan
berhias / berdandan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo27; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan pentingnya
kebersihan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo27; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara menjaga
kebersihan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo27; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membantu klien mempraktekkan
cara menjaga kebersihan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo27; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menganjurkan klien
memasukkan dalam jadwal kegiatan sehari-hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo33; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Strategi Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase Orientasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selamat pagi bu, masih ingat dengan saya ? Ayo
siapa nama saya ? Bagus... Bagaimana keadaan hari ini ? Nyenyak tidurnya tadi
malam ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase Kerja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ibu sudah mandi, bagus... sudah ganti baju ? Tapi
mandinya pakai sabun gak ? Sikat gigi gak ? Menurut bapak kalau mandi itu harus
bagaimana ? Apa untungnya mandi ? Kenapa kukunya panjang ? Terus bajunya kenapa
belum diganti ? Ibu mau jika saya ajak mengganti baju dan memotong kuku ? Sekalian
nanti saya ajarkan ibu cara mandi yang benar ya ? Kan ibu sudah rajin mandi,
nanti kalau udah masuk dalam jadwal ya... mari kita ganti baju dan potong kuku.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase Terminasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo48; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi Subjektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana perasaan ibu
setelah berbincang-bincang tadi ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo48; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi Objektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Coba ibu lakukan apa yang
sudah kita pelajari tadi !<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo48; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rencana Tindak Lanjut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 121.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jadi nanti kalau saya tidak
ada diruangan, ibu bisa melakukan apa yang sudah kita pelajari tadi, dan jangan
lupa memasukkannya dalam kegiatan harian ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontrak yang akan datang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 122.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo24; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Topik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 122.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana kalau besok siang
kita bertemu lagi untuk melatih kemampuan berdua yang ibu miliki ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 122.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo24; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Waktu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 122.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jam berapa kita akan bertemu
? Bagaimana kalau jam 11.00 wib ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 122.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo24; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 122.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana kalau diruangan
ini saja bu ? Sampai bertemu besok ya bu...<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 205.55pt; text-indent: -35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.9 Rencana Tindakan
Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa 1
: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan kemampuan dan motivasi
merawat diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 205.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Umum :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat meningkatkan minat dan motivasinya untuk memperhatikan
kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 205.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Khusus :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK I :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat membina hubungan saling
percaya dengan perawat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo37; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan salam setiap berinteraksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo37; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perkenalkan nama, nama panggilan perawat dan tujuan
perawat berkenalan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo37; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan nama dan panggilan kesukaan klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo37; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tunjukan sikap jujur dan menepati janji setiap kali
berinteraksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo37; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan perasaan dan masalah yang dihadapi klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo37; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Buat kontrak interaksi yang jelas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo37; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengarkan ungkapan perasaan klien dengan empati.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo37; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penuhi kebutuhan dasar klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK II :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat
mengenal tentang pentingnya kebersihan diri.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo38; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bina hubungan saling percaya dengan menggunakan
prinsip komunikasi terapeutik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo38; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan bersama klien pentingnya kebersihan diri
dengan cara menjelaskan pengertian tentang arti bersih dan tanda- tanda bersih.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo38; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong klien untuk menyebutkan 3 dari 5 tanda
kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo38; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan fungsi kebersihan diri dengan menggali
pengetahuan klien terhadap hal yang berhubungan dengan kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo38; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu klien mengungkapkan arti kebersihan diri dan
tujuan memelihara kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo38; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri reinforcement positif setelah klien mampu
mengungkapkan arti kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo38; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ingatkan klien untuk memelihara kebersihan diri
seperti: mandi 2 kali pagi dan sore, sikat gigi minimal 2 kali sehari (sesudah
makan dan sebelum tidur), keramas dan menyisir rambut, gunting kuku jika
panjang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK III :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat
melakukan kebersihan diri dengan bantuan perawat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo39; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi klien untuk mandi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo39; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri kesempatan untuk mandi, beri kesempatan klien untuk
mendemonstrasikan cara memelihara kebersihan diri yang benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo39; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien untuk mengganti baju setiap hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo39; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji keinginan klien untuk memotong kuku dan merapikan
rambut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo39; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dengan perawat ruangan untuk pengelolaan
fasilitas perawatan kebersihan diri, seperti mandi dan kebersihan kamar mandi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo39; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bekerjasama dengan keluarga untuk mengadakan fasilitas
kebersihan diri seperti odol, sikat gigi, shampoo, pakaian ganti, handuk dan
sandal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK IV :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat
melakukan kebersihan perawatan diri secara mandiri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo40; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor klien dalam melakukan kebersihan diri secara
teratur, ingatkan untuk mencuci rambut, menyisir, gosok gigi, ganti baju dan
pakai sandal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK V :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat
mempertahankan kebersihan diri secara mandiri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo11; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri reinforcement positif jika berhasil melakukan
kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK VI :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat
dukungan keluarga dalam meningkatkan kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pada keluarga tentang penyebab kurang
minatnya klien menjaga kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan bersama keluarga tentang tindakanyang telah
dilakukan klien selama di RS dalam menjaga kebersihan dan kemajuan yang telah
dialami di RS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan keluarga untuk memutuskan memberi stimulasi
terhadap kemajuan yang telah dialami di RS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pada keluarga tentang manfaat sarana yang
lengkap dalam menjaga kebersihan diri klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan keluarga untuk menyiapkan sarana dalam
menjaga kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan bersama keluarga cara membantu klien dalam
menjaga kebersihan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan dengan keluarga mengenai hal yang dilakukan
misalnya: mengingatkan pada waktu mandi, sikat gigi, mandi, keramas, dan
lain-lain.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa 2 :
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit
Perawatan Diri (kebersihan diri, berdandan, makan, BAB/BAK).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Umum : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien tidak mengalami defisit
perawatan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Khusus :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo18; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien mampu melakukan kebersihan diri secara mandiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo18; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien mampu melakukan berhias/berdandan secara baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo18; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien mampu melakukan makan dengan baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo18; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien mampu melakukan BAB/BAK secara mandiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level1 lfo41; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melatih pasien cara-cara perawatan kebersihan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo19; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelasan pentingnya menjaga kebersihan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo19; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan alat-alat untuk menjaga kebersihan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo19; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara-cara melakukan kebersihan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo19; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melatih pasien mempraktekkan cara menjaga kebersihan
diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level1 lfo41; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melatih pasien berdandan/berhias<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk pasien laki – laki, latihannya meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo20; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berpakaian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo20; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyisir rambut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo20; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bercukur<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk pasien
wanita, latihannya meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo21; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berpakaian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo21; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyisir rambut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo21; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berhias<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level1 lfo41; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melatih pasien makan secara mandiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara mempersiapkan makan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara makan yang tertib<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara merapihkan peralatan makan setelah
makan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Praktek makan sesuai dengan tahapan makan yang baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level1 lfo41; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengajarkan pasien melakukan BAB/BAK secara mandiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan tempat BAB/BAK yang sesuai<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara membersihkan diri setelah BAB dan BAK<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara membersihkan tempat BAB dan BAK<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa 3 : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Isolasi Sosial<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Umum :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien tidak terjadi perubahan sensori persepsi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Khusus :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK I :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat membina hubungan saling
percaya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo13; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bina hubungan saling percaya: salam terapeutik,
memperkenalkan diri, jelaskan tujuan interaksi, ciptakan lingkungan yang
tenang, buat kesepakatan dengan jelas tentang topik, tempat dan waktu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo13; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri perhatian dan penghaargaan: temani klien walau
tidak menjawab.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo13; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengarkan dengan empati: beri kesempatan bicara,
jangan terburu-buru, tunjukkan bahwa perawat mengikuti pembicaraan klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK II :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat
menyebutkan penyebab menarik diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l50 level1 lfo14; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji pengetahuan klien tentang perilaku menarik diri
dan tanda-tandanya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l50 level1 lfo14; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri kesempatan kepada klien untuk mengungkapkan
perasaan penyebab menarik diri atau mau bergaul.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l50 level1 lfo14; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan bersama klien tentang perilaku menarik
diri, tanda-tanda serta penyebab yang muncul.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l50 level1 lfo14; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan pujian terhadap kemampuan klien mengungkapkan
perasaannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK III :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat menyebutkan keuntungan berhubungan dengan
orang lain dan kerugian tidak berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji pengetahuan klien tentang manfaat dan keuntungan
berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri kesempatan kepada klien untuk mengungkapkan
perasaan tentang keuntungan berhubungan dengan prang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan bersama klien tentang manfaat berhubungan
dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri reinforcement positif terhadap kemampuan
mengungkapkan perasaan tentang keuntungan berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji pengetahuan klien tentang kerugian bila tidak
berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri kesempatan kepada klien untuk mengungkapkan
perasaan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan bersama klien tentang kerugian tidak
berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo15; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri reinforcement positif terhadap kemampuan
mengungkapkan perasaan tentang kerugian tidak berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK IV :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat
melaksanakan hubungan sosial.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo16; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji kemampuan klien membina hubungan dengan orang
lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo16; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong dan bantu kien untuk berhubungan dengan orang
lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo16; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri reinforcement positif terhadap keberhasilan yang
telah dicapai.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo16; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu klien untuk mengevaluasi manfaat berhubungan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo16; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan jadwal harian yang dilakukan bersama klien
dalam mengisi waktu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo16; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi klien untuk mengikuti kegiatan ruangan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo16; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri reinforcement positif atas kegiatan klien dalam
kegiatan ruangan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUK IV :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat mengungkapkan perasaannya setelah
berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo17; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong klien untuk mengungkapkan perasaannya bila
berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo17; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan dengan klien tentang perasaan masnfaat
berhubungan dengan orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo17; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri reinforcement positif atas kemampuan klien
mengungkapkan perasaan manfaat berhubungan dengan oranglain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.9 Kasus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 15.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ny. R berumur 59 tahun datang ke
Rumah Sakit Jiwa Bogor diantar oleh keluarganya. Keluarga klien </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">mengatakan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">malas untuk
mandi dan berdandan, merasa lebih nyaman dengan kondisi seperti ini (tidak mau
mandi). </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mengatakan bila mandi rasanya dingin dan badan kaku semua. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tampak rambut acak-acakan dan banyak kutu, kuku panjang dan hitam. Kulit
kotor, tampak malas untuk menyisir rambut dan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">g</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">anti paka</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">an harus disuruh petugas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 15.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A.
Pengkajian<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a) Identitas Klien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) Nama
klien :
Ny. R<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2) Umur : 59 tahun<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3) Jenis
kelamin : Perempuan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4) Agama : Islam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5) Alamat : Jl. Ir. Soekarno, Bogor,
Jawa Barat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> b) Riwayat Kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 1)
Riwayat Kesehatan Sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga
klien </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">mengatakan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">malas untuk mandi dan berdandan, merasa lebih nyaman dengan kondisi seperti
ini (tidak mau mandi). </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mengatakan
bila mandi rasanya dingin dan badan kaku semua. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tampak rambut acak-acakan dan banyak kutu, kuku panjang dan hitam. Kulit
kotor, tampak malas untuk menyisir rambut dan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tidak pernah mau g</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">anti paka</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">an.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2) Riwayat
Kesehatan Dahulu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
Keluarga klien mengatakan klien tidak mau mandi dan mengurus diri sejak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 3 bulan yang lalu, semenjak terjadi
peristiwa perselingkuhan antara <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> suaminya dan rekan kerja suaminya. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3) Riwayat
Kesehatan Keluarga<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Keluarga klien mengatakan tidak ada anggota
keluarga yang mengalami<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> gangguan kesehatan jiwa seperti ini.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analisa Data</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184; width: 625px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 198.9pt;" valign="top" width="265"><div class="MsoNormalCxSpMiddle" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data <o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 166.5pt;" valign="top" width="222"><div class="MsoNormalCxSpMiddle" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Problem <o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.5pt;" valign="top" width="138"><div class="MsoNormalCxSpMiddle" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etiologi <o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 198.9pt;" valign="top" width="265"><div class="MsoNormalCxSpLast" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DS:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien mengatakan malas
untuk mandi dan berdandan, merasa lebih nyaman dengan kondisi seperti ini (
tidak mau mandi)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien mengatakan bila mandi
rasanya dingin dan badan kaku semua</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien mengatakan malas mandi dan berdandan sebab </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pasangan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> saya
selingkuh dengan orang lain, buat apa saya mandi dan cantik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormalCxSpLast" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DO:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila diminta mandi klien marah – marah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pasien</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tampak bau, kebutuhan mandi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pasien</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> selalu
dimandikan oleh petugas dengan dimotivasi bahkan sambil dipaksa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien tampak rambut
acak-acakan dan banyak kutu, kuku panjang dan hitam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kulit kotor, tampak malas
untuk menyisir rambut dang anti paka</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">an harus disuruh petugas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 166.5pt;" valign="top" width="222"><div class="MsoNormalCxSpMiddle" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri : mandi, berdandan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dan berpaka</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">an</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.5pt;" valign="top" width="138"><div class="MsoNormalCxSpMiddle" style="margin-bottom: 0.0001pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan Motivasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">C. Pohon
Masalah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<!--[if gte vml 1]><v:shape
id="_x0000_s1031" type="#_x0000_t32" style='position:absolute;left:0;
text-align:left;margin-left:227.25pt;margin-top:15.45pt;width:0;height:21.95pt;
flip:y;z-index:251666432' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 32px; left: 0px; margin-left: 297px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251666432;"><img height="32" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1031" width="12" /></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan kemampuan dan motivasi
merawat diri<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<!--[if gte vml 1]><v:shape id="_x0000_s1029"
type="#_x0000_t32" style='position:absolute;left:0;text-align:left;
margin-left:227.3pt;margin-top:17.55pt;width:0;height:21.95pt;flip:y;
z-index:251664384' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 33px; left: 0px; margin-left: 297px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251664384;"><img height="33" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1029" width="12" /></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Isolasi sosial<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<!--[if gte vml 1]><v:shape id="_x0000_s1030"
type="#_x0000_t32" style='position:absolute;left:0;text-align:left;
margin-left:227.25pt;margin-top:17.55pt;width:0;height:21.75pt;flip:y;
z-index:251665408' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 32px; left: 0px; margin-left: 297px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251665408;"><img height="32" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1030" width="12" /></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri : mandi,
berdandan<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Harga diri rendah<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa K</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">e</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">perawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Utama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri : mandi, berdandan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dan berpaka</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">an </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> E. </span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
pada </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">asus </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">U</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tama</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">U</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">mum : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">lien mampu melakukan perawatan
diri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: higiene. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">husus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat
menyebutkan pengertian dan tanda tanda kebersihan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.1. Diskusikan bersama klien
tentang pengertian bersih dan tanda tanda bersih</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.2. Beri reinforcement
positif bila klien mampu melakukan hal yang positif.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat menyebutkan penyebab tidak mau menjaga kebersihan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.1. Bicarakan dengan klien
penyebab tidak mau menjaga kebersihan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2. Diskusikan akibat dari
tidak mau menjaga kebersihan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat menyebutkan manfaat higiene</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. 1. Diskusikan bersama klien
tentang manfaat higiene</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.2. Bantu klien
mengidentifikasikan kemampuan untuk menjaga kebersihan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat menyebutkan cara menjaga kebersihan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. 1. Diskusikan dengan klien cara menjaga kebersihan diri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">m</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">andi 2x sehari (pagi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sore) dengan
memakai sabun mandi, gosok gigi minimal 2x sehari dengan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pasta</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">gigi,
mencuci rambut minimal 2x seminggu dengan sampo, memotong</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kuku</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">minimal 1x
seminggu, memotong rambut minimal 1 x sebulan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.2. Beri reinforcement
positif bila klien berhasil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien dapat melaksanakan perawatan diri higiene dengan bantuan minimal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. 1. Bimbing klien melakukan
demonstrasi tentang cara menjaga kebersihan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.2. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong klien
untuk melakukan kebersihan diri dengan bantuan minimal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat melakukan perawatan diri higiene secara mandiri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. 1. Beri kesempatan klien
untuk membersihkan diri secara bertahap</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.2. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong klien
untuk mengungkapkan perasaannya setelah membersihkan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.3 </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bersama
klien membuat jadwal menjaga kebersihan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.4. Bimbing klien untuk
melakukan aktivitas higiene secara teratur</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Klien mendapat dukungan keluarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. 1. Beri pendidikan kesehatan tentang merawat klien untuk kebersihan diri
melalui</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pertemuan keluarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.2. Beri reinforcement
positif atas partisipasi aktif keluarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">F. Catatan Perkembangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nama klien : Ny. R<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Umur : 59 tahun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ruangan : Utari<o:p></o:p></span></div>
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<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catatan Perkembangan<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 612px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.7pt;" valign="top" width="36"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 115.5pt;" valign="top" width="154"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa Kep<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 146.7pt;" valign="top" width="196"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Implementasi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi / SOAP<o:p></o:p></span></div>
</td>
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<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.7pt;" valign="top" width="36"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<o:p></o:p></span></div>
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 115.5pt;" valign="top" width="154"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jum’at, 15/3/2013<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pukul 13.00 wib<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pukul 13.45 wib<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sabtu, 16/3/2013<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pukul 10.15 wib<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisit perawatan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rabu, 20/03/2012<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pukul 12. 30 wib<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 146.7pt;" valign="top" width="196"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SP 1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Menjelaskan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
pentingnya kebersihan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Membantu pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
mempraktekkan cara <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
menjaga kebersihan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Menjelaskan cara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
menjaga kebersihan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Menganjurkan klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
memasukkan dalam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
jadwal kegiatan harian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Mengevaluasi
jadwal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> kegiatan harian klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Membantu
klien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mempraktekkan cara<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> makan yang baik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Menganjurkan
klien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> memasukkan dalam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> jadwal kegiatan harian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SP III<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Mengevaluasi jadwal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
kegiatan harian pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Menjelaskan cara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
eliminasi yang baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Membantu klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
mempraktekkan cara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
eliminasi yang baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SP IV<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Mengevaluasi jadwal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
kegiatan harian klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Menjelaskan cara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
berdandan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Membantu klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
mempraktekkan cara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
berdandan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Menganjurkan klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
memasukkan dalam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
jadwal kegiatan harian<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">S : saat ditanya, klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mengatakan tidak pernah mau <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mandi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">O : - penampilan klien tidak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> rapi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - rambut acak-acakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - wajah kusam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - tercium bau badan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> A : - klien belum mampu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> merawat diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - klien belum terlalu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mengerti tentang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> pentingnya merawat diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">P : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PK : menganjurkan klien untuk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> menjaga kebersihan dirinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PP : membantu klien cara <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> membersihkan dirinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">S : keluarga mengatakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> sebelum dan sesudah makan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> klien tidak mau cuci tangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">O : - tampak klien makan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> berserakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - klien tidak mencuci tangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> setelah makan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> A : - SP I belum sepenuhnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - klien belum mampu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> melakukan SP II<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">P : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PK : praktekkan cara makan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> yang baik <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PP : membantu klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mempraktekkan evaluasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">S : saat ditanya seputar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> BAB/BAK, klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mengatakan melakukan pada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tempatnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">O : - klien sudah sedikit tampak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> rapi <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - gigi klien masih kuning<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> -
BAB/BAK tertib, bersih<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A : SP I, II, III, sudah
mulai <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mampu dilakukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">P : menganjurkan klien untuk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tetap melakukan SP I tanpa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mengabaikan SP II dan SP III<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">S : klien mengatakan tidak mau<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mandi dan sikat gigi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">O : - klien tampak lusuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - rambut
terlihat acak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> acakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A : klien sudah mulai mampu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> melakukan SP I, II, III, IV<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tetapi belum sepenuhnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">P : - menganjurkan klien untuk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> memasukkan dalam jadwal<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> harian<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> - berikan reinforment atas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> usaha yang klien lakukan<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--><span style="color: #262626;"><o:p></o:p></span></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
III<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1 Kesimpulan<o:p></o:p></span></div>
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<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defisit perawatan diri merupakan suatu kondisi pada seseorang
yang mengalami kelemahan kemampuan dalam melakukan/melewati aktivitas perawatan
diri secara mandiri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawatan diri adalah salah satu kemampuan dasar manusia dalam memenuhi kebutuhannya guna
memepertahankan kehidupannya, kesehatan
dan kesejahteraan sesuai </span><a href="http://blog.ilmukeperawatan.com/tag/dengan" title="dengan"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">dengan</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> kondisi kesehatannya, klien dinyatakan terganggu </span><a href="http://blog.ilmukeperawatan.com/tag/keperawatan" title="keperawatan"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">keperawatan</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dirinya jika tidak </span><a href="http://blog.ilmukeperawatan.com/tag/dapat" title="dapat"><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">dapat</span></a><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> melakukan perawatan diri (Depkes 2000). <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.2 Saran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagai mahasiswa/mahasiswi calon
perawat agar dapat lebih memperdalam ilmu<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
serta wawasan mengenai </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">gangguan
jiwa pada klien dengan defi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">s</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">it</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">perawatan diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
dan dapat mengaplikasikannya dalam dunia keperawatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2)
Bagi masyarakat agar lebih peduli dan berpartisipasi dalam menjaga
kesehatan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
dan jangan mengabaikan tanda dan gejala yang muncul sebagai penyakit yang<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
wajar tetapi segera periksakan kedokter atau pelayanaan kesehatan yang
terdekat<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">u</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">n</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tuk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">mencegah
komplikasi dan prognosis yang buruk.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-79763337242609885742013-07-10T11:15:00.000+07:002013-07-10T11:19:32.704+07:00ASKEP SYNDROME DOWN<div align="center" class="MsoNormal" style="line-height: 150%; margin-right: 1.3pt; text-align: center;">
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<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">BAB I<br />
PENDAHULUAN<o:p></o:p></span></b></div>
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<span lang="EN-US">
</span><o:p></o:p></div>
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<!--[if !supportLists]--><b><span lang="EN-US">A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">LATAR BELAKANG<o:p></o:p></span></b></div>
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<span lang="EN-US" style="color: #333333;">Sindrom
down merupakan kelainan kromosom autosomal yang paling banyak terjadi pada
manusia. Angka kejadian pada tahun 1994 mencapai 1.0 - 1.2 per 1000 kelahiran
dan pada 20 tahun yang laludilaporkan 1,6 per 1000 kelahiran. Kebanyakan anak
dengan sindrom down dilahirkan oleh wanita yang berusia datas 35 tahun. Sindrom
down dapat terjadi pada semua ras. Dikatakan angka kejadian pada orang kulit
putih lebih tinggi dari orang hitam (Soetjiningsih). Sumber lain mengatakan
bahwa angka kejadian 1,5 per 1000 kelahiran, ditemukan pada semua suku dan ras,
terdapat pada penderita retardasi mental sekitar 10 %, secara statistik lebih banyak
di lahirkan oleh ibu yang berusia lebih dari 30 tahun, prematur dan pada ibu
yang usianya terlalu muda (Staf pengajar Ilmu Kesehatan Anak FKUI).<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333;"> Kejadian
sindrom Down dianggarkan pada 1 setiap 800 hingga 1 setiap 1000 kelahiran. Pada
2006, Pusat Kawalan Penyakit (Center for Disease Control) menganggarkan kadar
sehingga 1 setiap 733 kelahiran hidup di Amerika Sarikat. Sekitar 95% dari
penyebab sindrom down adalah kromosom 21. Sindrom Down berlaku dikalangan semua
ethnik dan semua golongan tahap ekonomi. memberi kesan kepada risiko kehamilan
bayi dengan sindrom Down. Pada ibu berusia antara 20 hingga 24, risikonya
adalah 1/1490; pada usia 40 risikonya adalah 1/60, dan pada usia 49 risikonya
adalah 1/11. Sungguhpun risiko meningkat dengan usia ibu, 80% kanak-kanak
dengan sindrom Down dilahirkan pada wanita bawah usia 35, menunjukkan kesuburan
keseluruhan kumpulan usia tersebut. Selain usia ibu, tiada faktor risiko lain
diketahui (wikipedia melayu).<o:p></o:p></span></div>
<ol start="2" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; mso-list: l13 level1 lfo12; text-align: justify;"><b><span lang="EN-US">TUJUAN PENULISAN<o:p></o:p></span></b></li>
</ol>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tujuan Umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diharapkan kepada mahasiswa/I
agar mengetahui apa saja masalah-masalah anak dengan down sindrom</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tujuan Khusus</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333;">Diharapkan
mahasiswa memahami dan mengerti tentang ciri-ciri penyakit ini, selain itu
mahasiswa mampu membuat asuhan keperawatan anak dengan down sindrom<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">BAB II</span></b><span lang="EN-US"><br />
</span><b><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">PEMBAHASAN</span></b><b><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
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<b><span style="font-size: 13.0pt; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-size: 12.0pt;">A </span><span lang="EN-US">. Definisi dan Pengertian<o:p></o:p></span></b></div>
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<span lang="EN-US">Down syndrome adalah cacat bawaan yang disebabkan oleh adanya
kelainan kromosom autosomal, yaitu kelebihan <i>kromosom X</i>. Sindrom ini
juga disebut Trisomy 21, karena 3 dari 21 kromosom yang normal tergantikan oleh
kromosom abnormal.</span><o:p></o:p></div>
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<b>B<span lang="EN-US">. Etiologi<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Genetik</span></div>
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<span lang="EN-US">Diperkirakan
terdapat predisposisi genetik terhadap <i>Non Disjunctional</i> (translokasi
kromosom 21 dan 15). Bukti yang mendukung teori ini adalah berdasarkan atas
hasil penelitian epidemologi yang menyatakan adanya peningkatan resiko ulang
bila di dalam keluarga terdapat anak dengan Down syndrome</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Radiasi </span></div>
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<span lang="EN-US">Radiasi menjadi salah satu penyebab
terjadinya <i>Non Disjunctional</i> pada Down syndrome. <i>Uchida</i> (1981)
menyatakan bahwa sekitar 30 % ibu yang melahirkan anak dengan Down syndrome
pernah mengalami radiasi pada daerah perut sebelum terjadinya konsepsi </span></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 200%; mso-list: l5 level1 lfo10; text-align: justify;"><span lang="EN-US">Infeksi</span></li>
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<span lang="EN-US">Infeksi juga dikatakan menjadi salah
satu penyebab terjadinya Down syndrome, tetapi belum ada penelitian yang dapat
memastikannya </span></div>
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<li class="MsoNormal" style="line-height: 200%; mso-list: l5 level1 lfo10; text-align: justify;"><span lang="EN-US">Auto Imun </span></li>
</ol>
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<span lang="EN-US">Autoimun juga dipekirakan sebagai
salah satu penyebab Down syndrome, terutama autoimun <i>tyroid</i> </span></div>
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<li class="MsoNormal" style="line-height: 200%; mso-list: l5 level1 lfo10; text-align: justify;"><span lang="EN-US">Usia Ibu </span></li>
</ol>
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<span lang="EN-US">Apabila usia ibu diatas 35 tahun
ketika terjadi konsepsi, diperkirakan terdapat perubahan hormonal tubuh yang
nantinya dapat menyebabkan <i>Non Disjunctional</i> pada kromosom, misalnya
adanya peningkatan sekresi androgen, menurunnya kadar hidroepiandrosteron,
menurunnya konsentrasi estradiolsistemik, perubahan konsentrasi reseptor hormon
dan peningkatan kadar LH dan FSH secara tiba-tiba sebelum dan selama menopause</span></div>
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<li class="MsoNormal" style="line-height: 200%; mso-list: l5 level1 lfo10; text-align: justify;"><span lang="EN-US">Usia Ayah</span></li>
</ol>
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<span lang="EN-US">Down syndrome dilaporkan bahwa
sekitar 20%- 30% dari prosentase total disebabkan oleh adanya pengaruh dari
usia ayah, tetapi korelasinya tidak setinggi usia ibu.</span></div>
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<b>C<span lang="EN-US">. Patofisiologi<o:p></o:p></span></b></div>
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<span lang="EN-US">Temuan kasus Down syndrome yang pasti belum
diketahui penyebabnya. Fakta menunjukkan bahwa kelebihan kromosom menyebabkan
perubahan dalam proses normal yang mengatur <i>embrionesis</i>. Riset
membuktikan bahwa kromosom 21 berperan dalam membentuk raut wajah. Hal ini
berhubungan denga beberapa <i>RM</i> dan beberapa kelainan multi sistem seperti
kerusakan hati bawaan, kerusakan penglihatan dan pendengaran, Nasopharingeal
dan ketidaknormalan Gastro Intestinal seperti <i>Atrioventrikuler canal,
Impertorate anus dan Tracheoesophageal fistula</i>. Akhirnya kelebihan kromosom
juga mengubah neurotransmiter dalam sistem kolinergik, mengakibatkan penuaan
dini dan penyakit <i>Alzheimer’s</i> Disease.</span></div>
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<span lang="EN-US">Meskipun penyebab yang spesifik belum
diketahui, kehamilan yang terlambat (terjadi konsepsi ketika ibu sudah berusia
35 tahun keatas) juga menjadi faktor predisposisi. Usia ayah juga memberikan
andil, tetapi tidak sekuat pengaruh dari faktor kehamilan ibu.</span><o:p></o:p></div>
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<b>D<span lang="EN-US">. Tanda dan Gejala </span></b><b><span lang="EN-US"><o:p></o:p></span></b></div>
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<span lang="EN-US">Anak dengan kelainan Down syndrome memiliki ciri ciri :</span></div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]--><span lang="FI">Pada saat lahir terdapat kelemahan otot
dan hipotonia</span><o:p></o:p></div>
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<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Bentuk tulang asimetris </span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Bagian belakang kepala mendatar </span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Lesi pada iris </span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Kepala lebih kecil dari pada
ukuran normal </span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Hidung datar, lidah menjulur, mata
sipit, dan terdapat lipatan kulit yang berbentuk bundar pada sudut mata
sebelah dalam </span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Tangan pendek dan lebar dengan
jari tangan yang memiliki satu garis tangan pada telapak </span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Jari kelingking terdiri dari dua
segmen yang melengkung ke dalam</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Gangguan pertumbuhan dan
perkembangan </span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Keterbelakangan mental</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="FI">Pada
bayi ditemukan kelainan jantung bawaan dan kelainan saluran pencernaan
seperti <i>atresia deudenum</i>. <o:p></o:p></span></li>
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<b>E</b><b><span lang="FI">. Faktor Resiko <o:p></o:p></span></b></div>
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<span lang="FI">Yang
mendasari kelainan trisomi 21 pada kromosom masih menjadi tanda tanya, tetapi
para ahli mendapatkan bahwa faktor usia pada saat hamil merupakan faktor resiko
yang bermakna. Wanita yang hamil pada
usia 35 ke atas merupakan golongan yang memiliki faktor resiko yang lebih
tinggi.<o:p></o:p></span></div>
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<span lang="FI">Wanita
yang sedang hamil dan berusia lebih dari 35 tahun mempunyai kemungkinan 1/ 350
untuk mepunyai anak yang akan menderita kelainan Down syndrome dan wanita yang
berusia lebih dari 40 tahun mempunyai kemungkinan 1/ 100 untuk mempunyai anak
dengan kelainan Down syndrome.<o:p></o:p></span></div>
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<b>F<span lang="EN-US">. Pemeriksaan Diagnostik</span></b><o:p></o:p></div>
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<!--[if !supportLists]--><span lang="ES">1<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES">Diagnosa
prenatal dengan tes DNA dan analisa <i>corionic villi</i><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV">2<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Pengujian
fisik dari karakter Down syndrome yang menonjol<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US">3<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tes dignostik terutuma pada
jantung dan gastro intestinal untuk
mendeteksi ketidak normalan. </span></div>
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<b>G<span lang="EN-US">. Penatalaksanaan</span></b></div>
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<span lang="EN-US">Penanganan gejala spesifik digunakan
karena tidak ada obat untuk kelainan ini. Penatalaksanaan difokuskan pada
pengaturan suhu, pemberian makanan, memonitor jantung, gastro intestinal dan
kelainan wajah yang dapat dikoreksi.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penanganan secara medis</span></div>
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<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pendengarannya : sekitar 70-80
% anak syndrom down terdapat gangguan pendengaran dilakukan tes pendengaran
oleh THT sejak dini.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penyakit jantung bawaan </span></div>
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<!--[if !supportLists]--><span lang="FI">c.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI">Penglihatan : perlu evaluasi sejak dini.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI">d.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI">Nutrisi : akan terjadi gangguan
pertumbuhan pada masa bayi / prasekolah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI">e.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI">Kelainan tulang : dislokasi patela,
subluksasio pangkal paha / ketidakstabilan atlantoaksial. Bila keadaan terakhir
ini sampai menimbulkan medula spinalis atau bila anak memegang kepalanya dalam
posisi seperti tortikolit, maka perlu pemeriksaan radiologis untuk memeriksa
spina servikalis dan diperlukan konsultasi neurolugis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pendidikan </span></div>
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<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Intervensi dini</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 78.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Program ini dapat dipakai sebagai
pedoman bagi orang tua untuk memberi lingkunga yang memeadai bagi anak dengan
syndrom down, bertujuan untuk latihan motorik kasar dan halus serta petunjuk
agar anak mampu berbahasa. Selain itu agar ankak mampu mandiri sperti
berpakaian, makan, belajar, BAB/BAK, mandi,yang akan memberi anak kesempatan.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Taman bermain </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 78.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Misal dengan peningkatan ketrampilan
motorik kasar dan halus melalui bermain dengan temannya, karena anak dapat
melakukan interaksi sosial dengan temannya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 73.85pt; mso-list: l8 level2 lfo9; tab-stops: list 54.0pt 73.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pendidikan khusus (SLB-C)</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 78.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Anak akan mendapat perasaan tentang
identitas personal, harga diri dan kesenangan. Selain itu mengasah perkembangan
fisik, akademis dan dan kemampuan
sosial, bekerja dengan baik dan menjali hubungan baik.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penyuluhan pada orang tua</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b>H<span lang="EN-US">. Pengkajian</span></b><b><span lang="EN-US">.<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Selama masa neonatal yang perlu
dikaji :</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l1 level2 lfo3; tab-stops: list 49.65pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Stabilisasi suhu</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 48.0pt; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -12.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kesulitan pemberian makanan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 48.0pt; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -12.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penyesuaian orang tua terhadap
diagnosis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Adanya kelainan yang
berhubungan dengan sistem jantung, pernafasan dan sistem gastro intestinal</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 48.0pt; mso-list: l1 level2 lfo3; text-align: justify; text-indent: -12.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kemampuan orang tua untuk
merawat bayi baru lahir.</span></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pengkajian kemampuan kognitif dan
perkembangan mental anak dengan menggunakan standart usia</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Tes pendengaran dan penglihatan</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pengkajian terhadap kemampuan anak
untuk berkomunikasi</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pengkajian terhadap kemampuan
motorik</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Penyesuaian keluarga terhadap
diagnosis dan kemajuan perkembangan mental anak. </span></li>
</ol>
<div class="MsoNormal" style="line-height: 200%; tab-stops: list 42.55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b>I<span lang="EN-US">. Diagnosa Keperawatan</span></b></div>
<h4 style="line-height: 200%; margin-left: 36.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-weight: normal; mso-ansi-language: IN; mso-bidi-font-weight: bold;">1</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-weight: normal; mso-bidi-font-weight: bold;">. Secara umum
masalah yang dapat ditemukan pada penderita kelainan Down Syndrome :<o:p></o:p></span></h4>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l10 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Perubahan termoregulasi
berhubungan dengan hipotonik otot dan postur tubuh yang melebar</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l10 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Perubahan nutrisi : kurang dari
kebutuhan berhubungan dengan kesulitan pemberian makan karena lidah yang
menjulur dan langit langit/ palatum yang tinggi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l10 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tidak efektinya koping keluarga
berhubungan dengan besarnya tekanan emosional dan finansial untuk merawat anak
dengan kelainan secara kognitif, kondisi kronis, dan kesedihan karena
kehilangan anak “sempurna“</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l10 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Defisit pengetahuan (orang tua)
berhubungan dengan perawatan neonatus atau infant dirumah.</span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt;">
2<span lang="EN-US">. Spesifik untuk RM :</span></div>
<h5 style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 200%;">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 200%;">Resiko terhadap cedera berhubungan dengan
ketidakmampuan mengantispasi bahaya<o:p></o:p></span></h5>
<h5 style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 200%;">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 200%;">Perubahan tumbuh kembang berhubungan
dengan kemampuan menelan yang lemah dan fungsi kognitif yang tidak normal<o:p></o:p></span></h5>
<h5 style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 200%;">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 200%;">Perubahan perawatan berhubungan dengan
anak dengan retardasi mental Interaksi sosial yang lemah berhubungan dengan
ketidakmampuan untuk menciptakan dan membina hubungan sosial<o:p></o:p></span></h5>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b>J<span lang="EN-US">. Intervensi Keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l6 level2 lfo5; tab-stops: list 1.0cm 96.0pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anak akan menjaga suhu tubuh
WNL dan tidak akan mengalami pernafasan yang membahayakan yang berhubungan
dengan hipotermi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; mso-list: l6 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anak akan mengkonsumsi nutrisi
yang memadai yang ditunjukkan oleh berat WNL dan hidrasi yang memadai.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; mso-list: l6 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">3.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">Keluarga turut berperan dalam perawatan
anak, sikap yang santai dan kemampuan untuk mendiskusikan rencana realistik
untuk masa depan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; mso-list: l6 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">4.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">Keluarga mengerti kebutuhan-kebutuhan bayi
dengan down syndrom dan mendemonstrasikan kemampuan untuk memenuhi kebutuhan
itu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 24.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b>K<span lang="EN-US">. Implementasi</span></b><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo11; tab-stops: 42.0pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menyediakan pengaturan suhu
yang memadai</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="PT-BR">a.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="PT-BR">Memonitor suhu tubuh tiap 6 jam
pertama setelah kelahiran dan sesudahnya 4 jam sekali<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="PT-BR">b.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="PT-BR">Menempatkan bayi yang baru lahir
dalam pemanas sampai suhu tubuh mencapai 360 0C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="PT-BR">c.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="PT-BR">Membungkus bayi dengan selimut yang
hangat dan menempatkan dalam posisi menyamping<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Memonitor pertambahan angka
respirasi, trauma dingin, dan lain-lainnya. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; tab-stops: 42.0pt; text-align: justify; text-indent: -18.0pt;">
2<span lang="EN-US">. Menyediakan nutrisi yang
memadai</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l11 level1 lfo7; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menilai kemampuan anak untuk
menelan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l11 level1 lfo7; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Mengubah kelembutan puting susu
yang diperlukan untuk menelan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l11 level1 lfo7; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Mendudukkan bayi dengan tegak
dipangkuan saat memberi makan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l11 level1 lfo7; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Memonitor adanya kemungkinan
tercekik pada saat pemberian makan dan sendawa</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l11 level1 lfo7; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tidurkan miring setelah
pemberian makan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l11 level1 lfo7; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menginstruksikan kepada orang
tua tentang teknik memberi makan yang baik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; tab-stops: 42.0pt; text-align: justify; text-indent: -18.0pt;">
3<span lang="SV">. Menguatkan
ikatan orang tua dan anak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l9 level1 lfo8; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Mendorong orang tua untuk
mengungkapkan perasaan rasa takut dan perhatian</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l9 level1 lfo8; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="NO-BOK">b.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="NO-BOK">Menilai pengertian orang tua
terhadap kondisi anak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l9 level1 lfo8; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="NO-BOK">c.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="NO-BOK">Menjadi pendengar yang aktif, mendorong
orang tua untuk bertanya lalu menjawab sesuai dengan kemampuan dan pemahaman<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l9 level1 lfo8; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="NO-BOK">d.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="NO-BOK">Mendorong partisipasi aktif orang
tua dalam perawatan anak semasa di rumah sakit dan memberikan dukungan bantuan
yang positif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l9 level1 lfo8; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Memberikan penerimaan
masyarakat secara layak</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.0pt; mso-list: l9 level1 lfo8; tab-stops: list 60.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Meningkatkan pengertian orang
tua terhadap kebutuhan anak.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; text-align: justify;">
<br /></div>
<h3 style="line-height: 200%; margin-left: 1.0cm; mso-list: l6 level3 lfo5; tab-stops: list 24.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">L.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">Evaluasi<o:p></o:p></span></b></h3>
<div class="MsoNormal" style="line-height: 200%; margin-left: 141.0pt; mso-list: l9 level3 lfo8; tab-stops: list 42.0pt 141.0pt; text-align: justify; text-indent: -117.0pt;">
<!--[if !supportLists]--><span lang="EN-US">A.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anak mendapat nutrisi yang
cukup / adekuat</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; mso-list: l9 level3 lfo8; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">B.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pendengaran dan penglihatan
anak dapat terdeteksi sejak dini dan dapat dievaluasi secara rutin</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 141.0pt; mso-list: l9 level3 lfo8; tab-stops: list 42.0pt 141.0pt; text-align: justify; text-indent: -117.0pt;">
<!--[if !supportLists]--><span lang="EN-US">C.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Keluarga turut serta aktif
dalam perawatan anak syndrom down dengan baik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.0pt; mso-list: l9 level3 lfo8; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">D.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anak mampu bersosialisasi dan
berinteraksi dengan baik sehingga anak dapat menjalin hubungan baik dengan orang lain</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-right: 1.3pt;">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">BAB III<br />
PENUTUP</span></b><b><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-right: 1.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 21.3pt; margin-right: 1.3pt; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">KESIMPULAN<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 200%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l0 level1 lfo16; tab-stops: list 42.55pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333;">Kejadian
sindrom Down dianggarkan pada 1 setiap 800 hingga 1 setiap 1000 kelahiran. Pada
2006, Pusat Kawalan Penyakit (Center for Disease Control) menganggarkan kadar
sehingga 1 setiap 733 kelahiran hidup di Amerika Sarikat. Sekitar 95% dari
penyebab sindrom down adalah kromosom 21. Sindrom Down berlaku dikalangan semua
ethnik dan semua golongan tahap ekonomi. memberi kesan kepada risiko kehamilan
bayi dengan sindrom Down. Pada ibu berusia antara 20 hingga 24, risikonya
adalah 1/1490; pada usia 40 risikonya adalah 1/60, dan pada usia 49 risikonya
adalah 1/11. Sungguhpun risiko meningkat dengan usia ibu, 80% kanak-kanak
dengan sindrom Down dilahirkan pada wanita bawah usia 35, menunjukkan kesuburan
keseluruhan kumpulan usia tersebut. Selain usia ibu, tiada faktor risiko lain
diketahui (wikipedia melayu).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 42.55pt; margin-right: 1.3pt; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-indent: -20.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Down syndrome adalah cacat
bawaan yang disebabkan oleh adanya kelainan kromosom autosomal, yaitu kelebihan
<i>kromosom X</i>. Sindrom ini juga disebut Trisomy 21, karena 3 dari 21kromosom yang normal tergantikan oleh kromosom abnormal<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 1.3pt; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><b>B.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>SARAN<o:p></o:p></b></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 1.3pt; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="background: white; color: #333333;">Dalam
melakukan perawatan pada anak dengan syndrome down, seorang perawat harus mempu
mengajak keluarga untuk aktif berpartisipasi dalam setiap kegiatan keperawatan.
Hal ini ditujukan untuk memberikan pendidikan kepada keluarga karena setelah
keluar dari rumah sakit maka keluargalah yang dituntut untuk bisa melakukan
perawatan home care</span><b><o:p></o:p></b></div>
</div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-20861731489623820062013-05-19T18:40:00.000+07:002013-05-19T18:41:20.749+07:00ASKEP HIPERTENSI<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">BAB I</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US">1.1</span></b><span lang="EN-US" style="font-size: 7.0pt; line-height: 150%;"> </span><b><span lang="EN-US">Latar Belakang</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify;">
<span lang="EN-US">Hipertensi adalah peninggian tekanan darah di atas
normal. Ini termasuk golongan penyakit yang terjadi akibat suatu mekanisme
kompensasi kardiovaskuler untuk mempertahankan metabolisme tubuh agar berfungsi
normal. Apabila hipertensi tidak terkontrol akan menyebabkan kelainan pada
organ-organ lain yang berhubungan dengan sistem-sistem tersebut. Semakin tinggi
tekanan darah lebih besar kemungkinan timbulnya penyakit-penyakit
kardiovaskuler secara premature1. Sejumlah 85-90% hipertensi tidak diketahui
penyebabnya atau disebut hipertensi primer (hipertensi esensial atau
idiopatik). Hanya sebagian kecil hipertensi yang dapat ditetapkan penyebabnya
(hipertensi sekunder). Tidak ada data akurat mengenai prevalensi hipertensi
sekunder dan sangat tergantung dimana angka itu diteliti. Diperkirakan terdapat
sekitar 6% pasien hipertensi sekunder sedangkan di pusat rujukan dapat mencapai
sekitar 35%. Hampir semua hipertensi sekunder didasarkan pada 2 mekanisme yaitu
gangguan sekresi hormon dan gangguan fungsi ginjal. Pasien hipertensi sering
meninggal dini karena komplikasi jantung (yang disebut sebagai penyakit jantung
hipertensi). Juga dapat menyebabkan syok, gagal ginjal, gangguan retina mata.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US">Peningkatan
tekanan darah yang lama dan tidak terkontrol dapat menyebakan bermacam-macam
perubahan pada struktur miokardial, vaskuler koroner, dan sistem konduksi dari
jantung. Perubahan ini dapat menyebabkan hipertrofi ventrikel kiri (LVH) ,
penyakit arteri koroner, kelainan system konduksi, dan disfungsi sistolik dan
diastolic dari miokardium, yang biasanya secara klinis tampak sebagai angina
atau infark miokard, aritmia (khususnya atrial fibrilasi), dan gagal jantung
kongestif (CHF).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-size: 7.0pt; line-height: 150%;"> </span><b><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 7.0pt;">2.1 </span><span lang="EN-US">Rumusan masalah</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify;">
<span lang="EN-US">1.</span><span lang="EN-US" style="font-size: 7.0pt; line-height: 150%;"> </span><span lang="EN-US">Bagaimanakah
Konsep Dasar Penyakit dari Hipertensi Heart Disease?</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US">2.</span><span lang="EN-US" style="font-size: 7.0pt; line-height: 150%;"> </span><span lang="EN-US">Bagaimanakah
Konsep dasar Asuhan keperawatan pada pasien dengan Hipertensi?</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US">3.1</span></b><span lang="EN-US" style="font-size: 7.0pt; line-height: 150%;"> </span><b><span lang="EN-US">Tujuan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US">1.</span><span lang="EN-US" style="font-size: 7.0pt; line-height: 150%;"> </span><span lang="EN-US">Mengetahui
Konsep Dasar Penyakit dari Hipertensi Heart Disease</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US">2.</span><span lang="EN-US" style="font-size: 7.0pt; line-height: 150%;"> </span><span lang="EN-US">Mengetahui
Konsep Dasar Asuhan Keperawatan pada pasien dengan Hipertensi</span></div>
<div class="MsoTitle">
<br /></div>
<div align="left" class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US">BAB II</span></div>
<div class="MsoTitle">
<span lang="EN-US">TINJAUAN TEORITIS</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<h1 style="margin-left: 27.0pt; mso-list: l0 level2 lfo11; tab-stops: 36.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.1<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengertian</span></h1>
<div class="MsoBodyTextIndent" style="margin-left: 27.0pt; text-indent: 0cm;">
<span lang="EN-US">Hipertensi di kdefinisikan oleh <i>Joint
National Committee </i>on <i>Detection (JNC)
</i>sebagai tekanan yang lebih tinggi dari 140/90 mmHg dan diklasifikasikan
sesuai derajat keparahannya, mempunyai rentang dari tekanan darah normal tinggi
sampai hipetensi maligna. (Doengoes Mariyln E, 1999) </span></div>
<div class="MsoBodyTextIndent" style="margin-left: 27.0pt; text-indent: 0cm;">
<span lang="EN-US">Klasifikasi hipertensi menurut JNC VII :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 36.0pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt;">
<tbody>
<tr>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 141.45pt;" valign="top" width="189"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 141.5pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Sistolik</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 141.5pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Diastolik</span></div>
</td>
</tr>
<tr>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 141.45pt;" valign="top" width="189"><div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l12 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Normal tensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l12 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pre hipertensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l12 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Hipertensi tahap I</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l12 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">hipertensi tahap II</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 141.5pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">< 130</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">130 – 140</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">140 – 160</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">> 160</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 141.5pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">< 80</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">80 – 90</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">90 – 100</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">> 100</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l0 level2 lfo11; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">2.2<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Etiologi<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="margin-left: 27.0pt; text-indent: 0cm;">
<span lang="EN-US">Berdasarkan penyebabnya hipertensi dibagi 2 golongan yaitu :</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 58.5pt; mso-list: l0 level3 lfo11; text-indent: -31.5pt;">
<!--[if !supportLists]--><span lang="EN-US">2.2.1<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Hipertensi primer atau
essensial yang tidak diketahui penyebabnya atau idiopatik terdapat sekitar 90%
kasus dan banyak penderita tidak menunjukkan gejala atau keluhan. Berbagai hal
seperti faktor genetik, aktivitas saraf simpatis, faktor hemodinamik,
metabolisme natrium dalam ginjal, gangguan mekanisme pompa Na (sodium pump) dan
faktor renin, angiotensin, aldosteron serta faktor yang meningkatkan resiko
seperti obesitas, alkohol, merokok dan polisetimia mempunyai kaitan erat dengan
peningkatan tekanan darah esensial.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 58.5pt; mso-list: l0 level3 lfo11; text-indent: -31.5pt;">
<!--[if !supportLists]--><span lang="EN-US">2.2.2<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Hipertensi sekunder atau
hipertensi renal. Terdapat sekitar 5% kasus. Penyebab spesifiknya diketahui
seperti glomerulonefritis, penggunaan estrogen, penyakit ginjal, hipertensi
vaskularrenal, hiperaldisteronisme primer, sindrom chusing, feotromositoma,
koarktasioaorta, hipertensi yang berhubungan dengan kehamilan dan lain-lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level2 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">2.3<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Faktor Predisposisi<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Faktor
predioposisi penderita hipertensi meliputi :</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 72.0pt; mso-list: l0 level3 lfo11; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.3.1<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Orang yang mengalami stress
psikososial.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 72.0pt; mso-list: l0 level3 lfo11; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.3.2<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kegemukan</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 72.0pt; mso-list: l0 level3 lfo11; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.3.3<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kurang olahraga</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 72.0pt; mso-list: l0 level3 lfo11; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.3.4<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Perokok</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 72.0pt; mso-list: l0 level3 lfo11; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.3.5<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Peminum alcohol</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level2 lfo12; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">2.4<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Patofisiologi<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Pengetahuan
patofisiologis hipertensi essensial sampai sekarang terus berkembang, karena
belum terdapat jawaban yang memuaskan yang menerangkan terjadinya peningkatan
tekanan darah. Tekanan darah dipengaruhi oleh curah jantung dan tahanan
perifer. Beberapa faktor yang mempengaruhi peningkatan TD pada hipertensi essensial
yaitu faktor genetik, aktivitas tonus simpatis, faktor hemodinamik, metabolisme
Na dalam ginjal, gangguan mekanisme pompa sodium Na (sodium pump) dan faktor
renin, angiotensis, aldosteron. Patofisiologi di sini lebih mengacu pada
penyebabnya.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l1 level3 lfo12; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.4.1<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Faktor genetik, dibuktikan
dengan banyak dijumpai pada penderita kembar monozigot apabila salah satunya
menderita hipertensi.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l1 level3 lfo12; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.4.2<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Peningkatan aktivitas tonus
simpatis, pada tahap awal hipertensi curah jantung meningkat, tahanan perifer
normal, pada tahap selanjutnya curah jantung normal, tahanan perifer meningkat
dan terjadilah refleks autoregulasi yaitu mekanisme tubuh untuk mempertahankan
keadaan hemodinamik yang normal.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l1 level3 lfo12; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.4.3<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pergeseran cairan kapiler
antara sirkulasi dan intestinal dikontrol oleh hormon seperti angiotensin
(vasopresin) termasuk sistem kontrol yang bereaksi cepat, sedangkan sistem
kontrol yang mempertahankan TD jangka panjang diatur oleh cairan tubuh yang
melibatkan ginjal.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l1 level3 lfo12; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.4.4<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pengaruh asupan garam terjadi
melalui peningkatan volume plasma, curah jantung dan TD, keadaan ini akan
diikuti oleh peningkatan ekskresi kelebihan garam sehingga kembali ke keadaan
hemodinamik yang normal.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l1 level3 lfo12; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.4.5<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sistem renin, angiotensin dan
aldosteron. Renin distimulasi oleh saraf simpatis yang berperan pada proses
konversi angiotensin I menjadi angiotensin II yang berefek vasokontriksi.
Dengan angiotensin II sekresi aldosteron akan meningkat dan menyebabkan retensi
Na dan air.</span></div>
<div class="MsoBodyTextIndent">
<br /></div>
<div class="MsoBodyTextIndent">
<br /></div>
<div class="MsoBodyTextIndent">
<br /></div>
<div class="MsoBodyTextIndent">
<br /></div>
<div class="MsoBodyTextIndent">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level2 lfo13; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">2.5<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Manifestasi Klinik<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Peninggian
tekanan darah kadang kala merupakan satu-satunya gejala pada hipertensi dan
kadang-kadang berjalan tanpa gejala dan baru timbul setelah terjadi komplikasi
pada ginjal, mata, otak dan jantung. Gejala lain yang sering ditemukan adalah
sakit kepala, epistaksis, pusing atau migrain, marah, telinga berdengung, rasa
berat di tekuk, sukar tidur, dan mata berkunang-kunang. Gejala ini akibat
komplikasi hipertensi seperti gangguan penglihatan, gangguan neurologi, gejala
payah jantung dan gejala lain akibat gangguan fungsi ginjal.</span></div>
<div class="MsoBodyTextIndent">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level2 lfo13; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">2.6<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Penatalaksanaan Medis
Umum<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">Didasarkan pada program perawatan bertahap (Rodman,
1991)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level3 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.6.1<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Langkah I. Tindakan-tindakan
konservatif :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Modifikasi diet</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l8 level2 lfo3; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pembatasan natrium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l8 level2 lfo3; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penurunan masukan kolesterol
dan lemak jenuh</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l8 level2 lfo3; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penurunan masukan kalori untuk
mengontrol berat badan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l8 level2 lfo3; tab-stops: list 90.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menurunkan masukan minuman
beralkohol</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menghentikan merokok</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penatalaksanaan stres</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Program latihan regular untuk
menurunkan berat badan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level3 lfo13; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.6.2<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Langkah II. Farmakoterapi bila
tindakan-tindakan konservatif gagal untuk mengontrol TD sercara adekuat. Salah
satu dari berikut ini dapat digunakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">diuretik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">penyekat beta adrenergik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">penyekat saluran kalsium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level2 lfo3; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">penghambat enzim pengubah
angiotensin (ACE)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level3 lfo13; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.6.3<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Langkah III Dosis obat dapat
dikurangi, obat kedua dari kelas yang berbeda dapat ditambahkan atau
penggantian obat lainnya dari kelas yang berbeda.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level3 lfo13; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.6.4<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Langkah IV. Obat ketiga dapat
ditambah atau obat kedua digantikan yang lain dari kelas yang berbeda.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level3 lfo13; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.6.5<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Langkah V. Evaluasi lanjut atau
rujukan pada spesialis atamu keempat dapat ditambahkan masing-masing dari kelas
yang berbeda.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level2 lfo13; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">2.7<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Pemeriksaan Penunjang<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Pemeriksaan
laboratorium rutin yang dilakukan sebelum memulai terapi bertujuan menentukan
adanya kerusakan organ dan faktor resiko lain atau mencari penyebab hipertensi.
Biasanya dari pemeriksaan urinalisa, darah perifer lengkap, kimia darah (K, Na,
kreatinin, gula darah puasa, kolesterol, HDI) dapat dilakukan pemeriksaan lain
seperti Klirens kreatinin, protein urin 24 jam, asam urat, kolesterol LDL, TSH
dan EKG.</span></div>
<div align="center" class="MsoBodyTextIndent" style="text-align: center;">
<br /></div>
<div class="MsoBodyTextIndent" style="margin-left: 0cm; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoBodyTextIndent" style="margin-left: 0cm; text-align: center; text-indent: 0cm;">
<b><span lang="EN-US">BAB
III<o:p></o:p></span></b></div>
<div align="center" class="MsoBodyTextIndent" style="margin-left: 0cm; text-align: center; text-indent: 0cm;">
<b><span lang="EN-US">ASUHAN
KEPERAWATAN<o:p></o:p></span></b></div>
<div align="center" class="MsoBodyTextIndent" style="margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="mso-list: l9 level2 lfo14; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">3.1<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Pengkajian<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Dasar
pengkajian pasien meliputi :</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Aktivitas atau istirahat</span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Kelemahan,
letih, napas pendek, frekuensi jantung tinggi, takipnea, perubahan irama
jantung.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sirkulasi</span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Riwayat
hipertensi, ateroslerosis, penyakit serebvaskuler, kenaikan tekanan darah,
takikardi, distritmia, kulit pucat, cianosis, diaforesis.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Integritas ego</span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Perubahan
kepribadian, ansietas, depresi atau marah kronik, gelisah, tangisan yang
meledak, gerak tangan empati, otot muka tegang, pernafasan maligna, peningkatan
pola bicara.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Eliminasi</span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Gangguan
ginjal saat ini atau yang lalu seperti infeksi, obstruksi atau riwayat penyakit
ginjal.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Makanan atau cairan</span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Makanan
yang disukai (tinggi garam, tinggi lemak, tinggi kolesterolk, mual dan muntah,
perubahan berat badan, obsesitas, adanya edema.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Neurosensori</span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Pusing,
sakit kepala, gangguan penglihatan, perubahan keterjagaan, orientasi pola atau
isi bicara, proses pikir atau memori (ingatan), respon motorik (penurunan
kekuatan gangguan tangan), perubahan retinal optik.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Nyeri atau ketidaknyamanan</span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Angina,
nyeri hilang atau timbul pada tungkai atau klaudikasi, sakit kepala, nyeri
abdomen.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pernafasan </span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Dispnea,
takipnea, ortopnea, dispnea noktural paroksisimal, riwayat merokok, batuk
dengan atamu tanpa sputum, distress respirasi atau penggunaan otot aksesori
pernafasan, bunyi nafas tambahan, cianosis.</span></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Prioritas
perawatan :</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l13 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mempertahankan atau
meningkatkan fungsi kardiovaskuler.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l13 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mencegah komplikasi.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l13 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Memberikan informasi tentang
proses atau prognosos dan program pengobatan.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l13 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mendukung kontrol aktif
terhadap kondisi.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 18pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="mso-list: l9 level2 lfo14; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">3.2<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Diagnosa Keperawatan<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="mso-list: l13 level2 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Gangguan rasa nyaman nyeri atau
sakit kepala berhubungan dengan peningkatan tekanan vaskular serebral.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l13 level2 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Intoleransi aktivitas
sehubungan dengan kelemahan fisik.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l13 level2 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Gangguan perubahan pola nutrisi
lebih dari kebutuhan tubuh berhubungan dengan masukan berlebihan kebutuhan
metabolik.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l13 level2 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Resiko tinggi terhadap
penurunan jantung sehubungan dengan peningkatan afterload vasokontriksi.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 18pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="mso-list: l9 level2 lfo14; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">3.3<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Intervensi<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="mso-list: l10 level1 lfo6; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Dx 1. Gangguan rasa nyaman,
nyeri atau sakit kepala berhubungan dengan peningkatan tekanan vaskular
serebral.</span></div>
<div class="MsoBodyTextIndent" style="tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Kriteria hasil : - pasien
akan melaporkan nyeri hilang atau terkontrol</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US"> - pasien
akan mengungkapkan metode yang memberikan pengurangan</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US"> - pasien
akan mengikuti regimen farmakologi yang diresepkan</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US">Intervensi :</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l5 level1 lfo7; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mempertahankan tirah baring
selama fase akut.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : meminimalkan
stimulasi atau meningkatkan relaksasi.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l5 level1 lfo7; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Memberi tindakan non
farmakologis untuk menghilangkan sakit kepala (kompres dingin, tehnik
relaksasi)</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : tindakan yang
menurunkan tekanan vaskular serebral dan yang memperlambat respon simpatis
efektif menghilangkan sakit kepala dan komplikasinya.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l5 level1 lfo7; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Meminimalkan aktivitas
vasokontriksi yang meningkatkan sakit kepala (mengejan saat BAB, batuk dan
membungkuk)</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : aktivitas yang
meningkatkan vasokontriksi menyebabkan sakit kepala pada adanya peningkatan
tekanan vaskular serebral.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l5 level1 lfo7; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kolaborasi dokter dengan
pemberian analgesik</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : menurunkan atau
mengontrol nyeri dan menurunkan rangsang sistem saraf simpatis.</span></div>
<div class="MsoBodyTextIndent" style="mso-list: l10 level1 lfo6; tab-stops: list 36.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Dx 2. Intoleransi aktivitas
sehubungan dengan kelemahan fisik</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US">Kriteria hasil : - pasien akan berpartisipasi dalam aktivitas
yang diinginkan</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US"> - pasien
akan melaporkan peningkatan toleransi aktivitas yang dapat diukur</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US"> - pasien
akan menuju penurunan tanda-tanda intoleransi fisiologi</span></div>
<div class="MsoBodyTextIndent" style="tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Intervensi :</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l3 level1 lfo8; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kaji respon pasien terhadap
aktivitas</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : menyebutkan parameter
membantu mengkaji respon fisiologi terhadap stress aktivitas dan bila ada
merupakan indikator dari kelebihan kerja yang berkaitan dengan tingkat
aktivitas.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l3 level1 lfo8; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Instruksikan pasien tentang
tehnik penghematan energi (duduk saat gosok gigi, atau menyisir rambut) dan
melakukan aktivitas perlahan.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : membantu antara
suplai dan kebutuhan O<sub>2</sub></span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l3 level1 lfo8; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Dorong untuk beraktivitas atau
melakukan perawatan diri bertahap.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : kemajuan aktivitas
mencegah peningkatan kerja jantung tiba-tiba.</span></div>
<div class="MsoBodyTextIndent" style="margin-top: 12.0pt; mso-list: l10 level1 lfo6; tab-stops: list 36.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Dx 3. Gangguan pola nutrisi
sehubungan dengan lebih dari kebutuhan tubuh berhubungan dengan masukan
berlebihan kebutuhan metabolik.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US">Kriteria hasil : - pasien akan mengidentifikasi hubungan
hipertensi dan kegemukan</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US"> - pasien
akan menunjukkan perubahan pola makan</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US"> - pasien
akan melakukan olahraga yang tepat rasional</span></div>
<div class="MsoBodyTextIndent" style="tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Intervensi :</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l6 level1 lfo9; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kaji pemahaman pasien tentang
hubungan antara hipertensi dengan kegemukan</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : kegemukan
adalah resiko tekanan darah tinggi karena disproporsi antara kapasitas norta
dan peningkatan curah jantung berkaitan erat dengan peningkatan massa tubuh.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l6 level1 lfo9; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Bicara tentang pentingnya
menurunkan masukan kalori dan batasi lemak, garam, gula sesuai indikasi.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : kesalahan kebiasaan
makan menunjang terjadinya ateroskerosis dan kegemukan merupakan predisposisi
untuk hipertensi dan komplikasinya.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l6 level1 lfo9; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Tetapkan keinginan pasien untuk
menurunkan berat badan.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : motivasi untuk
penurunan berat badan adalah intern individu harus berkeinginan untuk
menurunkan berat badan agar program berhasil.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l6 level1 lfo9; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kaji ulang masukan kalori
harian dan pilihan diet</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 53.85pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : mengidentifikasi
kekuatan atau kelemahan dalam program diit terakhir, membantu menentukan
kebutuhan individu untuk penyesuaian atau penyuluhan.</span></div>
<div class="MsoBodyTextIndent" style="margin-top: 12.0pt; mso-list: l10 level1 lfo6; tab-stops: list 36.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Dx 4. Resiko tinggi terhadap
penurunan curah jantung sehubungan dengan peningkatan afterload vasokontriksi</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US">Kriteria hasil : - pasien berpartisipasi dalam aktivitas yang
menurunkan beban yang dapat diterima.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US"> - pasien
memperlihatkan irama dan frekuensi jantung stabil dalam rengtang normal.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 5.0cm; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -105.75pt;">
<span lang="EN-US">Intervensi :</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l11 level1 lfo10; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pantau tekanan darah untuk
evaluasi awal</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : perbandingan
tekanan memberikan gambaran tentang keterlibatan atau bidang masalah vaskular.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l11 level1 lfo10; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Catat keberadaan, kualitas
denyutan sentral dan perifer</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : denyut karoitis,
jugularis, radialis dan femoralis dap terpalpasi sedangkan denyut tungkai mungkin
menurun.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; mso-list: l11 level1 lfo10; tab-stops: list 54.0pt left 4.0cm 127.6pt 5.0cm; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Akultasi tonus jantung dan
bunyi nafas</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<span lang="EN-US">Rasional : S4
terdengar pada pasien hipertensi berat karena ada hipertropi atrium
(peningkatan volume atau tekanan atrium) perkembangan S3 menunjukkan hipertropi
ventrikel dan kerusakan fungsi.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 54.0pt; tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -36.0pt;">
<b><span lang="EN-US">3.4 Implementasi<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent" style="tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -36.0pt;">
<b><span lang="EN-US"> </span></b><span lang="EN-US">Implementasi
di tegakkan berdasarkan jumlah intervensi yang ada.</span></div>
<div class="MsoBodyTextIndent" style="tab-stops: 4.0cm 127.6pt 5.0cm; text-indent: -36.0pt;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-67821706129716265162013-05-08T11:04:00.007+07:002013-05-08T11:04:29.734+07:00KONSEP ASKEP KOMUNITAS LINGKUNGAN KERJA<br />
<div class="MsoBodyText" style="line-height: 150%;">
<b><span lang="EN-US">TINJAU</span></b><b>A<span lang="EN-US">N TEORI TENTANG ASUHAN
KEPERAWATAN KOMUNITAS<o:p></o:p></span></b></div>
<div class="MsoBodyText" style="line-height: 150%;">
<b><span lang="EN-US"> PADA AREA
LINGKUNGAN KERJA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<h1 style="line-height: 150%;">
<span lang="EN-US">Pengertian</span></h1>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Pemberian pelayanan kesehatan di bawah pengawasan medis pada orang
sakit atau kecelakaan kerja atau orang yang menjadi sakit atau tiba-tiba
mengalami kecelakaan kerja ( Departemen Tenaga Kerja AS )</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Praktik keperawatan spesialis yang memberi pelayanan kesehatan
kepada pekerja atau populasi pekerja yang berfokus pada promosi, proteksi dan
perbaikan kesehatan pekerja dalam konteks kesehatan lingkungan kerja ( Asosiasi
Perawatan Kesehatan Kerja Amerika )</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Spesialisasi ilmu kesehatan beserta praktiknya yang bertujuan agar
pekerja memperoleh derajat kesehatan setinggi-tingginya baik fisik, mental
ataupun sosial dengan usaha preventif dan kuratif terhadap penyakit, gangguan kesehatan
yang diakibatkan faktor pekerjaan dan lingkungan kerja serta faktor-faktor
umum. ( Nasrul Effendi ) </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoBodyText2">
<span lang="EN-US">Tingkat Pencegahan Gangguan Kesehatan
dan Kecelakaan Akibat Kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Peningkatan Kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Pendidikan kesehatan kepada pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Peningkatan dan perbaikan gizi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penyediaan perumahan dan lingkungan kerja yang sehat bagi pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Rekreasi bagi pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Pemeriksaan sebelum kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Perlindungan khusus </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Imunisasi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Higiene dan sanitasi lingkungan kerja yang sehat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Pengenalan dan perlindungan diri terhadap bahaya akibat kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Perlindungan terhadap faktor karsinogen dan alergi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diagnosa dini dan pengobatan
yang tepat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l13 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Mencari tenaga kerja terhadap gangguan penyakut tertentu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l13 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">General ceck up secara teratur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l13 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penyaringan </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pencegahan kecacatan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Pengobatan yang adekuat untuk
mencegah dan menghentikan proses penyakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Perawatan yang baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemulihan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l17 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Latihan dan pendidikan untuk melatih ketrampilan yang ada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l17 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penempatan tenaga cacat secara selektif</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Menyediakan tempat kerja yang dilindungi </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Terapi kerja di rumah sakit </span></div>
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<br /></div>
<h1 style="line-height: 150%;">
<span lang="EN-US">Upaya-upaya Pencegahan Penyakit
Akibat Kerja</span></h1>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Substitusi </span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ventilasi umum</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ventilasi keluar setempat </span></div>
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<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Isolasi </span></div>
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<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pakaian atau alat pelindung </span></div>
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<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemeriksaan sebelum kerja </span></div>
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<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemeriksaan kesehatan secara
berkala</span></div>
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<!--[if !supportLists]--><span lang="EN-US">8.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penerangan yang cukup </span></div>
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<!--[if !supportLists]--><span lang="EN-US">9.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pendidikan kesehatan </span></div>
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<!--[if !supportLists]--><span lang="EN-US">10.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Lingkungan kerja yang sehat </span></div>
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<br /></div>
<h1 style="line-height: 150%;">
<span lang="EN-US">ASUHAN KEPERAWATAN</span></h1>
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<!--[if !supportLists]--><span lang="EN-US">A.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengkajian </span></div>
<div class="MsoBodyTextIndent">
<span lang="EN-US">Pengkajian status kesehatan pekerja
dan kebutuhan pelayanan kesehatan berdasarkan perspektif epidemiologi meliputi
berbagai dimensi antara lain :</span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Biofisikal</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Psikologi </span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Fisik</span></div>
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<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Sosial</span></div>
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<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Tingkah Laku</span></div>
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<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Sistem Kesehatan </span></div>
<div class="MsoBodyText3" style="margin-left: 18.0pt; text-indent: 31.5pt;">
<span lang="EN-US">Perawat komunitas harus memperhatikan kelima dimensi tersebut karena
akan sangat mempengaruhi derajat kesehatan masing-masing individu </span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Biofisikal </span></div>
<div class="MsoBodyTextIndent2" style="margin-left: 36.0pt; text-indent: 31.5pt;">
<span lang="EN-US">Faktor biologi manusia yang perlu dikaji pada status kesehatan
pekerja termasuk di dalamnya adalah kematangan dan usia, warisan genetik dan
fungsi fisiologis </span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Psikologis</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 36.0pt;">
<span lang="EN-US">Pada
pengkajian dimensi psikologis perawat komunitas mengidentifikasi masalah
psikologi pada lingkungan kerja dan mengkaji faktor yang berkontribusi terhadap
masalah psikologinya. Masalah psikologi dapat dimanifestasikan dengan adanya
penyalahgunaan obat, kekerasan, gangguan kejiwaan, neurosis, dan kelemahan.</span></div>
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<span lang="EN-US">Beberapa indikasi adanya masalah
psikologi yang perlu dikaji :</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Sering tidak masuk kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l15 level1 lfo10; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Perubahan mood, perubahan dalam berhubungan dengan orang lain </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Peningkatan insidensi kecelakaan </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Kelemahan, kelelahan, penurunan energi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l15 level1 lfo10; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penurunan atau peningkatan berat badan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Peningkatan tekanan darah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l8 level1 lfo11; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penyakit yang berhubungan dengan stress (gastritis, ulkus peptikum)</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Fisik</span></div>
<div class="MsoBodyTextIndent3">
<span lang="EN-US">Lingkungan fisik merupakan faktor
yang turut mempengaruhi derajat kesehatan dalam lingkungan kerja. Kategori
lingkungan fisik yang berisiko menyebabkan gangguan kesehatan seperti :</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bahan kimia </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l18 level1 lfo13; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Radiasi, suara, getaran, terpapar panas dan dingin</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Aliran listrik, api dan lantai</span></div>
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<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Sosial</span></div>
<div class="MsoBodyTextIndent3">
<span lang="EN-US">Lingkungan sosial dalam lingkungan
kerja yang dapat mempengaruhi status kesehatan dapat bersifat positif dan
negatif. Yang termasuk lingkungan sosial diantaranya : kualitas interaksi
sosial diantara pekerja, nilai terhadap pekerjaan dan kesehatan, ada tidaknya
diskriminasi, jenis kelamin atau tekanan lain yang dapat mempengaruhi
produktifitas pekerja. </span></div>
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<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Tingkah Laku</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 67.5pt;">
<span lang="EN-US">Faktor gaya hidup yang dipertimbangkan di sini termasuk
:</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Jenis pekerjaan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Istirahat dan latihan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penggunaan alat pengaman</span></div>
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<br /></div>
<h2>
<span lang="EN-US">Pedoman Pengkajian Kesehatan Lingkungan Kerja</span></h2>
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<span lang="EN-US">1. Dimensi Biopsikal meliputi :</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Umur, jenis kelamin, suku bangsa pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Apakah ada kondisi kecacatan pada populasi pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Berapa angka insidensi dan prevalensi penyakit</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Apakah ada faktor predisposisi terjadinya penyakit</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat ketidakhadiran</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Apa jenis pekerjaannya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana status imunisasinya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana hasil skrining testnya</span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Psikologi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana organisasi hari
kerjanya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana kualitas keindahan
lingkungannya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana hubungan antar
pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana hubungan pekerja
dengan atasan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana nilai dan sikap
pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana gaya supervisi
pimpinan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana evaluasi pekerjaan </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana pembagian kerjanya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo17; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana kontrol kerjanya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l21 level1 lfo17; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada sumber stress dalam
lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat konflik
keluarga</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada program manajemen
stress di lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Fisik </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana sistem transportasi
pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana keamanan area parkir</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana penggunaan pestisida
dan racun dalam lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada polusi dalam
lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana sistem pemadam
kebakaran</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada potensi terpapar
substansi beracun</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat keterpaparan
terhadap cuaca</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada potensi terjadinya
jatuh</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada binatang atau
serangga di lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada alargen tumbuhan dan
racun di lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana kondisi suhu,
penerangan, ventilasi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat kebisingan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana pengolahan makanan
dan penyimpanannya </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana fasilitas toiletnya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana fasilitas pembuangan
limbah dan pengolahan sampah</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l14 level1 lfo16; tab-stops: 18.0pt list 36.0pt left 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Sosial</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana kondisi ekonomi
pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana sistem penggajian
pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana sistem pelayanan
kesehatan yang ada</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana pengorganisasian
antar pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada potensi terjadi
kekerasan di lingkungan kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada konflik dalam
organisasi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana latar belakang budaya
pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah bahasa yang digunakan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat pendidikan
pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Tingkah laku</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana pola komunikasi antar pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana kualitas pemberian nutrisi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana status nutrisi pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana pengetahuan tentang nutrisi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Apakah ada kebiasaan konsumsi alkohol, merokok, penggunaan obat</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana pola aktivitas pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana istirahat pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Sistem Kesehatan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana pelayanan kesehatan di lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana kemudahan memperoleh pelayanan kesehatan </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana penggunaan fasilitas kesehatan oleh pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkah laku pekerja dalam mencari pelayanan kesehatan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana kemudahan mendapatkan informasi kesehatan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana kontrol dan monitoring terhadap pelayanan kesehatan </span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<h2>
<span lang="EN-US">Pedoman Pengkajian Kesehatan Lingkungan Kerja</span></h2>
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<br /></div>
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<span lang="EN-US">1. Dimensi Biopsikal meliputi :</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Umur, jenis kelamin, suku bangsa pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Apakah ada kondisi kecacatan pada populasi pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Berapa angka insidensi dan prevalensi penyakit</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Apakah ada faktor predisposisi terjadinya penyakit</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat ketidakhadiran</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Apa jenis pekerjaannya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana status imunisasinya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana hasil skrining testnya</span></div>
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<br /></div>
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<span lang="EN-US">2. Dimensi Psikologi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana organisasi hari kerjanya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana kualitas keindahan
lingkungannya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana hubungan antar
pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana hubungan pekerja
dengan atasan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana nilai dan sikap
pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana gaya supervisi
pimpinan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana evaluasi pekerjaan </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana pembagian kerjanya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana kontrol kerjanya</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada sumber stress dalam
lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat konflik
keluarga</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada program manajemen
stress di lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Fisik </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana sistem transportasi
pekerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana keamanan area parkir</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana penggunaan pestisida
dan racun dalam lingkungan kerja</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada polusi dalam
lingkungan kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana sistem pemadam
kebakaran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada potensi terpapar
substansi beracun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat keterpaparan
terhadap cuaca</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada potensi terjadinya
jatuh</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada binatang atau
serangga di lingkungan kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada alargen tumbuhan dan
racun di lingkungan kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana kondisi suhu,
penerangan, ventilasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat kebisingan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana pengolahan makanan
dan penyimpanannya </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana fasilitas toiletnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l20 level1 lfo18; tab-stops: list 18.0pt left 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">¨<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana fasilitas pembuangan
limbah dan pengolahan sampah</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 36.0pt 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo22; tab-stops: 18.0pt list 36.0pt left 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Sosial</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana kondisi ekonomi
pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana sistem penggajian
pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana sistem pelayanan
kesehatan yang ada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana pengorganisasian
antar pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada potensi terjadi
kekerasan di lingkungan kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah ada konflik dalam
organisasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana latar belakang budaya
pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Apakah bahasa yang digunakan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l16 level1 lfo19; tab-stops: 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkat pendidikan
pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo22; tab-stops: 18.0pt list 36.0pt left 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Tingkah laku</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana pola komunikasi antar pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo20; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana kualitas pemberian nutrisi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana status nutrisi pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo20; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana pengetahuan tentang nutrisi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo20; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Apakah ada kebiasaan konsumsi alkohol, merokok, penggunaan obat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo20; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana pola aktivitas pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo20; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana istirahat pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo22; tab-stops: 18.0pt list 36.0pt left 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dimensi Sistem Kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo21; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana pelayanan kesehatan di lingkungan kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo21; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana kemudahan memperoleh pelayanan kesehatan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo21; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana penggunaan fasilitas kesehatan oleh pekerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo21; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana tingkah laku pekerja dalam mencari pelayanan kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo21; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana kemudahan mendapatkan informasi kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo21; tab-stops: list 36.0pt left 54.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Bagaimana kontrol dan monitoring terhadap pelayanan kesehatan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 18.0pt 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 18.0pt 36.0pt 54.0pt; text-align: justify; text-indent: 18.0pt;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-31273009332111940032013-04-27T15:26:00.003+07:002013-04-27T15:26:59.758+07:00ASUHAN KEPERAWATAN KLIEN DENGAN DIABETIK KETOACIDOSIS <br />
<div align="center" class="MsoNormal" style="text-align: center;">
ASUHAN KEPERAWATAN <o:p></o:p></div>
<div align="center" class="MsoNormal" style="text-align: center;">
KLIEN DENGAN DIABETIK KETOACIDOSIS<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<h2>
<!--[if !supportLists]--><span lang="EN-US">A.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengertian</span></h2>
<div class="MsoNormal">
Ketoasidosis diabetik
merupakan akibat dari defisiensi berat insulin dan disertai <o:p></o:p></div>
<div class="MsoNormal">
gangguan metabolisme
protein, karbohidrat dan lemak. Keadaan ini terkadang disebut “akselerasi
puasa” dan merupakan gangguan metabolisme yang paling serius pada diabetes
ketergantungan insulin.<o:p></o:p></div>
<h2>
<!--[if !supportLists]--><span lang="EN-US">B.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Etiologi</span></h2>
<div class="MsoNormal">
Ketoasidosis diabetik dapat dikelompokkan
menjadi dua, yaitu akibat hiperglikemia dan akibat ketosis, yang sering
dicetuskan oleh faktor-faktor :<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Infeksi<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Stress fisik
dan emosional; respons hormonal terhadap stress mendorong peningkatan proses
katabolik . Menolak terapi insulin<o:p></o:p></div>
<h2>
<!--[if !supportLists]--><span lang="EN-US">C.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengkajian</span></h2>
<div class="MsoNormal">
(Menurut pengumpulan data
base oleh Doengoes)<o:p></o:p></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Aktivitas / Istrahat<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Lemah, letih, sulit
bergerak/berjalan<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Kram otot, tonus otot menurun, gangguan
istrahat/tidur<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Tanda : Takikardia dan takipnea pada
keadaan istrahat atau aktifitas<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Letargi/disorientasi,
koma<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Penurunan kekuatan otot<o:p></o:p></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Sirkulasi<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Adanya riwayat hipertensi, IM akut<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Klaudikasi, kebas dan
kesemutan pada ekstremitas <o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Ulkus pada kaki,
penyembuhan yang lama<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Takikardia<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Tanda : Perubahan tekanan darah
postural, hipertensi<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Nadi yang menurun/tidak
ada<o:p></o:p></div>
<div class="MsoNormal">
Disritmia<o:p></o:p></div>
<div class="MsoNormal">
Krekels, Distensi vena
jugularis<o:p></o:p></div>
<div class="MsoNormal">
Kulit panas, kering, dan
kemerahan, bola mata cekung <o:p></o:p></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Integritas/ Ego<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Stress, tergantung pada orang lain<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Masalah finansial yang
berhubungan dengan kondisi<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Tanda : Ansietas, peka rangsang<o:p></o:p></div>
<ol start="4" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Eliminasi<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Perubahan pola berkemih
(poliuria), nokturia<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 45.0pt;">
Rasa nyeri/terbakar, kesulitan berkemih (infeksi),
ISSK baru/berulang<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 45.0pt;">
Nyeri tekan abdomen, Diare<o:p></o:p></div>
<div class="MsoNormal">
<span lang="EN-US">Tanda :Urine encer, pucat, kuning, poliuri
( dapat berkembang menjadi oliguria/anuria, jika terjadi hipovolemia berat)</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; tab-stops: 63.0pt; text-indent: -45.0pt;">
Urin berkabut, bau busuk (infeksi)<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 45.0pt;">
Abdomen keras, adanya asites<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 45.0pt;">
Bising usus lemah dan menurun, hiperaktif (diare)<o:p></o:p></div>
<ol start="5" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Nutrisi/Cairan<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="text-indent: 18.0pt;">
Gejala : Hilang nafsu makan<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Mual/muntah<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Tidak mematuhi diet, peningkattan masukan glukosa/karbohidrat<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Penurunan berat badan lebih dari beberapa hari/minggu<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Haus, penggunaan diuretik (Thiazid)<o:p></o:p></div>
<div class="MsoNormal" style="text-indent: 18.0pt;">
Tanda : Kulit kering/bersisik,
turgor jelek<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Kekakuan/distensi abdomen, muntah<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Pembesaran tiroid (peningkatan kebutuhan metabolik dengan peningkatan gula
darah), bau halisitosis/manis, bau buah (napas aseton)<o:p></o:p></div>
<ol start="6" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Neurosensori<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Pusing/pening, sakit
kepala<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 45.0pt;">
Kesemutan, kebas, kelemahan pada otot, parestesia<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 45.0pt;">
Gangguan penglihatan<o:p></o:p></div>
<div class="MsoHeader">
Tanda : Disorientasi, mengantuk, alergi,
stupor/koma (tahap lanjut). Gangguan <o:p></o:p></div>
<div class="MsoHeader">
memori (baru,
masa lalu), kacau mental<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Refleks tendon dalam menurun (koma)<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Aktifitas kejang (tahap lanjut dari DKA)<o:p></o:p></div>
<ol start="7" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Nyeri/kenyamanan<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Abdomen yang tegang/nyeri (sedang/berat)<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Tanda : Wajah meringis dengan palpitasi, tampak sangat berhati-hati<o:p></o:p></div>
<ol start="8" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Pernapasan<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Merasa kekurangan oksigen, batuk dengan/tanpa sputum purulen
(tergantung adanya infeksi/tidak)<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Tanda : Lapar udara, batuk dengan/tanpa sputum purulen<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Frekuensi pernapasan meningkat<o:p></o:p></div>
<ol start="9" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Keamanan<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Kulit kering, gatal, ulkus
kulit<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Tanda : Demam, diaforesis<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Kulit rusak, lesi/ulserasi<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Menurunnya kekuatan umum/rentang erak<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 63.0pt;">
Parestesia/paralisis otot termasuk otot-otot pernapasan (jika kadar kalium
menurun dengan cukup tajam)<o:p></o:p></div>
<ol start="10" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Seksualitas<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Rabas vagina (cenderung infeksi)<o:p></o:p></div>
<div class="MsoNormal">
Masalah impoten pada pria,
kesulitan orgasme pada wanita<o:p></o:p></div>
<ol start="11" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Penyuluhan/pembelajaran<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Gejala : Faktor resiko keluarga DM, jantung, stroke, hipertensi.
Penyembuhan yang <o:p></o:p></div>
<div class="MsoNormal">
Lambat, penggunaan obat sepertii
steroid, diuretik (thiazid), dilantin dan
<o:p></o:p></div>
<div class="MsoNormal">
fenobarbital (dapat
meningkatkan kadar glukosa darah).<o:p></o:p></div>
<div class="MsoHeader">
Mungkin atau tidak
memerlukan obat diabetik sesuai pesanan <o:p></o:p></div>
<div class="MsoHeader">
Rencana pemulangan : Mungkin
memrlukan bantuan dalam pengatuan diet,
<o:p></o:p></div>
<div class="MsoHeader">
pengobatan,
perawatan diri, pemantauan terhadap glukosa darah<o:p></o:p></div>
<div class="MsoHeader">
<br /></div>
<div class="MsoHeader">
<b>Pemeriksaan Diagnostik<o:p></o:p></b></div>
<div class="MsoHeader">
Glukosa darah : meningkat 200 – 100 mg/dl atau lebih<o:p></o:p></div>
<div class="MsoHeader">
Aseton plasma (keton) : positif secara mencolok<o:p></o:p></div>
<div class="MsoHeader">
Asam lemak bebas : kadar lipid dan
kolesterol meningkaat<o:p></o:p></div>
<div class="MsoHeader">
Osmolalitas serum : meningkat tetapi biasanya kurang dari 330 mOsm/l<o:p></o:p></div>
<div class="MsoHeader">
Elektrolit : Natrium : mungkin normal , meningkat atau menurun<o:p></o:p></div>
<div class="MsoHeader">
Kalium : normal atau peningkatan semu (perpindahan selular), selanjutnya
akan menurun<o:p></o:p></div>
<div class="MsoHeader">
Fosfor : lebih sering menurun<o:p></o:p></div>
<div class="MsoHeader">
Hemoglobin glikosilat : kadarnya meningkat 2-4 kali lipat dari normal yang
mencerminkan kontrol DM yang kurang selama 4 bulan terakhir<o:p></o:p></div>
<div class="MsoHeader">
Gas darah arteri : biasanya menunjukkan pH rendah dan penurunan pada HCO3
(asidosis metabolik) dengan kompensasi alkalosis respiratorik<o:p></o:p></div>
<div class="MsoHeader">
Trombosit darah : Ht mungkin meningkat atau normal (dehidrasi),
leukositosis, hemokonsentrasi sebagai rrespons terhadap stress atau infeksi<o:p></o:p></div>
<div class="MsoHeader">
Ureum/kreatinin: Mungkn meningkaatt atau normal(dehidrasi/penurunan fungsi
ginjal)<o:p></o:p></div>
<div class="MsoHeader">
Amilase darah : mungkin meningkat yang mengindikasikan adanya pankreatitis
akut sebagai penyebab DKA<o:p></o:p></div>
<div class="MsoHeader">
Urin : gula dan aseton positif , berat jenis dan osmolalitas mungkin
meningkat<o:p></o:p></div>
<div class="MsoHeader">
Kultur dan sensitifitas : kemungkinan adanya infeksi saluran kemih,
pernafasan dan pada luka <o:p></o:p></div>
<h2>
<!--[if !supportLists]--><span lang="EN-US">D.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diagnosa Keperawatan</span></h2>
<div class="MsoNormal">
<br /></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Defisit volume cairan berhubungan dengan
diuresis osmotik akibat hiperglikemia, pengeluaran cairan berlebihan :
diare, muntah; pembatasan intake akibat mual, kacau mental<o:p></o:p></li>
<li class="MsoNormal">Perubahan nutrisi : kurang dari kebutuhan
berhubungan dengan ketidakcukupan insulin, penurunan masukan oral, status
hipermetabolisme<o:p></o:p></li>
<li class="MsoNormal">Resiko tinggi terhadap infeksi (sepsis)
berhubungan dengan peningkatan kadar glukosa, penurunan fungsi lekosit, perubahan
pada sirkulasi<o:p></o:p></li>
<li class="MsoNormal">Resiko tinggi terhadap perubahan
sensori-perseptual berhubungan dengan ketidkseimbangan glukosa/insulin
dan/atau elektrolit<o:p></o:p></li>
<li class="MsoNormal">Kelelalahan berhubungan dengan penurunan
produksi energi metabolik, insufisiensi insulin, peningkatan kebtuhan
energi : status hipermetabolik/infeksi<o:p></o:p></li>
<li class="MsoNormal">Ketidakberdayaan berhubungan dengan penyakit
jangka panjang, ketergantungan pada orang lain<o:p></o:p></li>
<li class="MsoNormal">Kurang pengetahuan mengenai penyakit,
prognosis, dan pengoobatan berhubungan dengan kesalahan menginterpretasi informasi, tidak
mengenal sumber informasi<o:p></o:p></li>
</ol>
<div class="MsoNormal">
<b>Rencana Keperawatan<o:p></o:p></b></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Defisit volume cairan berhubungan dengan
diuresis osmotik akibat hiperglikemia, pengeluaran cairan berlebihan :
diare, muntah; pembatasan intake akibat mual<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Batasan karakteristik :<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Peningkatan
urin output<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Kelemahan,
rasa haus, penurunan BB secara tiba-tiba<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Kulit dan
membran mukosa kering, turgor kulit jelek<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Hipotensi,
takikardia, penurunan capillary refill<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
Kriteria Hasil :<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->TTV dalam
batas normal<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Pulse perifer
dapat teraba<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Turgor kulit
dan capillary refill baik <o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Keseimbangan
urin output<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Kadar
elektrolit normal<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 215.3pt;" valign="top" width="287">
<div class="MsoNormal">
Intervensi<o:p></o:p></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 209.5pt;" valign="top" width="279">
<div class="MsoNormal">
Rasional<o:p></o:p></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 215.3pt;" valign="top" width="287">
<div class="MsoNormal">
1.Kaji riwayat
durasi/intensitas mual, muntah dan berkemih berlebihan<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
2.Monitor vital sign
dan perubahan tekanan darah orthostatik<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
3.Monitor perubahan
respirasi: kussmaul, bau aceton<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
4.Observasi kulaitas
nafas, penggunaan otot asesori dan cyanosis<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
5.Observasi ouput dan
kualitas urin.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
6.Timbang BB<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
7.Pertahankan cairan
2500 ml/hari jika diindikasikan<o:p></o:p></div>
<div class="MsoNormal">
8.Ciptakan lingkungan
yang nyaman, perhatikan perubahan emosional<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
9.Catat hal yang
dilaporkan seperti mual, nyeri abdomen, muntah dan distensi lambung<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
10.Obsevasi adanya
perasaan kelelahan yang meningkat, edema, peningkatan BB, nadi tidak teratur
dan adanya distensi pada vaskuler<o:p></o:p></div>
<div class="MsoNormal">
Kolaborasi:<o:p></o:p></div>
<div class="MsoNormal">
-Pemberian NS dengan
atau tanpa dextrosa<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
-Albumin, plasma,
dextran<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
-Pertahankan kateter
terpasang<o:p></o:p></div>
<div class="MsoNormal">
-Pantau pemeriksaan lab
:<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->Hematokrit<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->BUN/Kreatinin<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->Osmolalitas darah<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->Natrium<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->Kalium<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
-Berikan Kalium sesuai
indikasi<o:p></o:p></div>
<div class="MsoNormal">
-Berikan bikarbonat
jika pH <7,0<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
-Pasang NGT dan lakukan
penghisapan sesuai dengan indikasi<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 209.5pt;" valign="top" width="279">
<div class="MsoNormal">
Membantu memperkirakan
pengurangan volume total. Proses infeksi yang menyebabkan demam dan status
hipermetabolik meningkatkan pengeluaran cairan insensibel.<o:p></o:p></div>
<div class="MsoNormal">
Hypovolemia dapat
dimanifestasikan oleh hipotensi dan takikardia. Hipovolemia berlebihan dapat
ditunjukkan dengan penurunan TD lebih dari 10 mmHg dari posisi berbaring ke
duduk atau berdiri.<o:p></o:p></div>
<div class="MsoNormal">
Pelepasan asam karbonat
lewat respirasi menghasilkan alkalosis respiratorik terkompensasi pada
ketoasidosis. Napas bau aceton disebabkan pemecahan asam keton dan akan
hilang bila sudah terkoreksi<o:p></o:p></div>
<div class="MsoNormal">
Peningkatan beban nafas
menunjukkan ketidakmampuan untuk berkompensasi terhadap asidosis<o:p></o:p></div>
<div class="MsoNormal">
Menggambarkan kemampuan
kerja ginjal dan keefektifan terapi<o:p></o:p></div>
<div class="MsoNormal">
Menunjukkan status
cairan dan keadekuatan rehidrasi<o:p></o:p></div>
<div class="MsoNormal">
Mempertahankan hidrasi dan sirkulasi volume<o:p></o:p></div>
<div class="MsoNormal">
Mengurangi peningkatan
suhu yang menyebabkan pengurangan cairan, perubahan emosional menunjukkan
penurunan perfusi cerebral dan hipoksia<o:p></o:p></div>
<div class="MsoNormal">
Kekurangan cairan dan
elektrolit mengubah motilitas lambung, sering menimbulkan muntah dan potensial menimbulkan kekurangan cairan
& elektrolit<o:p></o:p></div>
<div class="MsoNormal">
Pemberian cairan untuk
perbaikan yang cepat mungkin sangat berpotensi menimbulkan beban cairan dan
GJK<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Pemberian tergantung
derajat kekurangan cairan dan respons pasien secara individual<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Plasma ekspander
dibutuhkan saat kondisi mengancam kehidupan atau TD sulit kembali normal<o:p></o:p></div>
<div class="MsoNormal">
Memudahkan pengukuran
haluaran urin<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Mengkaji tingkat
hidrasi akibat hemokonsentrasi<o:p></o:p></div>
<div class="MsoNormal">
Peningkatan nilai
mencerminkan kerusakan sel karena dehidrasi atau awitan kegagalan ginjal<o:p></o:p></div>
<div class="MsoNormal">
Meningkat pada
hiperglikemi dan dehidrasi<o:p></o:p></div>
<div class="MsoNormal">
Menurun mencerminkan
perpindahan cairan dari intrasel (diuresis osmotik), tinggi berarti
kehilangan cairan/dehidrasi berat atau reabsorpsi natrium dalam berespons
terhadap sekresi aldosteron<o:p></o:p></div>
<div class="MsoNormal">
Kalium terjadi pada
awal asidosis dan selanjutnya hilang melalui urine, kadar absolut dalam tubuh
berkurang. Bila insulin diganti dan asidosis teratasi kekurangan kalium
terlihat<o:p></o:p></div>
<div class="MsoNormal">
Mencegah hipokalemia<o:p></o:p></div>
<div class="MsoNormal">
Memperbaiki asidosis
pada hipotensi atau syok<o:p></o:p></div>
<div class="MsoNormal">
Mendekompresi lambung
dan dapat menghilangkan muntah<o:p></o:p></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal">Perubahan nutrisi : kurang dari kebutuhan
berhubungan dengan ketidakcukupan
<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="margin-left: 18.0pt;">
insulin, penurunan masukan
oral, status hipermetabolisme<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 18.0pt;">
Batasan
karakteristik :<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: 18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Klien
melaporkan masukan butrisi tidak adekuat, kurang nafsu makan<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: 18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Penurnan
berat badan, kelemahan, tonus otot buruk<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 36.0pt; text-indent: 18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Diare<o:p></o:p></div>
<div class="MsoNormal" style="text-indent: 36.0pt;">
Kriteria hasil :<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l3 level1 lfo1; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Klien
mencerna jumlah kalori/nutrien yang tepat<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l3 level1 lfo1; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Menunjukkan
tingkat energi biasanya<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l3 level1 lfo1; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt;">
</span><!--[endif]-->Mendemonstrasikan
berat badan stabil atau penambahan sesuai rentang normal<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoNormal">
Intervensi<o:p></o:p></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoNormal">
Rasional<o:p></o:p></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoNormal">
1.Pantau berat badan
setiap hari atau sesuai indikasi<o:p></o:p></div>
<div class="MsoNormal">
2.Tentukan program diet
dan pola makan pasien dan bandingkan dengan makanan yang dihabiskan<o:p></o:p></div>
<div class="MsoNormal">
3.Auskultasi bising
usus, catat adanya nyeri abdomen/perut kembung, mual, muntahan makanan yang
belum dicerna, pertahankan puasa sesuai indikasi<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
4.Berikan makanan yang
mengandung nutrien kemudian upayakan pemberian yang lebih padat yang dapat
ditoleransi<o:p></o:p></div>
<div class="MsoNormal">
5.Libatkan keluarga
pasien pada perencanaan sesuai indikasi<o:p></o:p></div>
<div class="MsoNormal">
6.Observasi tanda
hipoglikemia<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
7.Kolaborasi :<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->Pemeriksaan GDA dengan finger stick<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->Pantau pemeriksaan aseton, pH dan HCO3<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->Berikan pengobatan insulin secara teratur sesuai
indikasi<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l4 level2 lfo2; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]-->Berikan larutan dekstrosa dan setengah salin
normal<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoNormal">
Mengkaji pemasukan
makanan yang adekuat termasuk absorpsi dan utilitasnya<o:p></o:p></div>
<div class="MsoNormal">
Mengidentifikasi
kekurangan dan penyimpangan dari kebutuhan terapetik<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Hiperglikemia dan ggn
keseimbangan cairan dan elektrolit dapat menurunkan motilitas/fungsi lambung
(distensi atau ileus paralitik)yang akan mempengaruhi pilihan intervensi.<o:p></o:p></div>
<div class="MsoNormal">
Pemberian makanan
melalui oral lebih baik jika pasien sadar dan fungsi gastrointestinal baik <o:p></o:p></div>
<div class="MsoNormal">
Memberikan informasi
pada keluarga untuk memahami kebutuhan nutrisi pasien<o:p></o:p></div>
<div class="MsoNormal">
Hipoglikemia dapat
terjadi karena terjadinya metabolisme karbohidrat yang berkurang sementara
tetap diberikan insulin , hal ini secara potensial dapat mengancam kehidupan
sehingga harus dikenali<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Memantau gula darah
lebih akurat daripada reduksi urine untuk mendeteksi fluktuasi <o:p></o:p></div>
<div class="MsoNormal">
Memantau efektifitas
kerja insulin agar tetap terkontrol<o:p></o:p></div>
<div class="MsoNormal">
Mempermudah transisi
pada metabolisme karbohidrat dan menurunkan insiden hipoglikemia<o:p></o:p></div>
<div class="MsoNormal">
Larutan glukosa setelah
insulim dan cairan membawa gula darah kira-kira 250 mg/dl. Dengan
mertabolisme karbohidrat mendekati normal perawatan harus diberikan untuk
menhindari hipoglikemia<o:p></o:p></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<h1>
<!--[if !supportLists]--><span lang="EN-US">II.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Daftar Pustaka</span></h1>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-right: -27.0pt;">
<span lang="EN-US">Carpenito,
Lynda Juall (2000), <i>Buku saku Diagnosa
Keperawatan</i>, Edisi 8, EGC, <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city></span></div>
<div class="MsoNormal" style="margin-right: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -27.0pt;">
<span lang="EN-US">Doengoes, E.
Marilyn (1989), <i>Nursing Care Plans,</i>
Second Edition, FA Davis, <st1:city w:st="on"><st1:place w:st="on">Philadelphia</st1:place></st1:city></span></div>
<div class="MsoNormal" style="margin-right: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-right: -27.0pt;">
<span lang="EN-US">Price, Sylvia
(1990), <i>Patofisiologi dan Konsep Dasar
Penyakit</i> , EGC, <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city></span></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-35519879667786493362013-04-27T15:22:00.004+07:002013-04-27T15:22:42.724+07:00ASUHAN KEPERAWATAN KLIEN DENGAN CVA / STROKE INFARK<br />
<div class="Section1">
<div class="MsoTitle">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 16.0pt;">ASUHAN
KEPERAWATAN KLIEN DENGAN <o:p></o:p></span></div>
<div class="MsoTitle">
<u><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 16.0pt;">CVA / STROKE
INFARK<o:p></o:p></span></u></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">I.PENDAHULUAN.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">CVA atau Cerebro
Vaskuler Accident biasa di kenal oleh masyarakat dengan istilah Stroke.Istilah
ini lebih populer di banding CVA.Kelainan ini
terjadi pada organ otak.Lebih tepatnya adalah Gangguan Pembuluh Darah
Otak.Berupa penurunan kualitas pembuluh darah otak.Stroke menyebabkan angka
kematian yang tinggi.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Kejadian
sebagian besar dialami oleh kaum lai-laki daripada wanita (selisih 19 % lebih tinggi)dan usia umumnya di atas 55
tahun.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">II.PENYEBAB dan KLASIFIKASI.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Pecahnya
pembuluh darah otak sebagian besar diakibatkan oleh rendahnya kualitas pembuluh
darah otak.Sehingga dengan adanya tekanan darah yang tinggi pembuluh darah
mudah pecah.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Faktor resiko
terjadinya stroke ada 2 :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">1.Faktor resiko yang dapat
diobati / dicegah :</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l17 level1 lfo1; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Perokok.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l17 level1 lfo1; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Penyakit jantung ( Fibrilasi Jantung )</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l17 level1 lfo1; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Tekanan darah tinggi.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l17 level1 lfo1; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Peningkatan jumlah sel darah merah ( Policitemia).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l17 level1 lfo1; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Transient Ischemic Attack ( TIAs)</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">2.Faktor resiko yang tak dapat
di rubah :</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l12 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Usia di atas 65.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l12 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Peningkatan tekanan karotis ( indikasi terjadinya artheriosklerosis
yang meningkatkan resiko serangan stroke).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l12 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">DM.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l12 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Keturunan ( Keluarga ada stroke).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l12 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Pernah terserang stroke.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l12 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Race ( Kulit hitam lebih tinggi )</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l12 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sex ( laki-laki lebih 30 % daripada wanita ).</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Secara patologik
suatu infark dapat di bagi dalam :</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l26 level1 lfo32; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Trombosis pembuluh darah ( trombosis serebri ).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l26 level1 lfo32; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Emboli a.l dari jantung (emboli serebri ).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l26 level1 lfo32; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Arteritis sebagai akibat lues /
arteritis temporalis.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">KLASIFIKASI
:</span></div>
<div class="MsoNormal">
<span lang="EN-US">Secara klinis stroke di bagi menjadi :</span></div>
<div style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-list: l30 level1 lfo31; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Serangan Ischemia Sepintas (
Transient Ischemia Attack / TIA ).</span></div>
<div class="MsoNormal" style="border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-list: l30 level1 lfo31; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Stroke Ischemia ( Stroke non
Hemoragik ).</span></div>
<div class="MsoNormal" style="border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-list: l30 level1 lfo31; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Stroke Hemoragik.</span></div>
<div class="MsoNormal" style="border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-list: l30 level1 lfo31; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Gangguan Pembuluh Darah Otak
Lain.</span></div>
<div class="MsoNormal" style="border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm;">
<span lang="EN-US">Sumber :
2000, Harsono ED, Kapita Selekta
Neurologi, Gajah Mada UP, hal : 84.</span></div>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">III.PATOFISIOLOGI.</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Faktor penyebab : <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; text-indent: 36.0pt;">
<span lang="EN-US">Kualitas pembuluh darah tidak baik</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt;">
<span lang="EN-US">Trombosis pembuluh darah ( trombosis serebri ).</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt;">
<span lang="EN-US">Emboli a.l dari jantung (emboli serebri ).</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt;">
<span lang="EN-US">Arteritis
sebagai akibat lues / arteritis temporalis.</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
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id="_x0000_s1026" style='position:absolute;left:0;text-align:left;z-index:251652096'
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<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]-->
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="268"></td>
</tr>
<tr>
<td></td>
<td><img height="32" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1026" width="12" /></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="EN-US"> </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" />
<div align="center" class="MsoNormal" style="text-align: center;">
<!--[if gte vml 1]><v:line
id="_x0000_s1027" style='position:absolute;left:0;text-align:left;z-index:251653120'
from="205.2pt,18.9pt" to="205.2pt,40.5pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 32px; left: 0px; margin-left: 268px; margin-top: 24px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251653120;"><img height="32" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1027" width="12" /></span><!--[endif]--><span lang="EN-US">Penurunan Blood Flow
ke otak</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
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id="_x0000_t202" coordsize="21600,21600" o:spt="202" path="m,l,21600r21600,l21600,xe">
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</v:shapetype><v:shape id="_x0000_s1036" type="#_x0000_t202" style='position:absolute;
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height:64.8pt;z-index:251662336' o:allowincell="f"/><![endif]--><!--[if !vml]--><span style="height: 104px; left: -15px; mso-ignore: vglayout; position: relative; top: 12px; width: 169px; z-index: 251662336;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="92" style="background: white; border: .75pt solid black; vertical-align: top;" width="169"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251662336;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1036">
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; font-family: "MS Serif","serif"; mso-highlight: silver;">6.Kecemasan ancaman <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; font-family: "MS Serif","serif"; mso-highlight: silver;">
kematian.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; font-family: "MS Serif","serif"; mso-highlight: silver;">7.Kurang pengetahuan <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; font-family: "MS Serif","serif"; mso-highlight: silver;">
prognosis dan terapi</span><span lang="EN-US" style="font-family: "MS Serif","serif";">.<o:p></o:p></span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<div align="center" class="MsoNormal" style="text-align: center;">
<!--[if gte vml 1]><v:line
id="_x0000_s1028" style='position:absolute;left:0;text-align:left;z-index:251654144'
from="205.2pt,13.55pt" to="205.2pt,35.15pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 32px; left: 0px; margin-left: 268px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251654144;"><img height="32" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1028" width="12" /></span><!--[endif]--><span lang="EN-US">Ischemia dan hipoksia
jaringan otak </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<!--[if gte vml 1]><v:line
id="_x0000_s1034" style='position:absolute;left:0;text-align:left;z-index:251660288'
from="205.2pt,13.4pt" to="205.2pt,27.8pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 22px; left: 0px; margin-left: 268px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251660288;"><img height="22" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1034" width="12" /></span><!--[endif]--><span lang="EN-US">Infark otak</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
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id="_x0000_s1030" style='position:absolute;left:0;text-align:left;flip:x y;
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<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]-->
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="7" width="106"></td>
</tr>
<tr>
<td></td>
<td><img height="74" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1030" width="130" /></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<div align="center" class="MsoNormal" style="text-align: center;">
<!--[if gte vml 1]><v:line
id="_x0000_s1035" style='position:absolute;left:0;text-align:left;z-index:251661312'
from="212.4pt,13.65pt" to="212.4pt,28.05pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 22px; left: 0px; margin-left: 277px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251661312;"><img height="22" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_s1035" width="12" /></span><!--[endif]--><span lang="EN-US">EDEMA JARINGAN OTAK</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
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id="_x0000_s1029" type="#_x0000_t202" style='position:absolute;left:0;
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z-index:251655168'>
<v:textbox style='mso-next-textbox:#_x0000_s1029'/>
</v:shape><v:shape id="_x0000_s1032" type="#_x0000_t202" style='position:absolute;
left:0;text-align:left;margin-left:-46.35pt;margin-top:3.5pt;width:151.2pt;
height:185.45pt;z-index:251658240'>
<v:textbox style='mso-next-textbox:#_x0000_s1032'/>
</v:shape><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 251655168;"><span style="height: 258px; left: -63px; left: 0px; position: absolute; top: -1px; width: 707px;">
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="0"></td>
<td width="208"></td>
<td width="272"></td>
<td width="227"></td>
</tr>
<tr>
<td height="5"></td>
<td colspan="2"></td>
<td bgcolor="white" height="112" rowspan="2" style="background: white; border: .75pt solid black; vertical-align: top;" width="227"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251655168;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1029">
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">1.Jalan nafas tak efektif.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">2.Resiko peningkatan TIK.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">3.Intoleransi aktifitas (ADL
)<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">4.Kerusakan mobilitas fisik.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">5.Defisit perawatan diri.<o:p></o:p></span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
<tr>
<td height="107"></td>
<td bgcolor="white" height="253" rowspan="2" style="background: white; border: .75pt solid black; vertical-align: top;" width="208"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251658240;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1032">
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">8.Resiko injury<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">9.Gangguan nutrisi (kurang
dari <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;"> kebutuhan tubuh ).<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">10.Inkoninensia uri.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">11.Inkontinensia alfi.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">12.Resiko kerusakan
integritas <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;"> kulit.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">13.Kerusakan komunikasi
verbal.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">14.Inefektif bersihan jalan
nafas.<o:p></o:p></span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
<tr>
<td height="146"></td>
</tr>
</tbody></table>
</span></span><!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<div class="MsoSubtitle">
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</v:line><![endif]--><!--[if !vml]--><span style="height: 12px; left: 0px; margin-left: 345px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 61px; z-index: 251657216;"><img height="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" v:shapes="_x0000_s1031" width="61" /></span><!--[endif]--><span lang="EN-US">Kematian sell otak</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Kerusakan
sistem motorik dan sensorik</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">( DEFICIT NEUROLOGIS )</span></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; mso-list: l28 level1 lfo6; tab-stops: list 18.0pt; text-align: center; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><!--[if gte vml 1]><v:line
id="_x0000_s1037" style='position:absolute;left:0;text-align:left;flip:x;
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</v:line><![endif]--><!--[if !vml]--><span style="height: 12px; left: 0px; margin-left: 185px; margin-top: 18px; mso-ignore: vglayout; position: absolute; width: 32px; z-index: 251663360;"><img height="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" v:shapes="_x0000_s1037" width="32" /></span><!--[endif]--><span lang="EN-US">Kelumpuhan / hemiplegi </span></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; mso-list: l28 level1 lfo6; tab-stops: list 18.0pt; text-align: center; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Kelemahan / paralyse</span></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; mso-list: l28 level1 lfo6; tab-stops: list 18.0pt; text-align: center; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><!--[if gte vml 1]><v:line
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from="219.6pt,19.85pt" to="219.6pt,27.05pt" o:allowincell="f">
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</v:line><![endif]--><!--[if !vml]--><span style="height: 13px; left: 0px; margin-left: 287px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251659264;"><img height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" v:shapes="_x0000_s1033" width="12" /></span><!--[endif]--><span lang="EN-US">Penurunan kesadaran
dan Dysphagia </span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal">
<span lang="EN-US">(Sumber : Susan C.dewit, <b><i>ESSENTIALS
OF MEDICAL SURGICAL NURSING</i></b>, W.B SOUNDERS COMPANY, 1998, hal.350 dan
363).</span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">IV.TANDA DAN GEJALA.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Jika terjadi peningkatan TIK
maka dijumpai tanda dan gejala :</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Perubahan tingkat kesadaran : penurunan orientasi dan respons
terhadap stimulus.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level1 lfo5; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Perubahan kemampuan gerak ekstrimitas : kelemahan sampai paralysis.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level1 lfo5; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Perubahan ukuran pupil : bilateral atau unilateral
dilatasi.Unilateral tanda dari perdarahan cerebral.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Perubahan tanda vital : nadi rendah, tekanan nadi melebar, nafas
irreguler, peningkatan suhu tubuh.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Keluhan kepala pusing.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Muntah projectile ( tanpa adanya rangsangan ).</span></div>
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<span lang="EN-US">2.Kelumpuhan dan
kelemahan.</span></div>
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<span lang="EN-US">3.Penurunan
penglihatan.</span></div>
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<span lang="EN-US">4.Deficit
kognitif dan bahasa ( komunikasi ).</span></div>
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<span lang="EN-US">5.Pelo /
disartria.</span></div>
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<span lang="EN-US">6.Kerusakan
Nervus Kranialis.</span></div>
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<span lang="EN-US">7.Inkontinensia
alvi dan uri.</span></div>
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<br /></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">V.PENATALAKSANAAN MEDIK.</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">A.PEMERIKSAAN PENUNJANG.</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">1.LABORATORIUM.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Hitung darah lengkap.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Kimia klinik.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Masa protombin.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Urinalisis.</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">2.DIAGNOSTIK.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">SCAN KEPALA</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Angiografi serebral.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">EEG.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Pungsi lumbal.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">MRI.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">X ray tengkorak</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">B.PENGOBATAN.</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">1.Konservatif.</span></div>
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<span lang="EN-US">a.Pemenuhan
cairan dan elektrolit dengan pemasangan infus.</span></div>
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<span lang="EN-US">b.Mencegah
peningkatan TIK.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Antihipertensi.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Deuritika.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Vasodilator perifer.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Antikoagulan.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Diazepam bila kejang.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Anti tukak misal cimetidine.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Kortikosteroid : pada kasus ini tidak ada manfaatnya karena klien akan mudah terkena infeksi,
hiperglikemi dan stress ulcer/perdarahan lambung.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Manitol : mengurangi edema otak.</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">2.Operatif.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Apabila upaya
menurunkan TIK tidak berhasil maka perlu dipertimbangkan evakuasi hematom
karena hipertensi intrakranial yang menetap akan membahayakan kehidupan klien.</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">3.Pada fase sub akut / pemulihan ( > 10 hari ) perlu :</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Terapi wicara.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Terapi fisik.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Stoking anti embolisme.</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">VI. KOMPLIKASI DAN PENCEGAHAN
STROKE</span><span lang="EN-US">.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Aspirasi.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Paralitic illeus.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Atrial fibrilasi.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Diabetus insipidus.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Peningkatan TIK.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Hidrochepalus.</span></div>
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<span lang="EN-US" style="background: silver; mso-highlight: silver;">PENCEGAHAN :</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Kontrol teratur tekanan darah.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Menghentikanmerokok.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Menurunkan konsumsi kholesterol dan kontrol cholesterol rutin.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l21 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Mempertahankan kadar gula normal.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Mencegah minum alkohol.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Latihan fisik teratur.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Cegah obesitas.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Mencegah penyakit jantung dapat mengurangi resiko stroke.</span></div>
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<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">VI.ASUHAN KEPERAWATAN.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">A.PENGKAJIAN<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">BIODATA<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Pengkajian biodata di fokuskan pada :</span></div>
<div class="MsoNormal">
<span lang="EN-US">Umur : karena usia di atas 55 tahun
merupakan resiko tinggi terjadinya serangan stroke.Jenis kelamin : laki-laki
lebih tinggi 30% di banding wanita.Ras :
kulit hitam lebih tinggi angka kejadiannya.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">KELUHAN UTAMA.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Biasanya klien datang ke rumah sakit dalam
kondisi : penurunan kesadaran atau koma serta disertai kelumpuhan dan keluhan
sakit kepala hebat bila masih sadar.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;"> UPAYA YANG TELAH DILAKUKAN.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Jenis CVA Bleeding memberikan gejala yang
cepat memburuk.Oleh karena itu klien
biasanya langsung di bawa ke Rumah Sakit.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">RIWAYAT PENYAKIT DAHULU.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Perlu di kaji adanya riwayat DM,
Hipertensi, Kelainan Jantung, Pernah TIAs, Policitemia karena hal ini
berhubungan dengan penurunan kualitas pembuluh darah otak menjadi menurun.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">RIWAYAT PENYAKIT SEKARANG.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Kronologis peristiwa CVA Bleeding sering setelah melakukan aktifitas tiba-tiba terjadi keluhan neurologis misal :
sakit kepala hebat, penurunan kesadaran sampai koma.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">RIWAYAT PENYAKIT KELUARGA.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Perlu di kaji mungkin ada anggota keluarga
sedarah yang pernah mengalami stroke.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">PEMENUHAN KEBUTUHAN SEHARI-HARI.</span></div>
<div class="MsoNormal">
<span lang="EN-US">Apabila telah mengalami kelumpuhan
sampai terjadinya koma maka perlu klien membutuhkan bantuan dalam memenuhi
kebutuhan sehari-hari dari bantuan
sebagaian sampai total.Meliputi :</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l7 level1 lfo11; tab-stops: list 126.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">mandi</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l7 level1 lfo11; tab-stops: list 126.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">makan/minum</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l7 level1 lfo11; tab-stops: list 126.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">bab / bak</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l7 level1 lfo11; tab-stops: list 126.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">berpakaian </span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l7 level1 lfo11; tab-stops: list 126.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">berhias</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l7 level1 lfo11; tab-stops: list 126.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">aktifitas mobilisasi</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">PEMERIKSAAN FISIK DAN OBSERVASI.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">BI ( Bright / pernafasan).</span></div>
<div class="MsoNormal">
<span lang="EN-US">Perlu di kaji adanya :</span></div>
<div class="MsoNormal" style="margin-left: 21.0pt; mso-list: l11 level1 lfo12; tab-stops: list 21.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sumbatan jalan nafas karena penumpukan sputum dan kehilangan refleks
batuk.</span></div>
<div class="MsoNormal" style="margin-left: 21.0pt; mso-list: l11 level1 lfo12; tab-stops: list 21.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Adakah tanda-tanda lidah jatuh ke belakang.</span></div>
<div class="MsoNormal" style="margin-left: 21.0pt; mso-list: l11 level1 lfo12; tab-stops: list 21.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Auskultasi suara nafas mungkin ada tanda stridor.</span></div>
<div class="MsoNormal" style="margin-left: 21.0pt; mso-list: l11 level1 lfo12; tab-stops: list 21.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Catat jumlah dan rama nafas</span></div>
<div class="MsoNormal" style="margin-left: 3.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">B2 ( Blood / sirkulasi ).</span></div>
<div class="MsoNormal">
<span lang="EN-US">Deteksi adanya : tanda-tanda peningkatan
TIK yaitu peningkatan Tekanan Darah
disertai dengan pelebaran nadi dan penurunan jumlah nadi. </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">B3 ( Brain / Persyarafan, Otak )</span></div>
<div class="MsoNormal">
<span lang="EN-US">Kaji adanya keluhan sakit kepala
hebat.Periksa adanya pupil unilateral,
Observasi tingkat kesadaran .</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">B4 ( Bladder / Perkemihan ).</span></div>
<div class="MsoNormal">
<span lang="EN-US">Tanda-tanda inkontinensia uri.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">B5 ( Bowel : Pencernaan )</span></div>
<div class="MsoNormal">
<span lang="EN-US">Tanda-tanda inkontinensia alfi.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">B6 ( Bone : Tulang dan Integumen ).</span></div>
<div class="MsoNormal">
<span lang="EN-US">Kaji adanya kelumpuhan atau
kelemahan.Tanda-tanda decubitus karena tirah baring lama.Kekuatan otot.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">SOSIAL INTERAKSI.</span></div>
<div class="MsoNormal">
<span lang="EN-US">Biasanya di jumpai tanda kecemasan karena
ancaman kematian diekspresikan dengan menangis, klien dan keluarga sering
bertanya tentang pengobatan dan kesembuhannya.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">B.DIAGNOSA YANG MUNCUL.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Resiko peningkatan TIK
berhubungan dengan penambahan isi otak sekunder terhadap perdarahan otak .</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Intoleransi aktifitas (ADL)
berhubungan dengan kehilangan kesadaran,kelumpuhan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kerusakan mobilitas fisik
berhubungan dengan kelemahan dan kelumpuhan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Defisit perawatan diri
berhubungan dengan kelemahan dan kelumpuhan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kecemasan (ancaman kematian) berhubungan dengan kurang informasi prognosis dan terapi.Kurang
pengetahuan prognosis dan terapi berhubungan dengan kurang informasi, salah
interpretasi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Resiko injury berhubungan
dengan kelemahan dan kelumpuhan, penurunan kesadaran.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Gangguan nutrisi (kurang dari
kebutuhan tubuh ) berhubungan dengankesulitan menelan(disfagia), hemiparese dan
hemiplegi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">8.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Inkoninensia uri berhubungan
dengan defisit neurologis.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">9.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Inkontinensia alfi berhubungan
dengan kerusakan mobilitas dan kerusakan
neurologis.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">10.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Resiko kerusakan integritas kulit berhubungan dengan penurunan
mobilitas, parise dan paralise.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">11.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Kerusakan komunikasi verbal berhubungan dengan ketidakmampuan bicara
verbal atau tidak mampu komunikasi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">12.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Gangguan persepsi sensori : perabaan yang berhubungan dengan
penekanan pada saraf sensori.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l31 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">13.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Resiko terjadinya : kekeringan kornea, Pneumonia ortostatik
sekunder kehilangan kesadaran.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">C.INTERVENSI KEPERAWATAN.</span></div>
<div class="MsoNormal">
<u><span lang="EN-US">Rencana keperawatan dari diagnosa
keperawatan diatas adalah :<o:p></o:p></span></u></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US">1.RESIKO PENINGKATAN TIK BERHUBUNGAN DENGAN PENAMBAHAN
ISI OTAK SEKUNDER TERHADAP
HIPOKSIA, EDEMA OTAK.</span></div>
<div class="MsoNormal" style="margin-left: 49.5pt; text-indent: -40.5pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Tujuan</span><span lang="EN-US"> : setelah dilakukan tindakan keperawatan klien tidak mengalami
peningkatan tekanan intra kranial .</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Kriteria hasil :</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt;">
<span lang="EN-US">Tidak terdapat
tanda peningkatan tekanan intra kranial :</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l23 level1 lfo14; tab-stops: list 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Peningkatan tekanan darah.</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l23 level1 lfo14; tab-stops: list 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Nadi melebar.</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l23 level1 lfo14; tab-stops: list 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Pernafasan cheyne stokes</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l23 level1 lfo14; tab-stops: list 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Muntah projectile.</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l23 level1 lfo14; tab-stops: list 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sakit kepala hebat.</span></div>
<div class="MsoNormal" style="text-indent: 9.0pt;">
<span lang="EN-US">Pencegahan TIK
meningkat di laksanakan.</span></div>
<div class="MsoNormal" style="text-indent: 9.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Intervensi.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #CCCCCC; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.4pt;" valign="top" width="43">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">NO</span></div>
</td>
<td style="background: #CCCCCC; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.8pt;" valign="top" width="350">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">INTERVENSI</span></div>
</td>
<td style="background: #CCCCCC; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">RASIONAL</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.4pt;" valign="top" width="43">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l25 level1 lfo15; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US"> </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.8pt;" valign="top" width="350">
<div class="MsoNormal">
<span lang="EN-US">Pantau tanda dan gejala peningkatan TIK</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo16; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">tekanan darah</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo16; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">nadi</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo16; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">GCS</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo16; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Respirasi</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo16; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Keluhan sakit kepala hebat</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo16; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Muntah projectile</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo16; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pupil unilateral</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197">
<div class="MsoNormal">
<span lang="EN-US">Deteksi dini peningkatan TIK untuk
melakukan tindakan lebih lanjut.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.4pt;" valign="top" width="43">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l25 level1 lfo15; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US"> </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.8pt;" valign="top" width="350">
<div class="MsoNormal">
<span lang="EN-US">Tinggikan kepala tempat tidur 15-30
derajat kecuali ada kontra indikasi.Hindari mengubah posisi dengan cepat.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197">
<div class="MsoNormal">
<span lang="EN-US">Meninggikan kepala dapat membantu
drainage vena untuk mengurangi kongesti vena.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.4pt;" valign="top" width="43">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l25 level1 lfo15; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US"> </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.8pt;" valign="top" width="350">
<div class="MsoNormal">
<span lang="EN-US">Hindari hal-hal berikut :</span></div>
<div class="MsoNormal">
<span lang="EN-US">Masase karotid</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Fleksi leher atau rotasi > 45 derajat.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Rangsangan anal dengan jari(boleh tapi
dengan hati-hati ) hindari mengedan, fleksi ekstrem panggul dan lutut.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197">
<div class="MsoNormal">
<span lang="EN-US">Masase
karotid memperlambat frekuensi jantung dan mengurangi sirkulasi
sistemik yang diikuti peningkatan sirkulasi secara tiba-tiba.</span></div>
<div class="MsoNormal">
<span lang="EN-US">Fleksi atau rotasi ekstrem leher
mengganggu cairan cerebrospinal dan
drainage vena dari rongga intra kranial.</span></div>
<div class="MsoNormal">
<span lang="EN-US">Aktifitas ini menimbulkan manuver
valsalva yang merusak aliran balik vena dengan kontriksi vena jugularis dan
peningkatan TIK.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.4pt;" valign="top" width="43">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l25 level1 lfo15; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US"> </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.8pt;" valign="top" width="350">
<div class="MsoNormal">
<span lang="EN-US">Konsul dokter untuk mendapatkan pelunak
feces jika di perlukan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197">
<div class="MsoNormal">
<span lang="EN-US">Mencegah konstipasi dan mengedan yang
menimbulkan manuver valsalva.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.4pt;" valign="top" width="43">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l25 level1 lfo15; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US"> </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.8pt;" valign="top" width="350">
<div class="MsoNormal">
<span lang="EN-US">Pertahankan lingkungan tenang, sunyi dan pencahayaan redup.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197">
<div class="MsoNormal">
<span lang="EN-US">Meningkatkan istirahat dan menurunkan
rangsangan membantu menurunkan TIK.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 32.4pt;" valign="top" width="43">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l25 level1 lfo15; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US"> </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.8pt;" valign="top" width="350">
<div class="MsoNormal">
<span lang="EN-US">Berikan obat-obatan sesuai dengan
pesanan:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anti hipertensi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anti koagulan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Terapi intra vena pengganti
cairan dan elektrolit.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pelunak feces.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anti tukak.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Roborantia.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Analgetika.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Vasodilator perifer.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.6pt;" valign="top" width="197">
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo18; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Menurunkan tekanan darah.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo18; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mencegah terjadinya trombus.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo18; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mencegah defisit cairan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo18; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mencegah obstipasi.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo18; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mencegah stres ulcer.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo18; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Meningkatkan daya tahan
tubuh.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo18; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mengurangi nyeri.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l5 level1 lfo18; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Memperbaiki sirkulasi darah
otak.</span></div>
</td>
</tr>
</tbody></table>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section2">
<div class="MsoNormal">
<span lang="EN-US">2.GANGGUAN MOBILITAS FISIK BERHUBUNGAN
DENGAN HEMIPARESE / HEMIPLEGIA</span></div>
<div align="left" class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 90.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Tujuan :</span></div>
<div class="MsoNormal" style="margin-left: 45.0pt; tab-stops: 90.0pt;">
<span lang="EN-US">Klien mampu melaksanakan aktivitas fisik sesuai dengan kemampuannya</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 90.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 90.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Kriteria hasil</span></div>
<div class="MsoNormal" style="margin-left: 34.0pt; mso-list: l32 level1 lfo37; tab-stops: list 35.0pt; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Tidak terjadi kontraktur sendi</span></div>
<div class="MsoNormal" style="margin-left: 45.0pt; tab-stops: list 108.0pt;">
<span lang="EN-US">Bertambahnya kekuatan otot</span></div>
<div class="MsoNormal" style="margin-left: 34.0pt; mso-list: l32 level1 lfo37; tab-stops: list 35.0pt; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien menunjukkan tindakan
untuk meningkatkan mobilitas</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 90.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Intervensi.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #CCCCCC; border-bottom: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.9pt;" valign="top" width="253">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">INTERVENSI</span></div>
</td>
<td style="background: #CCCCCC; border-bottom: none; border-left: none; border-right: solid windowtext 1.0pt; border-top: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 10.0cm;" valign="top" width="378">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">RASIONAL</span></div>
</td>
</tr>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.9pt;" valign="top" width="253">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l20 level1 lfo20; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Ubah posisi klien tiap 2 jam</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l20 level1 lfo20; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Ajarkan klien untuk melakukan
latihan gerak aktif pada ekstrimitas yang tidak sakit</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l20 level1 lfo20; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan gerak pasif pada
ekstrimitas yang sakit</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l20 level1 lfo20; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Berikan papan kaki pada
ekstrimitas dalam posisi fungsionalnya</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l20 level1 lfo20; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Tinggikan kepala dan tangan </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l20 level1 lfo20; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kolaborasi dengan ahli
fisioterapi untuk latihan fisik klien</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 10.0cm;" valign="top" width="378">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l35 level1 lfo19; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Menurunkan resiko terjadinnya iskemia jaringan akibat sirkulasi
darah yang jelek pada daerah yang tertekan </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l35 level1 lfo19; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Gerakan aktif memberikan <st1:city w:st="on"><st1:place w:st="on">massa</st1:place></st1:city>,
tonus dan kekuatan otot serta memperbaiki fungsi jantung dan pernapasan</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l35 level1 lfo19; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Otot volunter akan kehilangan tonus dan kekuatannya bila tidak
dilatih untuk digerakkan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section3">
<div class="MsoNormal">
<span lang="EN-US">3.GANGGUAN PERSEPSI SENSORI : PERABAAN YANG
BERHUBUNGAN DENGAN PENEKANAN PADA SARAF SENSORI.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 90.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Tujuan :</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt;">
<span lang="EN-US">Meningkatnya
persepsi sensorik : perabaan secara optimal.</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 90.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Kriteria hasil :</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l10 level1 lfo21; tab-stops: list 27.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien dapat mempertahankan
tingakat kesadaran dan fungsi
persepsi</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l10 level1 lfo21; tab-stops: list 27.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien mengakui perubahan dalam
kemampuan untuk meraba dan merasa</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l10 level1 lfo21; tab-stops: list 27.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien dapat menunjukkan
perilaku untuk mengkompensasi terhadap perubahan sensori</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 108.0pt;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #CCCCCC; border-bottom: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">INTERVENSI</span></div>
</td>
<td style="background: #CCCCCC; border-bottom: none; border-left: none; border-right: solid windowtext 1.0pt; border-top: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">RASIONAL</span></div>
</td>
</tr>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo22; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Tentukan kondisi patologis
klien</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo22; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kaji kesadaran sensori,
seperti membedakan panas/dingin, tajam/tumpul, posisi bagian tubuh/otot, rasa
persendian</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo22; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Berikan stimulasi terhadap
rasa sentuhan, seperti memberikan klien suatu benda untuk menyentuh, meraba.
Biarkan klien menyentuh dinding atau batas-batas lainnya.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo22; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lindungi klien dari suhu yang
berlebihan, kaji adanya lindungan yang berbahaya. Anjurkan pada klien dan
keluarga untuk melakukan pemeriksaan terhadap suhu air dengan tangan yang normal</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo22; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anjurkan klien untuk
mengamati kaki dan tangannya bila perlu dan menyadari posisi bagian tubuh
yang sakit. Buatlah klien sadar akan semua bagian tubuh yang terabaikan
seperti stimulasi sensorik pada daerah yang sakit, latihan yang membawa area
yang sakit melewati garis tengah, ingatkan individu untuk merawata sisi yang
sakit.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo22; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Hilangkan
kebisingan/stimulasi eksternal yang berlebihan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo22; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan validasi terhadap
persepsi klien</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo23; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Untuk mengetahui tipe dan
lokasi yang mengalami gangguan, sebagai penetapan rencana tindakan</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo23; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Penurunan kesadaran terhadap
sensorik dan perasaan kinetik berpengaruh terhadap keseimbangan/posisi dan
kesesuaian dari gerakan yang mengganggu ambulasi, meningkatkan resiko
terjadinya trauma.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo23; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Melatih kembali jaras
sensorik untuk mengintegrasikan persepsi dan intepretasi diri. Membantu klien
untuk mengorientasikan bagian dirinya dan kekuatan dari daerah yang
terpengaruh.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo23; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Meningkatkan keamanan klien
dan menurunkan resiko terjadinya trauma.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo23; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Penggunaan stimulasi
penglihatan dan sentuhan membantu dalan mengintegrasikan sisi yang sakit.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo23; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Menurunkan ansietas dan
respon emosi yang berlebihan/kebingungan yang berhubungan dengan sensori
berlebih.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l13 level1 lfo23; tab-stops: list 18.0pt 108.0pt 117.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Membantu klien untuk
mengidentifikasi ketidakkonsistenan dari persepsi dan integrasi stimulus.</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section4">
<div class="MsoNormal">
<span lang="EN-US">4.KURANGNYA PERAWATAN DIRI BERHUBUNGAN
DENGAN HEMIPARESE/HEMIPLEGI DAN
KEHILANGAN KESADARAN.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 9.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Tujuan</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt;">
<span lang="EN-US">Kebutuhan
perawatan diri klien terpenuhi</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Kriteria hasil</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l16 level1 lfo26; tab-stops: list 27.0pt left 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien dapat melakukan aktivitas
perawatan diri sesuai dengan kemampuan klien</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l16 level1 lfo26; tab-stops: list 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Klien dapat mengidentifikasi sumber pribadi/komunitas untuk
memberikan bantuan sesuai kebutuhan</span></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #CCCCCC; border-bottom: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">INTERVENSI</span></div>
</td>
<td style="background: #CCCCCC; border-bottom: none; border-left: none; border-right: solid windowtext 1.0pt; border-top: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">RASIONAL</span></div>
</td>
</tr>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l27 level1 lfo25; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Tentukan kemampuan dan
tingkat kekurangan dalam melakukan perawatan diri.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l27 level1 lfo25; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Beri motivasi kepada klien
untuk tetap melakukan aktivitas dan beri bantuan dengan sikap sungguh</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l27 level1 lfo25; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Hindari melakukan sesuatu
untuk klien yang dapat dilakukan klien sendiri, tetapi berikan bantuan sesuai
kebutuhan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l27 level1 lfo25; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Berikan umpan balik yang positif
untuk setiap usaha yang dilakukannya atau keberhasilannya</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l27 level1 lfo25; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kolaborasi dengan ahli
fisioterapi/okupasi </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l24 level1 lfo24; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Membantu dalam
mengantisipasi/merencanakan pemenuhan kebutuhan secara individual</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l24 level1 lfo24; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Meningkatkan harga diri dan
semangat untuk berusaha terus-menerus</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l24 level1 lfo24; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien mungkin menjadi sangat
ketakutan dan sangat tergantung dan meskipun bantuan yang diberikan
bermanfaat dalam mencegah frustasi, adalah penting bagi klien untuk melakukan
sebanyak mungkin untuk diri-sendiri untuk mempertahankan harga diri dan
meningkatkan pemulihan</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l24 level1 lfo24; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Meningkatkan perasaan makna
diri dan kemandirian serta mendorong klien untuk berusaha secara kontinyu</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l24 level1 lfo24; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Memberikan bantuan yang
mantap untuk mengembangkan rencana terapi dan mengidentifikasi kebutuhan alat
penyokong khusus</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section5">
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US">5.RESIKO GANGGUAN NUTRISI KURANG DARI KEBUTUHAN TUBUH BERHUBUNGAN
DENGAN KELEMAHAN OTOT MENGUNYAH DAN MENELAN SEKUNDER KEHILANGAN KESADARAN.</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 81.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Tujuan</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt;">
<span lang="EN-US">Tidak terjadi
gangguan nutrisi</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; tab-stops: list 81.0pt;">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Kriteria hasil</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l29 level1 lfo27; tab-stops: list 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Berat badan dapat dipertahankan/ditingkatkan</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-list: l29 level1 lfo27; tab-stops: list 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Hb dan albumin dalam batas normal</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; width: 631px;">
<tbody>
<tr>
<td style="background: #CCCCCC; border-bottom: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">INTERVENSI</span></div>
</td>
<td style="background: #CCCCCC; border-bottom: none; border-left: none; border-right: solid windowtext 1.0pt; border-top: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">RASIONAL</span></div>
</td>
</tr>
<tr>
<td style="border-bottom: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Tentukan kemampuan klien
dalam mengunyah, menelan dan reflek batuk</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Letakkan posisi kepala lebih
tinggi pada waktu, selama dan sesudah makan </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Stimulasi bibir untuk menutup
dan membuka mulut secara manual dengan menekan ringan diatas bibir/dibawah
dagu jika dibutuhkan </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Letakkan makanan pada daerah
mulut yang tidak terganggu </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Berikan makan dengan berlahan
pada lingkungan yang tenang</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mulailah untuk memberikan
makan peroral setengah cair, makan lunak ketika klien dapat menelan air</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anjurkan klien menggunakan
sedotan meminum cairan</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">8.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anjurkan klien untuk
berpartisipasidalam program latihan/kegiatan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo29; tab-stops: list 18.0pt 99.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">9.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kolaborasi dengan tim dokter
untuk memberikan ciran melalui iv atau
makanan melalui selang</span></div>
</td>
<td style="border-bottom: none; border-left: none; border-right: solid windowtext 1.0pt; border-top: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 81.0pt 90.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Untuk menetapkan jenis
makanan yang akan diberikan pada klien</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 81.0pt 90.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Untuk klien lebih mudah untuk
menelan karena <st1:city w:st="on"><st1:place w:st="on">gaya</st1:place></st1:city>
gravitasi </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 81.0pt 90.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Membantu dalam melatih
kembali sensori dan meningkatkan kontrol muskuler</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 81.0pt 90.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Memberikan stimulasi sensori
(termasuk rasa kecap) yang dapat mencetuskan usaha untuk menelan dan
meningkatkan masukan</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 81.0pt 90.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien dapat berkonsentrasi
pada mekanisme makan tanpa adanya distraksi/gangguan dari luar</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 81.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Makan lunak/cairan kental
mudah untuk mengendalikannya didalam mulut, menurunkan terjadinya aspirasi</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 81.0pt 90.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Menguatkan otot fasial dan
dan otot menelan dan menurunkan resiko terjadinya tersedak</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 81.0pt 90.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">8.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Dapat meningkatkan pelepasan
endorfin dalam otak yang meningkatkan nafsu makan</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l22 level1 lfo28; tab-stops: list 18.0pt 108.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">9.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mungkin diperlukan untuk
memberikan cairan pengganti dan juga makanan jika klien tidak mampu untuk
memasukkan segala sesuatu melalui mulut</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 18.0pt; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US">Evaluasi</span></div>
<div class="MsoNormal" style="margin-left: 39.6pt;">
<span lang="EN-US"> Evaluasi merupakan langkah akhir dalam
proses keperawatan. Evaluasi adalah kegiatan yang di sengaja dan terus-menerus
dengan melibatkan klien, perawat, dan anggota tim kesehatan lainnya. Dalam hal
ini diperlukan pengetahuan tentang kesehatan, patofisiologi, dan strategi
evaluasi. Tujuan evaluasi adalah untuk menilai apakah tujuan dalam rencana
keperawatan tercapai atau tidak dan untuk melakukan pengkajian ulang.
(Lismidar, 1990).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="background: silver; mso-highlight: silver;">Bersihan jalan napas tak efektif berhubungan dengan ketidakmampuan
batuk aktif sekunder gangguan kesadaran.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Tujuan : Kebersihan
jalan napas efektif.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span lang="EN-US">Kriteria
hasil :<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l15 level1 lfo35; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Mencari posisi yang nyaman yang memudahkan
peningkatan pertukaran udara.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l15 level1 lfo35; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Mendemontrasikan batuk efektif.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l15 level1 lfo35; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Menyatakan strategi untuk menurunkan kekentalan
sekresi.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span lang="EN-US">Rencana
Tindakan :<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #CCCCCC; border-bottom: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">INTERVENSI</span></div>
</td>
<td style="background: #CCCCCC; border-bottom: none; border-left: none; border-right: solid windowtext 1.0pt; border-top: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-pattern: gray-20 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">RASIONAL</span></div>
</td>
</tr>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l33 level1 lfo36; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Jelaskan klien tentang kegunaan batuk yang
efektif dan mengapa terdapat penumpukan sekret di sal. pernapasan.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="EN-US">R/ Pengetahuan yang diharapkan akan membantu
mengembangkan kepatuhan klien terhadap rencana teraupetik.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l33 level1 lfo36; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Ajarkan klien tentang metode yang tepat
pengontrolan batuk.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="EN-US">R/ Batuk yang tidak terkontrol adalah melelahkan dan
tidak efektif, menyebabkan frustasi.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l33 level1 lfo36; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Napas dalam dan perlahan saat duduk setegak
mungkin.<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="margin-top: 6.0pt; text-indent: 21.3pt;">
<span lang="EN-US">R/ Memungkinkan ekspansi paru lebih luas.<o:p></o:p></span></div>
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<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l33 level1 lfo36; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Lakukan pernapasan diafragma.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="EN-US">R/ Pernapasan diafragma menurunkan frek. napas dan
meningkatkan ventilasi alveolar.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
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<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Tahan napas selama 3 - 5 detik kemudian secara perlahan-lahan,
keluarkan sebanyak mungkin melalui mulut.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="EN-US">Lakukan napas ke dua , tahan dan batukkan dari dada
dengan melakukan 2 batuk pendek dan kuat.<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="EN-US">R/ Meningkatkan volume udara dalam paru mempermudah
pengeluaran sekresi sekret.<o:p></o:p></span></div>
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<br /></div>
</td>
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<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 239.4pt;" valign="top" width="319">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l33 level1 lfo36; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Auskultasi paru sebelum dan sesudah klien
batuk.<o:p></o:p></span></div>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="EN-US">R/ Pengkajian ini
membantu mengevaluasi keefektifan upaya batuk klien.<o:p></o:p></span></div>
</td>
</tr>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l33 level1 lfo36; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Ajarkan klien tindakan untuk menurunkan
viskositas sekresi : mempertahankan hidrasi yang adekuat; meningkatkan
masukan cairan 1000 sampai 1500 cc/hari bila tidak kontraindikasi.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="EN-US">R/ Sekresi kental sulit untuk diencerkan dan dapat
menyebabkan sumbatan mukus, yang mengarah pada atelektasis.<o:p></o:p></span></div>
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<br /></div>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l33 level1 lfo36; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">8.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Dorong atau berikan perawatan mulut yang baik
setelah batuk.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.0pt;" valign="top" width="312">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="EN-US">R/ Hiegene mulut yang baik meningkatkan rasa
kesejahteraan dan mencegah bau mulut.<o:p></o:p></span></div>
</td>
</tr>
<tr>
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<span lang="EN-US">9. Kolaborasi
dengan tim kesehatan lain : <o:p></o:p></span></div>
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<span lang="EN-US">Dengan dokter, radiologi dan fisioterapi.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.5pt; text-indent: 1.8pt;">
<span lang="EN-US">Pelaksanaan <span style="background: silver; mso-highlight: silver;">fisioterapi dada / postural drainase</span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.5pt; text-indent: 1.8pt;">
<span lang="EN-US">Pemberian expectoran.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.5pt; text-indent: 1.8pt;">
<span lang="EN-US">Pemberian antibiotika.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.5pt; text-indent: 1.8pt;">
<span lang="EN-US">Konsul photo toraks.<o:p></o:p></span></div>
</td>
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<span lang="EN-US">R/ Expextorant untuk memudahkan mengeluarkan
lendir dan menevaluasi perbaikan kondisi klien atas pengembangan parunya.<o:p></o:p></span></div>
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<br /></div>
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DAFTAR <span lang="EN-US">PUSTAKA.</span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Marylin Doengus , <b>TERJEMAHAN RENCANA ASUHAN KEPERAWATAN</b> ,
EGC, 1999.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l36 level1 lfo30; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lynda Jual C<b> ,RENCANA ASUHAN DAN DOKUMENTASI
KEPERAWATAN</b>, EGC,1999.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l36 level1 lfo30; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anna Owen<b> ,PEMANTAUAN PERAWATAN KRITIS</b>, , EGC, 1997.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l36 level1 lfo30; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Susan C.dewit, <b>ESSENTIALS OF MEDICAL SURGICAL NURSING</b>,
W.B SOUNDERS COMPANY, 1998</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l36 level1 lfo30; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Harsono,ED, <b>NEUROLOGI KLINIS</b>, GAJAH MADA UNIVERSITY
PRESS, 1996.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">2000, Harsono ED, <b>KAPITA SELEKTA NEUROLOGI</b>, Gajah Mada UP. </span></div>
</div>
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Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-64616444645882569572013-04-21T23:48:00.001+07:002013-04-21T23:48:23.151+07:00ASKEP PEMFIGUS VULGARIS <br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US">PEMFIGUS VULGARIS<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US">A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">PENGERTIAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Pemfigus adalah kumpulan penyakit
kulit autoimun terbuka kronik, menyerang kulit dan membran mukosa yang secara
histologik ditandai dengan bula intra spidermal akibat proses ukontolisis
(pemisahan sel-sel intra sel) dan secara imunopatologi ditemukan antibody
terhadap komponen dermosom pada permukaan keratinosis jenis Ig I, baik terikat
mupun beredar dalam sirkulasi darah ( Djuanda:2001, hal :186)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Pemfigus adalah penyakit kulit yang
ditandai dengan timbulnya sebaran gelembung secara berturut-turut yang
mengering dengan meninggalkan bercak-bercak berwarna gelap, dapat diiringi
dengan rasa gatal atau tidak dan umumnya mempengaruhi keadaan umum si
penderita. (Laksman: 1999, hal:261).</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">B.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">ETIOLOGI </span></b><span lang="EN-US">(Smeltzer dan Bars, 2002, hal:1879)<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Genetik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">penyakit autoimun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">obat-obatan (Penisilin dan
kaptopril)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">sebagai penyakit penyerta
seperti neoplasma</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">C.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">MANIFESTASI KLINIK<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Tanda dan gejala pemfigus :</span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemfigus Vulgaris</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kulit berlepuh, Ø 1-10 cm, bula
kendur, mudah pecah, nyeri pada kulit yang terkelupas, erosi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Krusta bertahan lama,
hiperpigmentasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tanda nikolsky ada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kelamin, mukosa mulut 60%</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Biasanya usia 30-60 tahun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bau specifik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pemfigus eritematosus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level1 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Biasanya pada usia 60-70 tahun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level1 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Lesi awal : daerah wajah, kulit
kepala, punggung, seluruh tubuh berupa bercak, eritematosa batas tegas (
seperti kupu-kupu pada wajah) , krusta sifatnya kronis residif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level1 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dinding bula kendur, mudah
pecah, erosif yang dikelilingi dasar eritematosa, krusta dan skuama krusta
basah, bau khas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level1 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tanda nikolsky ada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l2 level1 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Mukosa mulut terkena </span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pemfigus bullosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l4 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Biasanya usia 50-70 tahun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l4 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dinding bula tegang berisi
cairan jernih/ hemoragic diatas kulit yang tampak normal atau eritema</span></div>
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<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diameter bula bervariasi</span></div>
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<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Lesi mulut / genitalis ( 20 –
40 %)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l4 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tidak ada tanda nikolsky</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pemfigus vegetans</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l3 level1 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pada usia lebih muda
dibandingkan dengan pemfigus vulgaris</span></div>
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<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">lesi awal dimukosa mulut
berbulan-bulan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l3 level1 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">lesi kulit : lokasi inter
triginose, wajah, kepala, hidung, extremitas, selluruh tubuh berupa bula
kendur, mudah pecah, erosi vegetans, bau amis, hiperpigmentasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l3 level1 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">tanda nikolsky ada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">D.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">PATOFISIOLOGI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Semua proses pemfigus sifat yang khas yaitu:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Poses akontolisis]</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">adanya antibody Ig G terhadap
antigen diterminan yang ada pada permukaan keratinosis yang sedang
berdeferensiasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Sebagian besar pasien, pada mulanya
ditemukan dengan testoral yang tampak sebagai erosi – erosi yang bentuknya
ireguler yang terasa nyeri, mudah berdarah dan sembuh lambat. Bula pada kulit
akan membesar, pecah dan meninggalkan daerah daerah erosi yang lebar serta
nyeri disertai dengan pembentukan krusta dan pembesaran cairan. Bau yang
menususk dan khas akan memancar dari bula dan yang merembes keluar. Kalau
dilakukan penekanan yang meminimalkan terjadinya pembentukan lepuh/
pengelupasan kulit yang normal ( tanda nikolsky ). Kulit yang erosi sembuh
dengan lambah sehingga akhirnya daerah tubuh yang terkena sangat luas. Sekunder
infeksi disertai dengan terjadinya gangguan keseimbangan cairan dan elektrolit
sering terjadi akibat kehilangan cairan dan protein ketika bula mengalami
ruptur. Hipoalbuminemia sering dijumpai kalau proses penyakit mencakup daerah
permukaan kulit tubuh dan membran mukosa yang luas. ( smeltzer dan Bars:2002,
hal 1880)</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">E.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">PENGKAJIAN FOKUS<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Biodata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">Umur : biasanya pada usia pertengahan sampai dewasa muda</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Riwayat kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">Keluhan utama : nyeri karena adanya pembentukan bula dan
erosi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">Riwayat penyakit dahulu : Riwayat alergi obat, riwayat
penyakit keganasan ( neoplasma ), riwayat penyakit lain, Riwayat hipertensi</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pola kesehatan fungsional
Gordon yang terkait</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l3 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pola Nutrisi dan Metabolik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Kehilangan cairan dan elektrolit akibat kehilangan
cairan dan protein ketika bula mengalami ruptur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l3 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pola persepsi sensori dan
kognitif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Nyri akibat pembentukan bula dan erosi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l3 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pola hubungan dengan orang lain</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Terjadinya perubahan dalam berhubungan dengan orang lain
karena adanya bula atau bekas pecahan bula yang meninggalkan erosi yang lebar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l3 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pola persepsi dan konsep diri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Terjadinya gangguan body image karena adanya bula/ bula
pecah meninggalkan erosi yang lebar serta bau yang menusuk</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemeriksaan Fisik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Keadaan Umum : Baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tingkat kesadaran :
Composmentis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tanda – tanda vital :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level6 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">TD : Dapat meningkat/ menurun</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">N : Dapat meningkat/ menurun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level6 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">RR : Dapat meningkat/ menurun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level6 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">S : Dapat meningkat/ menurun</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kepala : Kadang ditemukan bula</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dada : Kadang ditemukan bula</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Punggung : Kadang ditemukan bula dan luka dekubitus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ekstremitas : Kadang ditemukan bula dan luka
dekubitus</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemeriksaan penunjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l4 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Klinis anamnesis dan
pemeriksaan kulit : ditemukan bula</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l4 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Laborat darah : hipoalbumin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l4 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Biopsi kulit : mengetahui kemungkinan maligna</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l4 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Test imunofluorssen :
didapat penurunan imunoglobulin</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">F.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">PENATALAKSANAAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemfigus vulgaris</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo6; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Perbaiki keadaan umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Atasi keseimbangan cairan (
input atau output ), elektrolit, tanda-tanda vital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo6; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sistemik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kortikosteroid : Prednison 60-150 mg/hr ( tergantung berat ringannya
penyakit </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tapering off disesuaikan dengan
kondisi klinis dan kadar IgG dalam darah
sampai dosis pemeliharaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dapat dikombinasikan
kortikosteroid dan sitostatika (Azotlapin 1-3 mg/kg BB ) untuk sparing efek.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Antibiotika bila ada infeksi
sekunder</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">KCL 3x500 mg/ hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anabolik ( Anabolene 1x1
tablet/ hari )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo6; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Topikal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Eksudatif : kompres</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Darah erosif : -
Silver sulfadiazine</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Krim antibiotik bila ada
infeksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kortikosteroid lemah untuk lesi
yang tidah eksudatif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pemfigus eritematosus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">a. umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengawasan keadaan umum, tanda
vital, input atau output cairan dan elektrolit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diet lunak, TKTP, rendah garam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sistemik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kortikosteroid : prednison
60-100 mg/hr ( tergantung berat ringannya penyakit)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kombinasi kortikosteroid dan
azatioprin (1-2 mg/kg BB)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Antibiotik : bila terdapat
infeksi sekunder</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anbolik ( anabolene 1x1 tb/
hari)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Topikal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Untuk lesi basah : kompres</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Untuk lesi erosif : mupirocin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Untuk lesi berskuama : kompres
hidrokortison 2,5 %, lanalcin 10 %, vaselin albumin 100</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">3. Pemfigus bulosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">a. umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengawasan keadaan umum, tanda
vital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diet TKTP</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Hindari infeksi sekunder (K/P)
infus untuk mengantisipasi gangguan cairan dan elektrolit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sistemik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Prednison 40-80 mg/hr, bila
tampak perbaikan tapering off</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">DDS 200-300 mg/hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dapat diberikan gabungan
prednison dengan imunosupresan lain</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">MTX 20-30 mg/ minggu interval
12 jam diberikan saat prednison dosis 400 mg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Azatioprin 50-150 mg/hr setelah
3-4 minggu kemudian dilakukan alternate day</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anbolik bila ada infeksi
sekunder </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">CTM 3x1 tablet sehari ( bila
gatal)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Topikal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Untuk lesi basah : kompres
rivanol</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Untuk lesi erosi kering :
kortikosteroid topikal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Antibiotik topikal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bula besar : aspirasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">4. pemfigus vegetans</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">a. umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengawasan keadaan umum, tanda
vital, input output cairan dan elektrolit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diet lunak, TKTP, rendah garam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sistemik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Prednison 60-150 mg/hr,
tapering off sesuai dengan kondisi klinis sampai dosis pemeliharaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Antibiotik bila ada infeksi
sekunder </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Alternate dapseon 100-200
mg/hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">KCL 2x500 mg (k/p)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anabolik (anabolene 1x1 tablet
sehari)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">g.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Topikal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Betadine gargle untuk kumur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bibir kenalog in arabase</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Garamicin krim atau fucidine
krim 2xsehari untuk daerah erosif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Untuk krusta : kompres salep
antibiotik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><st1:street w:st="on"><st1:address w:st="on"><span lang="EN-US">Mandi PK</span></st1:address></st1:street><span lang="EN-US"> /
10.000</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">G.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">PATHWAY<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<!--[if gte vml 1]><v:shapetype
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<span lang=EN-US>Penyakit
autoimun</span></p>
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<span lang=EN-US>Obat-obatan</span></p>
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<span lang=EN-US>genetik</span></p>
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<span lang=EN-US>PEMFIGUS
</span></p>
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<span lang=EN-US>Menimbulkan
bula pada kulit</span></p>
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<td width="137"></td>
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<td height="79"></td>
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<td height="10"></td>
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<td height="103"></td>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<br clear="ALL" />
<div class="MsoNormal" style="line-height: 150%; tab-stops: 86.25pt; text-align: justify;">
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Meninggalkan
erosi dan bau busuk</span></p>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Lesi
kulit</span></p>
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<span lang=EN-US>Mengalami
penekanan</span></p>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Kehilangan
cairan dan protein</span></p>
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<v:textbox inset="0,0,0,0">
<![if !mso]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Penampakan
kulit yang tidak baik</span></p>
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<span lang=EN-US>Mengenai
reseptor nyeri</span></p>
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<v:textbox inset="0,0,0,0">
<![if !mso]>
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<span lang=EN-US>Kulit
mengelupas</span></p>
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<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Hilangnya
cairan jaringan</span></p>
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</tr>
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height:36pt;z-index:251641856'>
<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Gangguan
body image</span></p>
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height:36pt;z-index:251642880'>
<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Gangguan
rasa nyaman nyeri</span></p>
</div>
<![if !mso]></td>
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<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Takut
beraktifitas</span></p>
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<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
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<span lang=EN-US>Sembuh
lambat </span></p>
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<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
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<span lang=EN-US>Kerusakan
/ gangguan integritas kulit</span></p>
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<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>meluas</span></p>
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<v:textbox inset="0,0,0,0">
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<table cellpadding=0 cellspacing=0 width="100%">
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Bedrest
lama</span></p>
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<td></td>
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<!--[endif]--><span lang="EN-US"> </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<br clear="ALL" />
<div class="MsoNormal" style="line-height: 150%; tab-stops: right 14.0cm; text-align: justify;">
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id="_x0000_s1043" type="#_x0000_t202" style='position:absolute;left:0;
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z-index:251648000' filled="f" stroked="f">
<v:textbox inset="0,0,0,0"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 88px; left: 0px; margin-left: 372px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 100px; z-index: 251648000;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="88" style="vertical-align: top;" width="100"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251648000;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 0pt 0pt 0pt 0pt;" v:shape="_x0000_s1043">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Barier
proteksi kulit dan membran mukosa hilang</span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if gte vml 1]><v:shape id="_x0000_s1045" type="#_x0000_t202"
style='position:absolute;left:0;text-align:left;margin-left:387pt;
margin-top:14.45pt;width:1in;height:63pt;z-index:251650048'>
<v:textbox inset="0,0,0,0"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 90px; left: 0px; margin-left: 515px; margin-top: 18px; mso-ignore: vglayout; position: absolute; width: 102px; z-index: 251650048;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="90" style="background: white; border: .75pt solid black; vertical-align: top;" width="102"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251650048;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: .75pt .75pt .75pt .75pt;" v:shape="_x0000_s1045">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Gangguan
keseimbangan cairan dan elektrolit </span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><span lang="EN-US"> </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<!--[if gte vml 1]><v:shape
id="_x0000_s1042" type="#_x0000_t202" style='position:absolute;left:0;
text-align:left;margin-left:270pt;margin-top:84.2pt;width:81pt;height:36pt;
z-index:251646976'>
<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Resiko
tinggi infeksi </span></p>
</div>
<![if !mso]></td>
</tr>
</table>
<![endif]></v:textbox>
</v:shape><v:shape id="_x0000_s1046" type="#_x0000_t202" style='position:absolute;
left:0;text-align:left;margin-left:198pt;margin-top:28.1pt;width:63pt;
height:27pt;z-index:251651072'>
<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Intoleransi
aktifitas</span></p>
</div>
<![if !mso]></td>
</tr>
</table>
<![endif]></v:textbox>
</v:shape><v:shape id="_x0000_s1047" type="#_x0000_t202" style='position:absolute;
left:0;text-align:left;margin-left:198pt;margin-top:-24.85pt;width:1in;
height:63pt;z-index:251652096' filled="f" stroked="f">
<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Terjadi
kekakuan sendi</span></p>
</div>
<![if !mso]></td>
</tr>
</table>
<![endif]></v:textbox>
</v:shape><v:shape id="_x0000_s1049" type="#_x0000_t202" style='position:absolute;
left:0;text-align:left;margin-left:108pt;margin-top:.05pt;width:63pt;height:18pt;
z-index:251654144' filled="f" stroked="f">
<v:textbox inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Decubitus
</span></p>
</div>
<![if !mso]></td>
</tr>
</table>
<![endif]></v:textbox>
</v:shape><v:line id="_x0000_s1074" style='position:absolute;left:0;
text-align:left;z-index:251679744' from="225pt,9.05pt" to="225pt,24.35pt">
<v:stroke endarrow="block"/>
</v:line><v:line id="_x0000_s1077" style='position:absolute;left:0;
text-align:left;z-index:251682816' from="297pt,28.1pt" to="297pt,73.1pt">
<v:stroke endarrow="block"/>
</v:line><v:line id="_x0000_s1078" style='position:absolute;left:0;
text-align:left;z-index:251683840' from="135pt,18.05pt" to="261pt,99.05pt">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 251646976;"><span style="height: 198px; left: 0px; left: 144px; position: absolute; top: -91px; width: 329px;"><img height="198" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" v:shapes="_x0000_s1042 _x0000_s1046 _x0000_s1047 _x0000_s1049 _x0000_s1074 _x0000_s1077 _x0000_s1078" width="329" /></span></span><!--[endif]--><span lang="EN-US"> </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<br clear="ALL" />
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">H.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US">DIAGNOSA KEPERAWATAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">gangguan keseimbangan cairan
dan elektrolit berhubungan dengan kehilangan cairan dan protein</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">gangguan rasa nyaman: nyeri
berhubungan dengan lesi pada kulit, pecahnya bula</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">resiko tinggi infeksi
berhubungan dengan hilangnya barier proteksi kulit dan membran mukosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">gangguan atau kerusakan
integritas kulit berhubungan dengan rupture bula dan daerah kulit yang terbuka</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">intoleransi aktfitas
berhubungan dengan kelemahan fisik, kekakuan sendi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">ganguan body image berhubungan
dengan penampakan kulit yang tidak baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">I.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">FOKUS INTERVENSI <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">gangguan keseimbangan cairan
dan elektrolit berhubungan dengan kehilangan cairan dan protein</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tujuan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Pemenuhan volume cairan yang optimal dan elektrolit
seimbang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Intervensi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pantau TTV, haluaran cairan
urine dan waspada terhadap tanda-tanda hipovolemia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: hipovolemia merupakan resiko utama yang harus segera
ditangani</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pantau haluaran urine setiap 1
jam sekali dan menimbang BB setiap hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: dapat memberikan informasi tentang status cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pertahankan pemberian cainan
infus dan atur tetesan sesuai dengan program </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: pemberian cairan yang adekuat guna mempertahankan
keseimbangan cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Naikkan kepala dan tinggikan
ekstremitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: peninggian akan meningkatkan aliran darah vena</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Hitung balance cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: dapat memberikan informasi tentang input-output
cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">gangguan rasa nyaman: nyeri
berhubungan dengan lesi pada kulit, pecahnya bula</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tujuan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Nyeri berkurang atau hilang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Intervensi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level1 lfo9; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Periksa daerah yang terkena dan
terlibat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: pemahaman tentang luasnya dan karakteristik kulit
untuk memudahkan menyusun intervensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level1 lfo9; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kendalikan faktor-faktor iritan
( kelembaban, suhu, sabun ringan, batasi pakaian, cuci linen)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: rasa nyeri diperburuk ileh panas, bahan kimia dan
fisik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level1 lfo9; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kaji skala nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: mengetahui perkembangan penyakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level1 lfo9; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Berikan tindakan kenyamanan
dasar, seperti pijatan daerah atau area yang tidak sakit dan perubahan posisi
sesering mungkin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: meningkatkan relaksasi, menurunkan ketegangan otot
dan kelelahan umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level1 lfo9; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ajarkan manajemen stres seperti
relaksasi nafas dalam dan distraksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: meningkatkan relaksasi dan meningkatkan rasa kontrol
yang menurunkan ketergantungan pada obat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level1 lfo9; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kolaburasi pemberian analgetik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: untuk mengurangi nyeri </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Resiko tinggi infeksi
berhubungan dengan hilangnya barier proteksi kulit dan membran mukosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tujuan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Tidak terjadi infeksi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Intervensi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Implementasi teknik isolasi
yang tepat sesuai indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: menurunkan resiko terkontaminasi silang atau terpajan
pada flora bakteri multiple</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tekankan pentingnya teknik
mencuci tangan yang baik untuk semua individu yang kontak dengan pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: mencegah kontaminasi silang, menurunkan resiko
infeksi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Awasi atau batasi pengunjung
bila perlu dan jelaskan prosedur isolasi terhadap pengunjung bila perlu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: mencegah kontamiasi silang dari pengunjung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Periksa luka setiap hari,
perhatikan atau catat perubahan penampakan bau atau kuntitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: mengidentifikasi adanya penyembuhan dan memberikan
deteksi dini adanya infeksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l1 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Rawat luka dengan teknik
aseptik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: menurunkan resiko infeksi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">gangguan atau kerusakan
integritas kulit berhubungan dengan rupture bula dan daerah kulit yang terbuka</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tujuan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Pemeliharaan integritas kulit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Intervensi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l5 level1 lfo10; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kompres yang basah dan sejuk
atau therapi rendaman</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R : dapat mengurangi rasa nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l5 level1 lfo10; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Setelah dimandikan kulit segera
dikeringkan dengan hati-hati dan taburi dengan bedah yang tidak mengiritasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R : jumlah bedak yang cukup banyak mungkin diperlukan
untuk menjaga agar kulit pasien tidak lengket dengan sprei</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l5 level1 lfo10; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Jangan menggunakan plester</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: dapat menimbulkan pecahnya bula sehingga perlu
diberikan perban.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Intoleransi aktfitas berhubungan
dengan kelemahan fisik, kekakuan sendi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tujuan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Toleran terhadap aktifitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Intervensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l10 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kaji tingkat aktifitas pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: untuk mengetahui tingkat ADL pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l10 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anjurkan pasien untuk menghemat
energi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: untuk mengurangi energi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l10 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bantu pemenuhan ADL</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: agar tidak terjadi ADL</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l10 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Monitor TTV</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: aktifitas banyak dapat meningkatkan nadi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l10 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anjurkan pasien untuk banyak
istirahat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: istirahat dapat memulihkan energi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ganguan body image berhubungan
dengan penampakan kulit yang tidak baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tujuan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Pengembangan penerimaan diri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Intervensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kaji adanya gangguan citra diri
( menghindar, kontak mata kurang)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: gangguan citra diri akan menyertai setiap penyakit
yang tampak nyata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Beri kesempatan pasien untuk
mengungkapkan emosi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: pasien butuh pengalaman didengarkan dan dipahami</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Motivasi pasien untuk
bersosialisasi dengan orang lain</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: meningkatkan penerimaan diri dan sosialisasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Motivasi supaya pasien
memperbaiki citra tubuh</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">R: meningkatkan kepercayaan diri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US"><br /></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Doengoes Marilynn, 1999; <i>Rencana Asuhan Keperawatan</i> , EGC, <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Smelltzer and bars, 2002, hal 188</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Harnowo, 2002, hal: 29</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="line-height: 150%; text-indent: -36pt;"><span style="font-size: 7pt;"> </span></span><span lang="EN-US" style="line-height: 150%; text-indent: -36pt;">Brunner and suddath, 2001; <i>Buku Ajar Keperawatan Medikal Bedah</i>,
EGC, <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="text-indent: -36pt;"><span style="font-size: 7pt;"> </span></span><span lang="EN-US" style="text-indent: -36pt;">Mansjoer, Arif, Dkk, 1999; <i>Kapita Selekta Kedokteran</i>, <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city>, Medikal
Aesculapis</span></li>
</ol>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-9665337931573244132013-04-21T23:42:00.002+07:002013-04-21T23:42:53.632+07:00ASKEP ERITRODERMA<br />
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<b><span lang="EN-US">ERITRODERMA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 163.0pt; text-align: justify;">
<b><span lang="EN-US"> <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span lang="EN-US">A. DEFINISI<o:p></o:p></span></b></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 200%; mso-list: l11 level1 lfo9; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Eritroderma ( dermatitis
eksfoliativa ) adalah kelainan kulit yang ditandai dengan adanya eritema
seluruh / hampir seluruh tubuh , biasanya disertai skuama ( Arief Mansjoer
, 2000 : 121 ).</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l11 level1 lfo9; tab-stops: list 36.0pt; text-align: justify;"><span lang="SV">Eritroderma
merupakan inflamasi kulit yang berupa eritema yang terdapat hampir atau di
seluruh tubuh ( www. medicastore . com ).<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l11 level1 lfo9; tab-stops: list 36.0pt; text-align: justify;"><span lang="SV">Dermatitis
eksfoliata generalisata adalah suatu kelainan peradangan yang ditandai dengan
eritema dan skuam yang hampir mengenai seluruh tubuh ( Marwali Harahap ,
2000 : 28 )<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l11 level1 lfo9; tab-stops: list 36.0pt; text-align: justify;"><span lang="SV">Dermatitis
eksfoliata merupakan keadaan serius yang ditandai oleh inflamasi yang
progesif dimana eritema dan pembentukan skuam terjadi dengan distribusi
yang kurang lebih menyeluruh ( Brunner & Suddarth vol 3 , 2002 : 1878
).<o:p></o:p></span></li>
</ul>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span lang="SV">B. ETIOLOGI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="SV">Berdasarkan penyebabnya ,
penyakit ini dapat dibagikan dalam 2 kelompok :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Eritrodarma eksfoliativa primer</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">Penyebabnya tidak diketahui.
Termasuk dalam golongan ini eritroderma iksioformis konginetalis dan
eritroderma eksfoliativa neonatorum(5–0 % ).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Eritroderma eksfoliativa
sekunder</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">a.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">Akibat penggunaan obat secara sistemik
yaitu penicillin dan derivatnya , sulfonamide , analgetik / antipiretik dan
ttetrasiklin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">b.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">Meluasnya dermatosis ke seluruh tubuh ,
dapat terjadi pada liken planus , psoriasis , pitiriasis rubra pilaris ,
pemflagus foliaseus , dermatitis seboroik dan dermatitis atopik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level1 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penyakit sistemik seperti
Limfoblastoma.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">( Arief Mansjoer , 2000 : 121 : Rusepno Hasan 2005 : 239
) </span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span lang="EN-US">C. ANATOMI<o:p></o:p></span></b></div>
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<span lang="SV">Kulit mepunyai
tiga lapisan utama : Epidermis , Dermis dan Jaringan sub kutis. Epidermis (
lapisan luar ) tersusun dari beberapa lapisan tipis yang mengalami tahap
diferensiasi pematangan.<o:p></o:p></span></div>
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<span lang="SV">Kulit ini
melapisi dan melindungi organ di bawahnya terhadap kehilangan air , cedera
mekanik atau kimia dan mencegah masuknya mikroorganisme penyebab penyakit.
Lapisan paling dalam epidermis membentuk sel – sel baru yang bermigrasi kearah
permukaan luar kulit. Epidermis terdalam juga menutup luka dan mengembalikan
integritas kulit sel – sel khusus yang disebut melanosit dapat ditemukan dalam
epidermis. Mereka memproduksi melanin , pigmen gelap kulit. Orang berkulit
lebih gelap mempunyai lebih banyak melanosit aktif.<o:p></o:p></span></div>
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<br /></div>
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<span lang="SV">Epidermis terdiri dari 5
lapisan yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Stratum Korneum</span></div>
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<span lang="SV">Selnya sudah mati , tidak
mempunyai intisel , intiselnya sudah mati dan mengandung zat keratin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Stratum lusidum</span></div>
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<span lang="SV">Selnya pipih , bedanya dengan
stratum granulosum ialah sel – sel sudah banyak yang kehilangan inti dan butir
– butir sel telah menjadi jernih sekali dan tembus sinar.<o:p></o:p></span></div>
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<span lang="SV">Lapisan ini hanya terdapat
pada telapak tangan dan telapak kaki.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Stratum Granulosum</span></div>
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<span lang="SV">Stratum ini terdiri dari sel –
sel pipih. Dalam sitoplasma terdapat
butir–butir yang disebut keratohialin yang merupakan fase dalam pembentukan
keratin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Stratum Spinosum / Stratum
Akantosum</span></div>
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<span lang="EN-US">Lapisan yang paling tebal.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Stratum Basal / Germinativum</span></div>
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<span lang="SV">Stratum germinativum
menggantikan sel – sel yang diatasnya dan merupakan sel – sel induk.<o:p></o:p></span></div>
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<span lang="EN-US">Dermis terdiri dari 2 lapisan : </span></div>
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<!--[if !supportLists]--><span lang="SV">a.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">Bagian atas , papilaris ( stratum
papilaris )<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV">b.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">Bagian bawah , retikularis ( stratum
retikularis )<o:p></o:p></span></div>
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<span lang="SV">Kedua jaringan tersebut
terdiri dari jaringan ikat lonngar yang tersusun dari serabut – serabut kolagen
, serabut elastis dan serabut retikulus<o:p></o:p></span></div>
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<span lang="SV">Serabut kolagen untuk
memberikan kekuatan pada kulit. Serabut elastis memberikan kelenturan pada
kulit.<o:p></o:p></span></div>
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<span lang="SV">Retikulus terdapat terutama di
sekitar kelenjar dan folikel rambut dan memberikan kekuatan pada alat tersebut.<o:p></o:p></span></div>
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<span lang="SV">Subkutis<o:p></o:p></span></div>
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<span lang="SV">Terdiri dari kumpulan –
kumpulan sel – sel lemak dan diantara gerombolan ini berjalan serabut – serabut
jaringan ikat dermis.<o:p></o:p></span></div>
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<span lang="SV">Fungsi kulit :<o:p></o:p></span></div>
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<span lang="SV">- Proteksi - Pengatur
suhu<o:p></o:p></span></div>
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<span lang="SV">- Absorbsi - Pembentukan
pigmen <o:p></o:p></span></div>
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<span lang="SV">-
Eksresi -
Keratinisasi <o:p></o:p></span></div>
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<span lang="SV">- Sensasi - Pembentukan vit D<o:p></o:p></span></div>
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<span lang="SV">( Syaifuddin , 1997 : 141 –
142 )<o:p></o:p></span></div>
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<b><span lang="SV">D. PATOFISIOLOGI<o:p></o:p></span></b></div>
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<span lang="SV">Pada
dermatitis eksfoliatif terjadi pelepasan stratum korneum ( lapisan kulit yang
paling luar ) yang mencolok yang menyebabkan kebocoran kapiler ,
hipoproteinemia dan keseimbangan nitrogen yang negatif . Karena dilatasi
pembuluh darah kulit yang luas , sejumlah besar panas akan hilang jadi
dermatitis eksfoliatifa memberikan efek yang nyata pada keseluruh tubuh.<o:p></o:p></span></div>
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<span lang="SV">Pada eritroderma terjadi
eritema dan skuama ( pelepasan lapisan tanduk dari permukaan kult sel – sel
dalam lapisan basal kulit membagi diri terlalu cepat dan sel – sel yang baru
terbentuk bergerak lebih cepat ke permukaan kulit sehingga tampak sebagai sisik
/ plak jaringan epidermis yang profus.<o:p></o:p></span></div>
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<span lang="SV">Mekanisme terjadinya alergi
obat seperti terjadi secara non imunologik dan imunologik ( alergik ) , tetapi
sebagian besar merupakan reaksi imunologik. Pada mekanismee imunologik, alergi
obat terjadi pada pemberian obat kepada pasien yang sudah tersensitasi dengan
obat tersebut. Obat dengan berat molekul yang rendah awalnya berperan sebagai
antigen yang tidak lengkap ( hapten ). Obat / metaboliknya yang berupa hapten
ini harus berkojugasi dahulu dengan protein misalnya jaringan , serum / protein
dari membran sel untuk membentuk antigen obat dengan berat molekul yang tinggi
dapat berfungsi langsung sebagai antigen lengkap.<o:p></o:p></span></div>
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<span lang="SV">( Brunner & Suddarth vol 3
, 2002 : 1878 )</span></div>
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<br /></div>
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<b><span lang="SV">F. MANIFESTASSI KLINIS <o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Eritroderma
akibat alergi obat , biasanya secara sistemik. Biasanya timbul secara akut
dalam waktu 10 hari. Lesi awal berupa eritema menyeluruh , sedangkan skuama
baru muncul saat penyembuhan. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Eritroderma
akibat perluasan penyakit kulit yang tersering addalah psoriasis dan dermatitis
seboroik pada bayi ( Penyakit Leiner ).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV">–<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Eritroderma
karena psoriasis <o:p></o:p></span></div>
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<span lang="SV">Ditemukan eritema yang tidak
merata. Pada tempat predileksi psoriasis dapat ditemukan kelainan yang lebih
eritematosa dan agak meninngi daripada sekitarnya dengan skuama yang lebih
kebal. </span><span lang="EN-US">Dapat ditemukan pitting nail.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">–<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penyakit leiner ( eritroderma
deskuamativum )</span></div>
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<span lang="SV">Usia pasien antara 4 -20
minggu keadaan umum baik biasanya tanpa keluhan. </span><span lang="EN-US">Kelainan
kulit berupa eritama seluruh tubuh disertai skuama kasar.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">–<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Eritroderma
akibat penyakit sistemik , termasuk keganasan. Dapat ditemukan adanya penyakit
pada alat dalam , infeksi dalam dan infeksi fokal. </span><span lang="EN-US">(
Arif Masjoor , 2000 : 121 )</span></div>
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<b><span lang="EN-US">G. KOMPLIKASI<o:p></o:p></span></b></div>
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<span lang="EN-US">Komplikasi eritroderma eksfoliativa sekunder :</span></div>
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<span lang="EN-US">- Abses -
Limfadenopati</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">- Furunkulosis -
Hepatomegali</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">- Konjungtivitis -
Rinitis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">- Stomatitis -
Kolitis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">- Bronkitis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">( Ruseppo Hasan , 2005 : 239 : Marwali Harhap , 2000 ,
28 )</span></div>
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<br /></div>
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<b><span lang="EN-US">H. PENGKAJIAN FOKUS<o:p></o:p></span></b></div>
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<span lang="SV">Pengkajian keperawatan yang
berkelanjutan dilaksanakan untuk mendeteksi infeksi. Kulit yang mengalami
disrupsi , eritamatosus serta basah amat rentan terhadap infeksi dan dapat
menjadi tempat kolonisasi mikroorganisme pathogen yang akan memperberat
inflamasi antibiotik , yang diresepkan dokter jika terdapat infeksi , dipilih
berdasarkan hasil kultur dan sensitivitas.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 0cm; mso-list: l7 level1 lfo5; tab-stops: 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><b><span lang="EN-US" style="text-transform: uppercase;">I.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="text-transform: uppercase;">Biodata <o:p></o:p></span></b></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 200%; mso-list: l2 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><b><span lang="EN-US">Jenis Kelamin<o:p></o:p></span></b></li>
</ol>
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<span lang="SV">Biasnya
laki – lak 2 -3 kali lebih banyak dari perempuan. <o:p></o:p></span></div>
<ol start="2" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 200%; mso-list: l2 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><b><span lang="SV">Riwayat Kesehatan <o:p></o:p></span></b></li>
</ol>
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<!--[if !supportLists]--><span lang="SV">–<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Riwayat
penyakit dahulu ( RPM )<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="SV">Meluasnya dermatosis keseluruh
tubuh dapat terjadi pada klien planus , psoriasis , pitiasis rubra pilaris ,
pemfigus foliaseus , dermatitis. Seboroik dan dermatosiss atopik ,
limfoblastoma.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l5 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">–<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Riwayat Penyakit Sekarang</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="SV">Mengigil panas , lemah ,
toksisitas berat dan pembentukan skuama
kulit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 27.0pt; mso-list: l5 level2 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">c.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Pola Fungsi Gordon <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l9 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pola Nutrisi dan metabolisme </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">Terjadinya kebocoran kapiler ,
hipoproteinemia dan keseimbangan nitrogen yang negative mempengaruhi
keseimbangan cairan tubuh pasien ( dehidrasi ).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l9 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">2.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">Pola persepsi dan konsep diri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">–<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Konsep
diri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="SV">Adanya eritema ,pengelupasan
kulit , sisik halus berupa kepingan / lembaran zat tanduk yang besr – besar
seperti keras selafon , pembentukan skuama sehingga mengganggu harga diri.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l9 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemeriksaan fisik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">a. KU : lemah</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">b. TTV : suhu naik atau turun.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">c. Kepala <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="SV">Bila kulit kepala sudah
terkena dapat terjadi alopesia.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">d. Mulut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="SV">Dapat juga mengenai membrane
mukosa terutama yang disebabkan oleh obat. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">e. Abdomen <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="SV">Adanya
limfadenopati dan hepatomegali.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">f. Ekstremitas <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="SV">Perubahan kuku dan kuku dapat
lepas.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">g. Kulit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">Kulit periorbital mengalami
inflamasi dan edema sehingga terjadi ekstropion pada keadaan kronis dapat
terjadi gangguan pigmentasi. Adanya eritema , pengelupasan kulit , sisik halus
dan skuama.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV">( Marwali Harahap , 2000 : 28
– 29 : Rusepno Hasan , 2005 : 239 , Brunner & Suddarth , 2002 : 1878 ).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify;">
<b><span lang="SV">DIAGNOSA KEPERAWATAN DAN FOKUS INTERVENSI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="SV">1. Gangguan integritas kulit bd lesi dan respon
peradangan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="SV">Kriteria
hasil : - menunjukkan peningkatan integritas kulit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="SV"> </span><span lang="EN-US">- menghindari cidera kulit</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Intervensi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l7 level2 lfo5; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">kaji keadaaan kulit secara umum</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l7 level2 lfo5; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">b.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">anjurkan pasien untuk tidak mencubit atau
menggaruk daerah kulit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l7 level2 lfo5; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pertahankan kelembaban kulit</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l7 level2 lfo5; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">d.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">kurangi pembentukan sisik dengan pemberian
bath oil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l7 level2 lfo5; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">e.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">motivasi pasien untuk memakan nutrisi TKTP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify;">
<span lang="SV"> 2. Gangguan rasa nyaman : gatal bd adanya
bakteri / virus di kulit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 18.0pt; text-align: justify;">
<span lang="SV">Tujuan :
setelah dilakuakn asuhan keperawatan diharapkan tidak terjadi luka pada kulit
karena gatal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<span lang="SV"> Kriteria hasil : - tidak terjadi lecet
di kulit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l4 level1 lfo4; tab-stops: 27.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pasien berkurang gatalnya</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; tab-stops: 27.0pt; text-align: justify;">
<span lang="EN-US"> Intervensi
</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">a.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">beritahu pasien untuk tidak meggaruk saat
gatal <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">b.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">mandikan seluruh badan pasien ddengan Nacl
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">c.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">oleskan badan pasien dengan minyak dan
salep setelah pakai Nacl<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">jaga kebersihan kulit pasien</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l0 level1 lfo7; tab-stops: 27.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">e.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">kolaborasi dengan dokter untuk pemberian
obat pengurang rasa gatal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<span lang="SV">
3. Resti infeksi bd hipoproteinemia <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 27.0pt; tab-stops: 27.0pt; text-align: justify;">
<span lang="SV">Tujuan :
setalah dilakukan asuhan keperawatan diharapkan tidak terjadi infeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<span lang="SV"> Kriteria
hasil : - tidak ada tanda – tanda infeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<span lang="SV"> ( rubor , kalor , dolor , fungsio laesa )<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<span lang="SV"> </span><span lang="EN-US">- tidak timbul luka baru</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 27.0pt; tab-stops: 27.0pt 150.0pt; text-align: justify;">
<span lang="EN-US">Intervensi </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 45.0pt; mso-list: l1 level1 lfo8; tab-stops: 27.0pt list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">monitor TTV</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 45.0pt; mso-list: l1 level1 lfo8; tab-stops: 27.0pt list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">kaji tanda – tanda infeksi </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 45.0pt; mso-list: l1 level1 lfo8; tab-stops: 27.0pt list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">c.<span style="font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV">motivasi pasien untuk meningkatkan nutrisi
TKTP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 45.0pt; mso-list: l1 level1 lfo8; tab-stops: 27.0pt list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">jaga kebersihan luka</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 45.0pt; mso-list: l1 level1 lfo8; tab-stops: 27.0pt list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">kolaborasi pemberian antibiotik</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: center;">
<b><u><span lang="EN-US">DAFTAR
PUSTAKA<o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; mso-list: l4 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Brunner
7 Suddarth vol 3 , 2002. <i>KEPERAWATAN
MEDIKAL BEDAH</i>, Jakarta : EGG<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; mso-list: l4 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Doenges M E. 1999. <i>Rencana asuhan Keperawatan untuk perencanaan dan dokumentasi perawatan
pasien</i> edisi 3 , Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; mso-list: l4 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Harahap
Marwali 2000 , <i>Ilmu Penyakit Kulit</i> ,
Jakarta : Hipokrates<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; mso-list: l4 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Hasan
Rusepno 2005 , <i>Ilmu Keperawatan Anak</i>
, Jakarta : FKUI<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; mso-list: l4 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV">Mansjoer
, Arief , 2000 , <i>Kapita Selekta
Kedokteran</i> , Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; mso-list: l4 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Syaifudin , 1997 , anatomi <i>Fisiologi</i> , <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city> : EGC</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 27.0pt; text-align: justify;">
<span lang="EN-US"> </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US"> </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 16.0pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
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<br /></div>
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Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-2586677261617160522013-04-21T23:39:00.003+07:002013-04-21T23:39:55.472+07:00ASKEP HIFEMA<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 14.0pt;">HIFEMA<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<h4 style="line-height: 150%;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">A. Anatomi dan Fisiologi Pada Mata<o:p></o:p></span></h4>
<div class="MsoBodyTextIndent" style="text-indent: 0cm;">
<span lang="EN-US">Secara
garis besar anatomi mata dapat dikelompokkan menjadi empat bagian, dan untuk
ringkasnya fisiologi mata akan diuraikan secara terpadu. Keempat kelompok ini
terdiri dari : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1)<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Palpebra</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Dari
luar ke dalam terdiri dari : kulit, jaringan ikat lunak, jaringan otot, tarsus,
vasia dan konjungtiva. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">Fungsi dari palpebra adalah untuk melindungi bola mata,
bekerja sebagai jendela memberi jalan masuknya sinar kedalam bola mata, juga
membasahi dan melicinkan permukaan bola mata. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2)<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Rongga mata</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Merupakan
suatu rongga yang dibatasi oleh dinding dan berbentuk sebagai piramida
kwadrilateral dengan puncaknya kearah foramen optikum. Sebagian besar dari
rongga ini diisi oleh lemak, yang merupakan bantalan dari bola mata dan alat
tubuh yang berada di dalamnya seperti: urat saraf, otot-otot penggerak bola
mata, kelenjar air mata, pembuluh darah <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3)<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bola mata</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Menurut
fungsinya maka bagian-bagiannya dapat dikelompokkan menjadi:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 57.0pt; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Otot-otot penggerak bola mata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 57.0pt; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dinding bola mata yang teriri
dari : sklera dan kornea. Kornea kecuali sebagai dinding juga berfungsi sebagai
jendela untuk jalannya sinar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 57.0pt; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Isi bola mata, yang terdiri
atas macam-macam bagian dengan fungsinya masing-masing </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4)<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sistem kelenjar bola mata</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 150%; text-indent: 18.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Terbagi menjadi dua
bagian:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.85pt; mso-list: l1 level2 lfo9; text-align: justify; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kelenjar air mata yang
fungsinya sebagai penghasil air mata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.85pt; mso-list: l1 level2 lfo9; text-align: justify; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";">o<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Saluran air mata yang
menyalurkan air mata dari fornik konjungtiva ke dalam rongga hidung </span></div>
<h2 style="margin-left: 17.1pt; mso-list: l0 level3 lfo7; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US">B.<span style="font-size: 7pt; font-weight: normal;"> </span></span><!--[endif]--><span lang="EN-US">Definisi</span></h2>
<div class="MsoBodyTextIndent">
<span lang="EN-US">Hifema adalah adanya darah di dalam
kamera anterior (Smeltzer,2001). Hifema atau adanya darah dalam bilik mata
depan dapat terjadi karena trauma tumpul (Sidarta,1998). Bila pasien duduk,
hifema akan terlihat mengumpul di bagian bawah bilik mata depan dan hifema
dapat memenuhi seluruh ruang bilik mata depan. Darah dalam cairan aqueus humor
dapat membentuk lapisan yang terlihat. Jenis trauma ini tidak perlu menyebabkan
perforasi bola mata.</span></div>
<div class="MsoBodyTextIndent">
<br /></div>
<h2 style="margin-left: 17.1pt; mso-list: l0 level3 lfo7; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US">C.<span style="font-size: 7pt; font-weight: normal;"> </span></span><!--[endif]--><span lang="EN-US">Etiologi</span></h2>
<div class="MsoBodyTextIndent">
<span lang="EN-US">Hifema biasanya disebabkan trauma
pada mata, yang menimbulkan perdarahan atau perforasi (<st1:place w:st="on">Douglas</st1:place>,
2002). Inflamasi yang parah pada iris, sel darah yang abnormal dan kanker
mungkin juga bisa menyebabkan perdarahan pada bilik depan mata. Trauma tumpul
dapat merobek pembuluh darah iris atau badan siliar. Gaya-gaya kontusif akan
merobek pembuluh darah iris dan merusak sudut kamar okuli anterior. Tetapi
dapat juga terjadi secara spontan atau pada patologi vaskuler okuler. Darah ini
dapat bergerak dalam kamera anterior, mengotori permukaan dalam kornea.</span></div>
<h2 style="margin-left: 17.1pt; mso-list: l0 level3 lfo7; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US">D.<span style="font-size: 7pt; font-weight: normal;"> </span></span><!--[endif]--><span lang="EN-US">Tanda dan Gejala</span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">1.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pandangan mata kabur<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">2.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Penglihatan sangat menurun<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">3.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kadang – kadang terlihat iridoplegia
& iridodialisis<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">4.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pasien mengeluh sakit atau nyeri<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">5.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Nyeri disertai dengan efipora &
blefarospasme<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">6.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pembengkakan dan perubahan warna pada
palpebra<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">7.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Retina menjadi edema & terjadi
perubahan pigmen<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">8.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Otot sfingter pupil mengalami kelumpuhan<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">9.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pupil tetap dilatasi (midriasis)<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">10.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Tidak bereaksi terhadap cahaya beberapa
minggu setelah trauma.<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">11.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pewarnaan darah (blood staining) pada
kornea<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">12.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kenaikan TIO (glukoma sekunder )<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">13.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Sukar melihat dekat<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">14.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Silau akibat gangguan masuknya sinar pada
pupil<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">15.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Anisokor pupil<o:p></o:p></span></h2>
<h2 style="margin-left: 22.7pt; tab-stops: list 35.0pt; text-indent: -5.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">16.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Penglihatan ganda (iridodialisis)<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<h2 style="margin-left: 19.95pt; mso-list: l0 level3 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US">E.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Patofisiologi / Pathways</span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.95pt;">
<span lang="EN-US">Terlampir</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.0pt;">
<br /></div>
<h2 style="margin-left: 19.95pt; mso-list: l0 level3 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US">F.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemeriksaan Diagnostik</span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kartu
mata snellen (tes ketajaman penglihatan) : mungkin terganggu akibat kerusakan
kornea, aqueus humor, iris dan retina.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Lapang
penglihatan : penurunan mungkin disebabkan oleh patologi vaskuler okuler,glukoma.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pengukuran
tonografi : mengkaji tekanan intra okuler ( TIO ) normal 12-25 mmHg.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Tes
provokatif : digunakan untuk menentukan adanya glukoma bila TIO normal atau
meningkat ringan.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pemeriksaan
oftalmoskopi : mengkaji struktur internal okuler, edema retine, bentuk pupil
dan kornea.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Darah
lengkap, laju sedimentasi LED : menunjukkan anemia sistemik/infeksi.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Tes
toleransi glokosa : menentukan adanya /kontrol diabetes.<o:p></o:p></span></h2>
<h2 style="margin-left: 17.1pt; mso-list: l0 level3 lfo7; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US">G.<span style="font-size: 7pt; font-weight: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penatalaksanaan Medis</span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pasien
tetap istirahat ditempat tidur (4-7 hari) sampai hifema diserap.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Diberi
tetes mata antibiotika pada mata yang sakit dan diberi bebat tekan.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pasien
tidur dengan posisi kepala miring 60º diberi koagulasi.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kenaikan
TIO diobati dengan penghambat anhidrase karbonat. (asetasolamida).<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Di
beri tetes mata steroid dan siklopegik selama 5 hari.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pada
anak-anak yang gelisah diberi obat penenang <o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Parasentesis
tindakan atau mengeluarkan darah dari bilik mata depan dilakukan bila ada
tanda-tanda imbibisi kornea, glaukoma sekunder, hifema penuh dan berwarna hitam
atau bila setelah 5 hari tidak terlihat tanda-tanda hifema akan berkurang.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">8.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Asam
aminokaproat oral untuk bekuan darah.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">9.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Evakuasi
bedah jika TIO lebih 35 mmHg selama 7 hari atau lebih 50 mmH selama 5 hari.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">10.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Vitrektomi
dilakukan bila terdapat bekuan sentral dan lavase kamar anterior.<o:p></o:p></span></h2>
<h2 style="margin-left: 37.05pt; tab-stops: 36.0pt; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">11.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Viskoelastik
dilakukan dengan membuat insisi pada bagian limbus.<o:p></o:p></span></h2>
<h2 style="margin-left: 0cm; mso-list: none; tab-stops: 36.0pt; text-indent: 0cm;">
<span lang="EN-US"> </span></h2>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<h2 style="margin-left: 19.95pt; mso-list: l0 level3 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US">H.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengkajian</span></h2>
<h2 style="mso-list: none; tab-stops: 37.05pt; text-indent: 2.95pt;">
<span lang="EN-US">1. Data subyektif</span></h2>
<h2 style="margin-left: 51.3pt; mso-list: l4 level1 lfo10; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pandangan
kabur atau ganda<o:p></o:p></span></h2>
<h2 style="margin-left: 51.3pt; mso-list: l4 level1 lfo10; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Penglihatan
silau<o:p></o:p></span></h2>
<h2 style="margin-left: 51.3pt; mso-list: l4 level1 lfo10; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Penglihatan
berkurang atau tidak ada<o:p></o:p></span></h2>
<h2 style="margin-left: 51.3pt; mso-list: l4 level1 lfo10; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kesukaran
melihat dekat<o:p></o:p></span></h2>
<h2 style="margin-left: 51.3pt; mso-list: l4 level1 lfo10; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kelelahan
dan ketegangan mata<o:p></o:p></span></h2>
<h2 style="margin-left: 51.3pt; mso-list: l4 level1 lfo10; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Nyeri<o:p></o:p></span></h2>
<h2 style="margin-left: 51.3pt; mso-list: l4 level1 lfo10; tab-stops: 36.0pt; text-indent: -17.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal; mso-bidi-font-weight: bold;">Peningkatan air mata (epifora)</span><span lang="EN-US" style="font-weight: normal;"><o:p></o:p></span></h2>
<h2 style="margin-left: 144.0pt; mso-list: l0 level4 lfo7; tab-stops: 34.2pt; text-indent: -124.05pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; font-weight: normal;"> </span></span><!--[endif]--><span lang="EN-US">Data obyektif</span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Tanda-tanda
vital<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Drainase<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Haemoragi<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Anisokor
pupil<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pupil
tidak bereaksi terhadap sinar<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Perubahan
kelopak mata, edema, kekakuan, kemerahan<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Ketajaman
penglihatan<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pembengkakan
kelopak mata<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">i.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Edema
kornea kontusio orbita kelopak mata<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<h2 style="margin-left: 144.0pt; mso-list: l0 level4 lfo7; tab-stops: 36.0pt; text-indent: -124.05pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kondisi / penyakit yang
menyertai</span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Diabetes
melitus<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Masalah-masalah
sinus<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Hipertensi<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Glaukoma<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Penyakit,
trauma atau tumor yang berhubungan dengan serebral<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Robekan
retina<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Penyakit
autoimun<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<h2 style="margin-left: 144.0pt; mso-list: l0 level4 lfo7; tab-stops: 36.0pt; text-indent: -124.05pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pembedahan atau penyakit
sebelumnya</span><span lang="EN-US"><o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pembedahan
atau penanganan mata<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Trauma
kepala atau muka<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Koma
hipertensi<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Degenerasi
retina<o:p></o:p></span></h2>
<h2 style="margin-left: 54.15pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Ketergantungan
zat<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<h2 style="margin-left: 144.0pt; mso-list: l0 level4 lfo7; tab-stops: 36.0pt; text-indent: -124.05pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Riwayat keluarga</span></h2>
<h2 style="margin-left: 57.0pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -22.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Glaukoma<o:p></o:p></span></h2>
<h2 style="margin-left: 57.0pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -22.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Diabetes
melitus<o:p></o:p></span></h2>
<h2 style="margin-left: 57.0pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -22.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Katarak<o:p></o:p></span></h2>
<h2 style="margin-left: 57.0pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -22.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pigmentosa
retinitis<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<h2 style="margin-left: 144.0pt; mso-list: l0 level4 lfo7; tab-stops: 36.0pt; text-indent: -124.05pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Riwayat sosial</span></h2>
<h2 style="margin-left: 57.0pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -22.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Bahaya
pekerjaan atau rekreasi<o:p></o:p></span></h2>
<h2 style="margin-left: 57.0pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -22.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kewaspadaan
keamanan yang digunakan<o:p></o:p></span></h2>
<h2 style="margin-left: 57.0pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -22.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Ketergantungan
obat atau alkohol<o:p></o:p></span></h2>
<h2 style="margin-left: 57.0pt; mso-list: l0 level5 lfo7; tab-stops: 36.0pt; text-indent: -22.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kerja
fisik yang berat<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<h2 style="margin-left: 19.95pt; mso-list: l0 level3 lfo7; tab-stops: 36.0pt; text-indent: -19.95pt;">
<!--[if !supportLists]--><span lang="EN-US">I.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diagnosa Keperawatan</span></h2>
<h2 style="margin-left: 39.9pt; mso-list: l4 level2 lfo10; tab-stops: 36.0pt; text-align: justify; text-indent: -11.4pt;">
<!--[if !supportLists]--><i><span lang="EN-US">1.<span style="font-size: 7pt; font-style: normal; font-weight: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Nyeri berhubungan dengan
terpajannya reseptor nyeri sekunder terhadap trauma tumpul<o:p></o:p></span></i></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.0pt; text-align: justify; text-indent: 20.4pt;">
<i><span lang="EN-US">Tujuan </span></i><i><span lang="EN-US"> :</span></i><span lang="EN-US"> Rasa nyeri berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.0pt; text-align: justify; text-indent: 20.4pt;">
<i><span lang="EN-US">Kriteria hasil</span></i><i><span lang="EN-US"> : <o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l6 level1 lfo11; tab-stops: list 71.4pt 117.0pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pasien mendemonstrasikan
pengetahuan pengontrolan nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l6 level1 lfo11; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pasien mengalami dan
mendemonstrasikan periode tidur yang tidak terganggu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l6 level1 lfo11; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pasien mengatakan nyeri berkurang
dengan skala nyeri ringan (1-3)</span></div>
<h3 style="text-indent: 20.4pt;">
<span lang="EN-US">Intervensi :</span></h3>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kaji tipe, intensitas dan
lokasi nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Gunakan tingkatan skala nyeri
untuk menentukan dosis analgetik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pertahankan tirah baring dengan
posisi tegak atau posisi kepala 60º</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan bebat mata pada bagian
yang sakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Berikan kompres dingin untuk
mengurangi nyeri dan pembengkakan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">g.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Berikan sedasi untuk
meminimalkan aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">h.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Berikan analgetik dan
kortikosteroid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">i.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Berikan gosok punggung,
perubahan posisi untuk </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify; text-indent: 34.6pt;">
<span lang="EN-US">meningkatkan kenyamanan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo1; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 20.4pt;">
<!--[if !supportLists]--><span lang="EN-US">j.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bantu ajarkan teknik relaksasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; tab-stops: list 52.0pt; text-align: justify;">
<br /></div>
<h2 style="margin-left: 39.9pt; mso-list: l4 level2 lfo10; tab-stops: 36.0pt; text-align: justify; text-indent: -11.4pt;">
<!--[if !supportLists]--><i><span lang="EN-US">2.<span style="font-size: 7pt; font-style: normal; font-weight: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Resiko terjadi
komplikasi dan perdarahan ulang berhubungan dengan patologi vaskuler okuler<o:p></o:p></span></i></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: 18.7pt;">
<i><span lang="EN-US">Tujuan </span></i><span lang="EN-US"> : Tidak terjadi perdarahan ulang</span></div>
<div class="MsoBodyTextIndent2" style="text-indent: 18.7pt;">
<i><span lang="EN-US">Kriteria
hasil</span></i><span lang="EN-US"> : </span></div>
<div class="MsoBodyTextIndent2" style="margin-left: 51.05pt; mso-list: l10 level3 lfo2; tab-stops: list 37.4pt 52.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Perdarahan utama segera
berhenti dan dapat diserap kembali</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.05pt; mso-list: l10 level3 lfo2; tab-stops: list 37.4pt 52.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Jumlah darah dalam kamera
okuli anterior tidak bertambah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.05pt; mso-list: l10 level3 lfo2; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tidak terjadi obstruksi pada
jaringan trabekular</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;">
<i><span lang="EN-US">Intervensi</span></i><span lang="EN-US"> :</span></div>
<h2 style="margin-left: 56.1pt; mso-list: l8 level3 lfo3; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Kaji
jumlah perdarahan pada okuli anterior<o:p></o:p></span></h2>
<h2 style="margin-left: 56.1pt; mso-list: l8 level3 lfo3; tab-stops: 36.0pt; text-align: justify; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">b.<span style="font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Mata diperiksa untuk melihat adanya
perdarahan sekunder <o:p></o:p></span></h2>
<h2 style="margin-left: 56.1pt; mso-list: none; tab-stops: 36.0pt; text-align: justify; text-indent: -18.7pt;">
<span lang="EN-US" style="font-weight: normal; mso-bidi-font-weight: bold;"> dan
kenaikan TIO</span><span lang="EN-US" style="font-weight: normal;"><o:p></o:p></span></h2>
<h2 style="margin-left: 56.1pt; mso-list: l8 level3 lfo3; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Pertahankan
tirah baring dan pemberian sedasi untuk minimal aktivitas<o:p></o:p></span></h2>
<h2 style="margin-left: 56.1pt; mso-list: l8 level3 lfo3; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Posisikan
pasien tetap dalam posisi tegak diam<o:p></o:p></span></h2>
<h2 style="margin-left: 56.1pt; mso-list: l8 level3 lfo3; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Berikan
balut tekan pada mata yang sakit dan lakukan penggantian balutan<o:p></o:p></span></h2>
<h2 style="margin-left: 56.1pt; mso-list: l8 level3 lfo3; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Beri
koagulansia dan antibiotika<o:p></o:p></span></h2>
<h2 style="margin-left: 56.1pt; mso-list: l8 level3 lfo3; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Evakuasi
perdarahan dengan parasentesis<o:p></o:p></span></h2>
<h2 style="margin-left: 56.1pt; mso-list: l8 level3 lfo3; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Berikan
anhidrase karbonat (asetasolamide) untuk atasi kenaikan TIO<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<h2 style="margin-left: 37.4pt; mso-list: l4 level2 lfo10; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><i><span lang="EN-US">3.<span style="font-size: 7pt; font-style: normal; font-weight: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Perubahan persepsi
sensori berhubungan dengan kerusakan penglihatan<o:p></o:p></span></i></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;">
<i><span lang="EN-US">Tujuan</span></i><span lang="EN-US"> : Pasien mampu
beradaptasi dengan perubahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;">
<i><span lang="EN-US">Kriteria hasil </span></i><span lang="EN-US">:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l11 level1 lfo12; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pasien menerima dan mengatasi
sesuai dengan keterbatasan penglihatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l11 level1 lfo12; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menggunakan penglihatan yang
ada atau indra lainnya secara adekuat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; tab-stops: 56.1pt; text-align: justify;">
<i><span lang="EN-US">Intervensi :<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l2 level1 lfo13; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Perkenalkan pasien dengan
lingkungan sekitarnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l2 level1 lfo13; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Beritahu pasien untuk
mengoptimalkan alat indera yang lain</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l2 level1 lfo13; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bantu pasien untuk beradaptasi
menggunakan indera lainnya yang tidak mengalami trauma</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l2 level1 lfo13; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kunjungi dengan sering untuk
menentukan kebutuhan dan menghilangkan ansietas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l2 level1 lfo13; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Anjurkan untuk mengekspresikan
perasaan dan pikiran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l2 level1 lfo13; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Libatkan orang terdekat dalam
perawatan dan aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l2 level1 lfo13; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">g.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kurangi bising dan berikan
istirahat yang seimbang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify;">
<br /></div>
<h2 style="margin-left: 37.4pt; mso-list: l4 level2 lfo10; tab-stops: 36.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><i><span lang="EN-US">4.<span style="font-size: 7pt; font-style: normal; font-weight: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Ansietas berhubungan
dengan perubahan status kesehatan dan penurunan ketajaman penglihatan<o:p></o:p></span></i></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: 18.7pt;">
<i><span lang="EN-US">Tujuan</span></i><span lang="EN-US"> : Ansietas dapat
teratasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: 18.7pt;">
<i><span lang="EN-US">Kriteria hasil</span></i><span lang="EN-US"> : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l10 level3 lfo4; text-align: justify; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pasien mendemonstrasikan
penilaian penanganan adaptif untuk mengurangi ansietas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l10 level3 lfo4; text-align: justify; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pasien mendemonstrasikan
pemahaman proses penyakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; text-align: justify; text-indent: -18.7pt;">
<i><span lang="EN-US">Intervensi :<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo14; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kaji tingkat ansietas pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo14; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diskusikan metode penanganan
ansietas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo14; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Dorong mengungkapkan ansietas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo14; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pertahankan limgkungan yang
tenang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo14; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Berikan dukungan emosional</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo14; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">f.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tempatkan seluruh barang-barang
yang dibutuhkan dalam jarak yang dapat dijangkau</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo14; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">g.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pastikan bahwa bantuan terhadap
aktivitas sehari-hari akan ada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo14; tab-stops: list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">h.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bantu atau ajarkan teknik
relaksasi, nafas dalam, meditasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.05pt; mso-list: l4 level2 lfo10; text-align: justify; text-indent: -17.1pt;">
<!--[if !supportLists]--><b><i><span lang="EN-US">5.<span style="font-size: 7pt; font-style: normal; font-weight: normal; line-height: normal;"> </span></span></i></b><!--[endif]--><b><i><span lang="EN-US">Kurang pengetahuan
berhubungan dengan kurangnya informasi mengenai perawatan diri dan proses
penyakit<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;">
<i><span lang="EN-US">Tujuan</span></i><span lang="EN-US"> : Pasien memiliki
pengetahuan yang cukup mengenai penyakitnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;">
<i><span lang="EN-US">Kriteria hasil</span></i><span lang="EN-US"> : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo5; tab-stops: 56.1pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pasien memahami instruksi
pengobatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l10 level3 lfo5; tab-stops: 56.1pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pasien memverbalisasikan
gejala-gejala untuk dilaporkan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; tab-stops: 56.1pt; text-align: justify;">
<i><span lang="EN-US">Intervensi :<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l9 level1 lfo15; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Beritahu pasien tentang
penyakit yang diderita</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l9 level1 lfo15; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ajarkan perawatan diri selama
sakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l9 level1 lfo15; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ajarkan prosedur penetesan obat
tetes mata dan penggantian balutan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l9 level1 lfo15; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">pada pasien dan keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l9 level1 lfo15; tab-stops: 56.1pt list 71.4pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">e.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diskusikan gejala-gejala terjadinya
perdarahan ulang dan kenaikan TIO</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 56.1pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 56.1pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 56.1pt; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">DAFTAR PUSTAKA</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<h2 style="margin-left: 34.0pt; mso-list: l3 level1 lfo6; tab-stops: list 35.0pt; text-align: justify;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Vaughan,
Dale. <i><u>Oftalmologi Umum</u></i>. Alih bahasa Jan Tambajong dan Brahm U.
Ed. 14. <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city>
: Widya Medika ; 2000.<o:p></o:p></span></h2>
<h2 style="margin-left: 34.0pt; mso-list: l3 level1 lfo6; tab-stops: list 35.0pt; text-align: justify;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Sidarta,
Ilyas. <i><u>Penuntun Ilmu Penyakit Mata</u>.</i> Cet. 5. <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city> : Balai Penerbit FKUI ; 1998.<o:p></o:p></span></h2>
<h2 style="margin-left: 34.0pt; mso-list: l3 level1 lfo6; tab-stops: list 35.0pt; text-align: justify;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Tucker,
Susan Martin et al. <i><u>Standar Perawatan Pasien : proses keperawatan,
diagnosis dan evaluasi</u></i><u>. </u>Alih bahasa Yasmin Asih dkk. Ed. 5. <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city> : Egc ; 1998<o:p></o:p></span></h2>
<h2 style="margin-left: 34.0pt; mso-list: l3 level1 lfo6; tab-stops: list 35.0pt; text-align: justify;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Darling,
Vera H & Thorpe Margaret R. <i><u>Perawatan Mata</u>.</i> <st1:place w:st="on">Yogyakarta</st1:place>
: Penerbit Andi; 1995.<o:p></o:p></span></h2>
<h2 style="margin-left: 34.0pt; mso-list: l3 level1 lfo6; tab-stops: list 35.0pt; text-align: justify;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Smeltzer
Suzanne C. <i><u>Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth</u></i>.
Alih bahasa Agung Waluyo, dkk. Editor Monica Ester, dkk. Ed. 8. <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city> : EGC; 2001.<o:p></o:p></span></h2>
<h2 style="margin-left: 34.0pt; mso-list: l3 level1 lfo6; tab-stops: list 35.0pt; text-align: justify;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Doenges,
Marilynn E. <i><u>Rencana Asuhan Keperawatan : Pedoman untuk Perencanaan dan
pendokumentasian Perawatan Pasien</u></i><u>.</u> Alih bahasa I Made Kariasa.
Ed. 3. <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city>
: EGC;1999<o:p></o:p></span></h2>
<h2 style="margin-left: 34.0pt; mso-list: l3 level1 lfo6; tab-stops: list 35.0pt; text-align: justify;">
<!--[if !supportLists]--><span lang="EN-US" style="font-weight: normal;">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-weight: normal;">Douglas,
Raymond S. <i><u>Hifema</u>. </i>Departement of Ophthalmology, UCLA Menical
Center, Los Angeles, CA. 2002<o:p></o:p></span></h2>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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margin-left:312.3pt;margin-top:1.8pt;width:133.8pt;height:30pt;z-index:251630080'
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<v:textbox>
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<b
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<![if !mso]>
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<span lang=EN-US>Kerusakan
integritas jaringan orbita</span></p>
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<![if !mso]>
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<span lang=EN-US>Kelumpuhan
otot sfingter pupil</span></p>
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<![if !mso]>
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<span lang=EN-US>Merobek
pangkal iris</span></p>
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margin-left:428.7pt;margin-top:102.9pt;width:145.8pt;height:30pt;z-index:251634176'
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<v:textbox style='mso-next-textbox:#_x0000_s1030'>
<![if !mso]>
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<span lang=EN-US>Kerusakan
kapiler</span></p>
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margin-left:619.2pt;margin-top:103.8pt;width:145.8pt;height:30pt;z-index:251635200'
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<v:textbox style='mso-next-textbox:#_x0000_s1031'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<span lang=EN-US>Terpajannya
reseptor nyeri</span></p>
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margin-left:22.5pt;margin-top:169.8pt;width:126pt;height:27.9pt;z-index:251636224'
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<v:textbox style='mso-next-textbox:#_x0000_s1032'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Pupil
medriasis</span></p>
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margin-left:178.2pt;margin-top:163.8pt;width:129.9pt;height:30.9pt;z-index:251637248'
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<v:textbox style='mso-next-textbox:#_x0000_s1033'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Bentuk
pupil berubah</span></p>
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margin-left:357pt;margin-top:163.8pt;width:138.9pt;height:42.9pt;z-index:251638272'
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<v:textbox style='mso-next-textbox:#_x0000_s1034'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Permeabilitas
kapiler meningkat</span></p>
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margin-left:513.3pt;margin-top:165.3pt;width:145.8pt;height:42.9pt;z-index:251639296'
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<v:textbox style='mso-next-textbox:#_x0000_s1035'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Robeknya
pembuluh darah iris atau badan siliar</span></p>
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margin-left:17.1pt;margin-top:236.1pt;width:130.8pt;height:36.9pt;z-index:251640320'
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<v:textbox style='mso-next-textbox:#_x0000_s1036'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Tak
bereaksi terhadap sinar</span></p>
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</tr>
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margin-left:171.9pt;margin-top:233.1pt;width:141.9pt;height:35.1pt;z-index:251641344'
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<v:textbox style='mso-next-textbox:#_x0000_s1037'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Penglihatan
ganda atau kabur</span></p>
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margin-left:353.4pt;margin-top:234pt;width:145.8pt;height:42.9pt;z-index:251642368'
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<v:textbox style='mso-next-textbox:#_x0000_s1038'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Kehilangan
protein dan cairan plasma ke intertitial</span></p>
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<![if !mso]></td>
</tr>
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</v:shape><v:shape id="_x0000_s1039" type="#_x0000_t202" style='position:absolute;
margin-left:566.1pt;margin-top:234.3pt;width:141.6pt;height:27.9pt;z-index:251643392'
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<v:textbox style='mso-next-textbox:#_x0000_s1039'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Perdarahan
okuli anterior</span></p>
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</v:shape><v:shape id="_x0000_s1040" type="#_x0000_t202" style='position:absolute;
margin-left:376.2pt;margin-top:330.9pt;width:120.6pt;height:24.9pt;z-index:251644416'
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Gangguan
refraksi </span></p>
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margin-left:434.4pt;margin-top:4in;width:78.6pt;height:27pt;z-index:251645440'
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Edema
retina</span></p>
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</tr>
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margin-left:231.6pt;margin-top:4in;width:108.9pt;height:27pt;z-index:251646464'
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Edema
pelpebra</span></p>
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<![if !mso]></td>
</tr>
</table>
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margin-left:238.8pt;margin-top:337.8pt;width:91.8pt;height:24.9pt;z-index:251647488'
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Kekakuan
</span></p>
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margin-left:341.1pt;margin-top:288.9pt;width:89.4pt;height:27pt;z-index:251648512'
filled="f" stroked="f">
<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Edema
kornea </span></p>
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margin-left:509.4pt;margin-top:4in;width:129.9pt;height:36.9pt;z-index:251649536'
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Mengotori
permukaan kornea</span></p>
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margin-left:645.3pt;margin-top:288.9pt;width:145.8pt;height:37.8pt;z-index:251650560'
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Menyumbat
jaringan trabekuler</span></p>
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margin-left:576.3pt;margin-top:333pt;width:145.8pt;height:26.1pt;z-index:251651584'
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Resiko
perdarahan ulang</span></p>
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margin-left:706.2pt;margin-top:347.1pt;width:76.5pt;height:27pt;z-index:251652608'
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Glukoma
</span></p>
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<![if !mso]></td>
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margin-left:666.6pt;margin-top:159.6pt;width:61.2pt;height:26.7pt;z-index:251653632'
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<v:textbox style='mso-next-textbox:#_x0000_s1049'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Nyeri</span></p>
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<![if !mso]></td>
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
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<span lang=EN-US>Gangguan
penglihatan </span></p>
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<![if !mso]></td>
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<table cellpadding=0 cellspacing=0 width="100%">
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<span lang=EN-US>Perubahan
persepsi sensori<span style='mso-spacerun:yes'> </span></span></p>
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Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-38079438513217222013-04-19T15:18:00.002+07:002013-04-19T15:18:32.676+07:00PATHWAYS STROKEtanpa panjang cerita langsung di download pathways nya :)<br />
<br />
<a href="http://www.4shared.com/office/aukspzlF/Pathways_stroke.html" target="_blank">http://www.4shared.com/office/aukspzlF/Pathways_stroke.html</a>Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-71454223997943922382013-04-19T15:01:00.002+07:002013-04-19T15:01:39.248+07:00CARA MEMBERI PENYULUHAN<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US">CARA MEMBERI PENYULUHAN<u><o:p></o:p></u></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">1.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Melakukan persiapan :<o:p></o:p></span></b></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo2; tab-stops: list 36.0pt;"><span lang="EN-US">Tempat</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Lokasi dimana akan dilakukan penyuluhan, dimana penentuan tempat ini
harus disusuaikan dengan jumlah orang atau warga yang akan diberi penyuluhan.</span></div>
<ol start="2" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo2; tab-stops: list 36.0pt;"><span lang="EN-US">Materi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Bahan yang akan diberikan dalam penyuluhan, agar dalam pelaksanaan
penyuluhan dapat berjalan dengan lancar.</span></div>
<ol start="3" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo2; tab-stops: list 36.0pt;"><span lang="EN-US">Media</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Yang dimaksud media pendidikan adalah alat Bantu pendidikan. Disebut
media pendidikan karena alat tersebut digunakan untuk mempermudah penerimaan
pesan kesehatan bagi masyarakat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Berdasar fungsinya sebagai penyalur pesan, dibagi menjadi 3 yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo1; tab-stops: list 54.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Media cetak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level3 lfo1; tab-stops: 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Booklet adalah suatu media
menyampaikan pesan kesehatan dan bentuk buku, baik tulisan maupun gambar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level3 lfo1; tab-stops: 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Leaflet, suatu media
menyampaikan pesan kesehatan melalui lembaran yang dilipat, dapat berupa
kalimat atau gambar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level3 lfo1; tab-stops: 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Flyer/selebaran ialah seperti
leaflet tetapi tidak dilipat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level3 lfo1; tab-stops: 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Flipchart/ lembar balik : suatu
media menyampaikan pesan kesehatan dalam bentuk lembar balik, bentuk buku
berisi gambar peragaan dan dibaliknya berisi kalimat sebagai pesan atau
informasi berkaitan dengan gambar tersebut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level3 lfo1; tab-stops: 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Poster adalah bentuk media
cetak berisi pesan-pesan/ informasi kesehatan yang biasa ditempel
ditembok-tembok, ditempat umum atau kendaraan umum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo1; tab-stops: list 54.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Media elektronik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l5 level4 lfo6; tab-stops: list 72.0pt; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">TV , Radio</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l5 level4 lfo6; tab-stops: list 72.0pt; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Video</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; mso-list: l5 level4 lfo6; tab-stops: list 72.0pt; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Slide dan lain-lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo1; tab-stops: list 54.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Media papan/papan tulis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<span lang="EN-US">Papan tulis biasanya ditempel ditempat umum atau kelas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">2.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Metode Pelaksanaan<o:p></o:p></span></b></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Ceramah – Diskusi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Ceramah adalah salah satu cara dalam penyuluhan kesehatan dimana
kita menerangkan atau menjelaskan sesuatu dengan lisan disertai dengan Tanya
jawab (diskusi) kepada sekelompok pendengar, serta dibantu oleh beberapa alat
peraga yang dianggap perlu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Ciri-ciri ceramah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><st1:city w:st="on"><st1:place w:st="on"><span lang="EN-US">Ada</span></st1:place></st1:city><span lang="EN-US"> sekelompok
pendengar yang sudah dipersiapkan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><st1:city w:st="on"><st1:place w:st="on"><span lang="EN-US">Ada</span></st1:place></st1:city><span lang="EN-US"> suatu ide yang
akan disampaikan dengan lisan (uraian lisan)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><st1:city w:st="on"><st1:place w:st="on"><span lang="EN-US">Ada</span></st1:place></st1:city><span lang="EN-US"> kesempatan bertanya
bagi pendengar, yang harus dijawab oleh penceramah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><st1:city w:st="on"><st1:place w:st="on"><span lang="EN-US">Ada</span></st1:place></st1:city><span lang="EN-US"> alat-alat
peraga yang dipakai untuk menjelaskan sesuatu yang sudah dijelaskan.</span></div>
<ol start="2" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Demonstrasi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Adalah suatu cara penyajian pengertian atau ide yang dipersiapkan
dengan teliti untuk memperlihatkan bagaimana cara menjelaskan suatu prosedur.
Cara penyajian ini disertai dengan penjelasan-penjelasan lisan atau dengan
menggunakan alat peraga adan Tanya jawab. Dalam demonstrasi pelatih
menunjukkan, memepragakan dalam mengerjakan sesuatu hal atau kegiuatan,
misalnya :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 54.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Memilih sayuran yang baik yang
mengandung vitamin A</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level2 lfo3; tab-stops: list 54.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Memperagakan pembuatan larutan
gula garam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<i><span lang="EN-US">Catatan : dalam
demonstrasi, pelatih mengerjakan dulu kemudian diikuti oleh peserta, dan dalam
memperagakan contoh atau bahan, pelatih diharapkan berdiri lebih dekat dengan
peserta.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<ol start="3" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Simulasi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Adalah suatu metode untuk menyiapkan situasi yang nyata dalam kelas
dimana peserta melakukan suatu kegiatan dalam keadaan yang mirip keadaan
sesungguhnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<i><span lang="EN-US">Misalnya : peserta
bertindak sebagai seorang kader dalam rangka memberikan penyuluhanperorangan
kepada ibu balita, ibu hamil.<o:p></o:p></span></i></div>
<ol start="4" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Bermain Peran</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Bermain peran adalah bentuk sederhana dimana peserta memerankan
suatu tokoh tertentu dan berbuat seperti dalam kenyataan. Karena tidak ada
scenario maka mereka terpaksa berbuat sesuai dengan pendapatnya. Peserta
kemudian mencoba mengambil makna sandiwara untuk memecahkan masalah yang
dihadapi.</span></div>
<ol start="5" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Curah Pendapat</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US">Metode ini merupakan modifikasi metode diskusi kelompok. Prinsipnya
sama dengan metode diskusi kelompok. Bedanya pada permulaan pemimpin kelompok
memancing dengan satu masalah kemudian tiap peserta memberikan jawaban atau
tanggapan (cara pendapat). Tanggapan ditampung dengan ditulis pada papan tulis
atau flipchart. Sebelumnya tidak boleh diberi komentar apapun oleh siapapun,
baru setelah semua memberikan komentar tiap anggota dapat mengomentari akhirnya
terjadilah diskusi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sasaran dan Target</span></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt;"><span lang="EN-US">Sasaran : Cakupan area warga yang akan diberi penyuluhan</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt;"><span lang="EN-US">Target : misalnya ibu hamil atau
lansia</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Strategi Pelaksanaan</span></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;"><span lang="EN-US">Hari </span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;"><span lang="EN-US">Tanggal</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo5; tab-stops: list 36.0pt;"><span lang="EN-US">Waktu</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Susunan acara</span></div>
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<span lang="EN-US">Tahap</span></div>
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<span lang="EN-US">Kegiatan</span></div>
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<span lang="EN-US">Waktu</span></div>
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<span lang="EN-US">Pembukaan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Mengucapkan salam</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menjelaskan maksud dan tujuan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menanyakan hal-hal yang telah
diketahui oleh waga tentang materi yang akan diberikan</span></div>
</td>
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<span lang="EN-US">Isi</span></div>
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<div class="MsoNormal" style="line-height: 150%; margin-left: 17.8pt; mso-list: l4 level1 lfo8; tab-stops: list 17.8pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Memberikan penyuluhan tentang
materi yang sudah dipersiapkan</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Mengecek ulang pengetahuan
warga tentang materi setelah diberi penyuluhan.</span></div>
</td>
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<br /></div>
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<span lang="EN-US">Penutup</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Menutup dengan mengucapkan
salam, dan meminta maaf apabila dalam pertemuan ada kesalahan.</span></div>
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<br /></div>
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Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-37949909179059137292013-04-19T14:44:00.005+07:002013-04-19T14:50:26.331+07:00SEPULUH ATURAN TERBAIK PEMBERIAN OBAT SECARA AMAN<br />
<div style="text-align: right;">
</div>
<div align="center" class="MsoNormal" style="mso-list: skip; text-align: center;">
<b><span lang="EN-US">SEPULUH ATURAN TERBAIK
PEMBERIAN OBAT SECARA AMAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="mso-list: skip; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Sebagai seorang perawat kita sebaiknya sadar akan faktor-faktor
penyulit dalam pemberian obat di rumah sakit saat ini. Sebagai contoh, kita
mempunyai kesulitan mengingat sejumlah besar kegunaan obat ataupun efek
sampingnya. Sedangkan kita dibebani banyak tanggung jawab dalam waktu yang
singkat. Kita di rumah sakit mempunyai resiko tanggung jawab secara legal bila
ada kesalahan dalam pemberian obat.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Meskipun pemberian obat merupakan salah satu masalah dalam tanggung
jawab perawat, kita berharap ada pedoman-pedoman tertentu yang dapat
menghindarkan kita dari suatu resiko kesalahan. Penulis (Kathleen Mc.Gowen, RN,
BSN) menyebut pedoman tersebut sebagai “10 Aturan Terbaik Dalam Pemberian
Obat”.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Untuk melengkapi makalah ini, kami akan mulai membahas mengenai :</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><span lang="EN-US">1. Nama, Klasifikasi dan Type
Obat <o:p></o:p></span></b></div>
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<b><i><span lang="EN-US">a. Nama<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Satu jenis obat mempunyai beberapa macam nama : nama generik,
official name, nama kimia dan nama dagang. Nama generik diberikan sebelum obat
menjadi official. Nama official diberikan setelah dikemas dan sebelum obat
dipublikasikan. Nama kimia berdasarkan kandungan zat kimia pada obat yang
bersangkutan. Nama dagang adalah nama yang diberikan oleh perusahaan yang
membuatnya. Sebagai contoh, obat hydrochlorothiazide (nama official) dikenal
dengan nama dagang Esidrix.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><i><span lang="EN-US">b. Klasifikasi<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Obat-obat diklasifikasikan menurut kegunaan, komposisi dan efek
sampingnya.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><i><span lang="EN-US">c. Macam Penggunaan/Type Obat<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Obat dapat diberikan melalui beberapa cara antara lain oral,
parenteral, sublingual, dan sebagainya.</span></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US">2. Langka-Langka Pemberian Obat<o:p></o:p></span></b></div>
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<span lang="EN-US">Lima langka dalam pemberian obat :</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><i><span lang="EN-US">a. Identifikasi pasien<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Di rumah sakit biasanya sebelum obat diberikan, perawat harus
mengidentifikasi nama pasien, memberi nomor untuk mencegah kesalahan, kemudian
menanyakan kembali nama pasien atau menyebutkan dengan jelas nama pasien
selanjutnya mendengarkan respon pasien sebelum obat diberikan.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><i><span lang="EN-US">b. Pemberian obat<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Penting untuk memberikan obat secara benar. Instruksi dan daftar
pengobatan harus dibaca secara hati-hati serta dicek kembali nama obat dan
keberadaanya di tempat obat pasien. Pengobatan harus diberikan dengan dosis dan
cara yang benar.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><i><span lang="EN-US">c. Intervensi perawat<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Pasien membutuhkan pertolongan saat menerima pengobatan. Bantuan
fisik sebagai contoh : memberikan posisi yang nyaman sebelum penyuntikan intra
muskuler atau penjelasan tentang pengobatan dan petunjuk pemakaian obat yang
efektif dan cara mencegah komplikasi.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><i><span lang="EN-US">d. Pencatatan<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Pencatatan harus dilakukan secara lengkap dalam status pasien. Hal
yang dicatat adalah : nama obat, dosis, cara pemberian dan data spesifik yang
berhubungan dengan pemberian obat seperti denyut nadi harus diobservasi setelah
pemberian obat digital. Pencatatan juga meliputi waktu pemberian dan yang
terpenting adalah nama jelas dan tanda tangan perawat yang memberikan. </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><i><span lang="EN-US">e. Evaluasi respon pasien<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Respon terhadap pengobatan dapat diobservasi secara langsung pada
pemberian intra vena, 10 - 20 menit setelah pemberian IM atau subkutan atau
beberapa hari setelah pemberian oral. Perubahan tingkah laku dapat dikaji, misalnya
pada pemberian tranquilizer atau rasa nyeri pasien dapat dikaji beberapa saat
saetelah pemberian anti spasmodik.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Semua langkah pemberian obat, mulai menyiapkan obat sampai mengkaji
keefektifan obat harus dicatat dan bila perlu dilaporkan pada perawat senior
atau dokter.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<b><span lang="EN-US">3. Petunjuk Pemberian Obat<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mencek kembali kebenaran
instruksi pengobatan yang diberikan.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sebelum pemberian perawat harus
tahu tentang obat itu sendiri.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pencatatan yang dilakukan
meliputi : nama pasien, obat, nama dokter, tanggal, waktu pemberian, dosis, dan
tanda tangan orang yang memberikan.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kartu pengobatan biasanya
memuat nama pasien, ruangan, nomor tempat tidur, nama obat, dosis, waktu dan
cara pemberian. Juga dicantumkan tanggal instruksi diberikan.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Perawat harus konsentrasi pada
tugas untuk menghindari kesalahan penyiapan dan pemberian obat.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lima (5) benar petunjuk
pemberian obat : benar obat, benar dosis, benar pasien, benar waktu, dan benar
cara.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Obat yang disiapkan harus
sesuai dengan cara pemberian.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Untuk mencegah kesalahan saat
penyiapan obat, perawat harus membaca lebel 3 X, sebelum mengambil dari
tempatnya, saat memberikan dan saat menyimpannya kembali. </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Saat menyiapkan pengobatan
jangan gunakan hal berikut :</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Obat yang tidak mempunyai nama
atau lebel.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Obat telah berubah warna/rusak.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Obat yang tetap ada endapannya
meskipun sudah dikocok sebelum digunakan.</span></div>
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<span lang="EN-US">Kembalikan obat-obat tersebut ke bagian farmasi dan tuliskan alasan
pengembaliannya.</span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Jangan kembalikan atau
pindahkan obat dari satu tempat ke tempat lainnya untuk menghindari
bercampurnya obat dan kesalahan tempat.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Identifikasi pasien secara
benar dan hati-hati.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pasien mempunyai hak untuk
mengetahui nama obat dan cara kerjanya. Juga berhak untuk menolak pengobatan
dan alasan penolakan harus dituliskan dan dilaporkan.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan tindakan yang benar
sebelum pengobatan. Contoh : observasi nadi apikal sebelum pemberian digitalis
dan jangan berikan bila frekwensinya <60 X / menit.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Perawat harus berada di samping
pasien saat pemberian obat.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Berikan obat sesuai waktu yang
ditetapkan.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Jika pasien muntah saat
diberikan obat peroral, catat hal tersebut dan nama obatnya. Laporkan segera
kepada dokter. Biasanya dokter akan memberikan obat yang sama dengan cara yang
berbeda.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Tindakan khusus biasanya
dilakukan pada pemberian obat-obat tertentu.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Setelah pemberian obat catat di
kartu pengobatan pasien. Pencatatan meliputi waktu, nama obat, dosisi, cara
pemberian dan data lain yang berhubungan dengan pemberian obat.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lihat petunjuk singkat yang
tertera dalam brosur.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Evaluasi keefektifan obat pada
waktu yang tepat setelah pemberian. </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pengobatan biasanya dihentikan
sebelum operasi dan dokter menulis instruksi baru setelah operasi.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Ketika pemberian obat
dihentikan sementara karena akan operasi/dilakukan tindakan diagnostik,
tuliskan alasan penghentian tersebut dengan jelas pada catatan pengobatan
pasien. </span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kesalahan pengobatan kadang
terjadi. Bila sudah terjadi kesalahan laporkan segera sebagai
pertanggungjawaban perawat dan untuk penanganan segera. Kesalahan biasanya
dicatat dalam formulir khusus.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Jika kita mempunyai pertanyaan tentang suatu jenis obat, bertanyalah
kepada seorang farmasi, konsul dengan seorang dokter atau baca buku referensi
yang bagus tentang obat, atau bicarakan dengan teman perawat jika kita tidak
mengenal obat yang diinstruksikan. Tetapi jika instruksinya sendiri yang kurang
jelas, yakinkan dengan mengklarifikasi sumbernya yaitu dokter yang menulis
instruksi tersebut.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Sebagai contoh : Mary Dixon tergesa-gesa memberikan pengobatan pada
jam 10.00 pagi. Dia dengan sekejap mata melihat catatn pemberian obat (MAR) dan
memberitahu bahwa dokter menginstruksikan Ampicillin 500 mg untuk Tuan Stone.
Ampicillin tidak ada di laci obat Tuan Stone. Jadi dia (Mary) mengambilnya dari
laci persediaan. Malangnya instruksi dokter yang disalin di dalam MAR tidak
benar/salah. Dokter sebenarnya ,menginstruksikan Amoxicillin bukan Ampicillin.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: skip; text-indent: -18.0pt;">
<span lang="EN-US">Itulah sebabnya mengapa banyak rumah sakit menentukan/mengharuskan
perawat dinas malam mencek 2 X MAR dengan instruksi yang asli. Bila obat tidak
ditemukan di laci obat pasien, Mary seharusnya melakukan pengecekkan 2 X. </span></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-7784907424643259172013-04-19T14:37:00.000+07:002013-04-19T14:37:05.282+07:00ASUHAN KEPERAWATAN KELUARGA NAPZA<br />
<div class="MsoTitle">
<span lang="EN-US">ASUHAN KEPERAWATAN KELUARGA NAPZA</span></div>
<div align="left" class="MsoTitle">
<br /></div>
<div align="left" class="MsoTitle">
<br /></div>
<div align="left" class="MsoTitle">
<span lang="EN-US">I. Konsep
Dasar</span></div>
<div class="MsoSubtitle">
<br /></div>
<div class="MsoSubtitle">
<span lang="EN-US">Pengertian</span></div>
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<span lang="EN-US">Narkoba yang juga sering disebut NAPZA adalah singkatan
dari Narkotika dan obat-obatan terlarang yang sering disalahgunakan. Penyalahgunaan obat adalah:
Pemakaian di luar indikasi medik, tanpa petunjuk/resep dokter, pemakaian
sendiri secara relatif teratur sekurang-kurangnya selama satu bulan.</span></div>
<div class="MsoSubtitle">
<br /></div>
<div class="MsoSubtitle">
<span lang="EN-US">Etiologi.</span></div>
<div class="MsoBodyText" style="line-height: 150%; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Obat
atau zat yang sering disalah gunakan adalah obat alkohol, Benzodiazepin,
Mariyuana, Amfetamin, Kokain, Opium,
Heroin, Morpin dll.<o:p></o:p></span></div>
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<span lang="EN-US">Semua jenis obat tersebut dapat mengakibatkan gangguan
mental yang disebabkan oleh efek langsung dari dari zat tersebut terhadap
susunan saraf pusat.</span></div>
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<br /></div>
<h1 style="line-height: 150%;">
<span lang="EN-US">Faktor predisposisi</span></h1>
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<span lang="EN-US"> Alasan pengguna
NAPZA ini berbeda-beda dengan latar belakang individu dan lingkungan.</span></div>
<h1 style="line-height: 150%;">
<span lang="EN-US">Faktor individu</span></h1>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Rasa ingin tahu yang kuat dan
ingin mencoba</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Bersikap tidak tegas terhadap
tawaran/ pengaruh teman sebaya.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penilaian diri negatif ( Low
self esteem) seperti merasa kurang mampu dalam pelajaran, pergaulan, penampilan
diri dan status sosial ekonomi yang rendah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo13; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kurang rasa percaya diri (Low
self confidence)</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Mengurangi rasa tidak
enak/sakit</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Sikap memberontak terhadap
peraturan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Identifikasi diri yang kabur
akibat proses identifikasi denga orang tua/pasangan hidup yang berjalan kurang
baik</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Depresi, dan cemas </span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kepribadian dissosial (
perilaku menyimpang dari norma yang berlaku)</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Kurang menghayati ajaran agama</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US">Faktor lingkungan<o:p></o:p></span></b></div>
<div class="MsoHeader" style="margin-left: 36.0pt; mso-list: l0 level1 lfo13; mso-pagination: widow-orphan; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mudah memperoleh zat NAPZA</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Komunikasi keluarga yang tidak
efektif</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Hubungan antar orang tua yang
tidak harmonis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo13; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Orang tua atau anggota keluarga
lainnya pengguna NAPZA</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Berteman dengan pengguna NAPZA</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penghargaan sosial dari
lingkungan yang kurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoSubtitle">
<span lang="EN-US">Klasifikasi pemakai napza</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.85pt; mso-list: l4 level1 lfo4; tab-stops: list 21.85pt 126.0pt; text-indent: -21.85pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemakai coba-coba (experiment
use)</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemakai sosial (Social use)</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: list 30.0pt;">
<span lang="EN-US"> Pemakai yang
bertujuan hanya untuk bersenang-senang.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pemakai situasional, pemakaian
pada saat mengalami keadaan tertentu (ketegangan, kesedihan atau kekecewaan) </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.85pt; mso-list: l4 level1 lfo4; tab-stops: list 21.85pt 126.0pt; text-indent: -21.85pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Penyalahgunaan (abuse),
pemakaian sebagai suatu pola penggunaanyang bersifat patologis/menyimpang
minimal satu bulan lamanya dan telah terjadi gangguan fungsi sosial atau
pekerjaan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Ketergantungan (Dependence),
telah terjadi toleransi dan gejala putus zat bila pemakai zat dihentikan atau
dikurangi</span></div>
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<span lang="EN-US">. </span></div>
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<br /></div>
<div class="MsoBodyText" style="line-height: 200%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Tanda-tanda umum pengguna NAPZA<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Perubahan fisik:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Badan kurus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tanpak mengantuk<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Mata merah dan cekung<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Bekas suntikan atau gorena pada lengan dan kaki<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Perubahan perilaku<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Emosi labil<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Takut sinar/air<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Menyendiri<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Bohong/mencuri<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Menjual barang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Pergi tanpa pamit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Halusinasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Paranoid<o:p></o:p></span></div>
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<br /></div>
<div class="MsoBodyText" style="line-height: 200%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Tanda-tanda klinis dari
penggunaan NAPZA<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Yang berefk depresan ( menghambat fungsi syaraf)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Berbicara kacau<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tidak dapat mengendalikan diri<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l0 level1 lfo13; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tingkah laku seperti mabuk tetapi tanpa berbau minuman
beralkohol<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l0 level1 lfo13; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Akibat kelebihan pemakaian akan menyebabkan : nafas
tersengal-sengal, kulit lembab dan dingin, pupil mata mengecil, denyut nadi
cepat dan lemah , kesadaran menurun danbisa berkibat lebih parah sampai
meninggal dunia.<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l0 level1 lfo13; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">gejala putus obat seperti gelisah, sukar tidur, mengigau,
tertawa tidak wajar . <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Penyalahgunaan yang berefek stimultan (mengaktifkan fngsi
syaraf)<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l0 level1 lfo13; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Lebih waspada, bergairah, eporia, pupil mata meebar, denyut
nadi meningkat, susah tidur nafsu makan hilang<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l0 level1 lfo13; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Kelebihan pemakaian mengakibatkan gelisah, suhu badan naik,
suka berhayal, tertawa tidak wajar sampai bisa menimbulkan kematian<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l8 level1 lfo14; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Penyalah gunaan yang berefek halusinasi (menimbulkan rasa
berhalusinasi/berkhayal)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">suka berhayal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tidak punya gambaran ruang dan waktu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Bila overdosis menyebabkan kematian.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoBodyText" style="line-height: 200%;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Komplikasi
dari penyalahgunaan zat:<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Selain
gangguan otak, dapat menyebabkan gangguan hati, usus, seks, kelainan bayi (bila
hamil), dan resiko kena kanker.<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%;">
<br /></div>
<div class="MsoBodyText" style="line-height: 200%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Pencegahan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Ketahuilah bahwa obat tersebut sangat berbahaya dan jangan
sekali-kali mencoba.<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l6 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Bina hubungan yang harmonis dengan orang tua sehingga
perilaku kita lebih terkontrol.<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l6 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Katakan tidak bila ada yang menawari.<o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; margin-left: 36.0pt; mso-list: l6 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Konsultasilah kepada petugas kesehatan bila anad memiliki
masalah kesehatan termasuk gangguan pikiran. <o:p></o:p></span></div>
<div class="MsoBodyText" style="line-height: 200%; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Pengobatan
pasien yang mengalami ketergantungan obat tergantung dari tingkat keparahan
atau berat-ringan tingakat ketergantungan. Penyembuhannya memerlukan waktu yang
relatif lama dan membutuhkan biaya yang yang besar.<o:p></o:p></span></div>
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<br /></div>
<h2>
<span lang="EN-US">B. Tanggung jawab perawat</span></h2>
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<span lang="EN-US"> Tanggung jawap perawat meliputi :</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Memberikan pelayanan secara
langsung kepada individu, keluarga dan masyarakat</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Mendukomentasikan asuhan
keperawatan yang telah dilakukan</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Menentukan frekwensi dan lama
perawatan</span></li>
<li class="MsoNormal" style="line-height: 200%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt;"><span lang="EN-US">Sebagai penasehat dan pelindung
bagi klien.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 200%;">
<br /></div>
<div class="MsoTitle" style="text-align: justify;">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US">ASUHAN KEPERAWATAN KELUARGA</span></div>
<div class="MsoTitle">
<br /></div>
<h3 style="margin-left: 37.4pt; mso-list: l7 level3 lfo5; tab-stops: list 36.0pt 136.4pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">PENGKAJIAN</span></h3>
<div class="MsoSubtitle" style="margin-left: 36.0pt;">
<span lang="EN-US">A. DATA-DATA
IDENTIFIKASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l2 level1 lfo6; tab-stops: list 33.0pt 56.1pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Nama keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l2 level1 lfo6; tab-stops: list 33.0pt 56.1pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Alamat dan nomor telepon</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l2 level1 lfo6; tab-stops: list 33.0pt 56.1pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Komposisi keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l2 level1 lfo6; tab-stops: list 33.0pt 56.1pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Tipe bentuk keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l2 level1 lfo6; tab-stops: list 33.0pt 56.1pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Latar belakang kebudayaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l2 level1 lfo6; tab-stops: list 33.0pt 56.1pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Identifikasi religi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l2 level1 lfo6; tab-stops: list 33.0pt 56.1pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Status kelas keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l2 level1 lfo6; tab-stops: list 33.0pt 56.1pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US">8.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Aktifitas-aktifitas rekreasi
atau aktifitas waktu luang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 15.0pt;">
<br /></div>
<div class="MsoSubtitle">
<span lang="EN-US">B.TAHAP PERKEMBANGAN DAN RIWAYAT KELUARGA</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.75pt; tab-stops: 37.4pt list 50.2pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600"
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<v:formulas>
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o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1025" width="15" /><!--[endif]--> Tahap
perkembangan keluarga saat ini </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.75pt; tab-stops: 37.4pt list 50.2pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1026" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1026" width="15" /><!--[endif]--> Jangkauan
pencapaian tahap perkembangan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.75pt; tab-stops: 37.4pt list 50.2pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1027" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1027" width="15" /><!--[endif]--> Riwayat
keluarga inti</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.75pt; tab-stops: 37.4pt list 50.2pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1028" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1028" width="15" /><!--[endif]--> Riwayat
keluarga orang tua</span></div>
<div class="MsoSubtitle">
<span lang="EN-US">C.
DATA LINGKUNGAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.75pt; tab-stops: list 50.2pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1029" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1029" width="15" /><!--[endif]--> Karakteristik-karakteristik
rumah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.8pt; tab-stops: list 56.1pt; text-indent: -28.05pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1030"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1030" width="15" /><!--[endif]--> Karakteristik-karakteristik
dari lingkungan sekitar rumah dan komunitas yang lebih besar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.8pt; tab-stops: list 56.1pt; text-indent: -28.05pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1031"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1031" width="15" /><!--[endif]--> Mobilitas
geografi keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.8pt; tab-stops: list 56.1pt; text-indent: -28.05pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1032"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1032" width="15" /><!--[endif]--> Asosiasi-asosiasi
dan transaksi-transaksi keluarga dengan komunitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 74.8pt; tab-stops: list 56.1pt; text-indent: -28.05pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1033"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1033" width="15" /><!--[endif]--> Jaringan
dukungan sosial keluarga</span></div>
<div class="MsoSubtitle">
<span lang="EN-US">D.
STRUKTUR KELUARGA</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 33.0pt; mso-list: l3 level1 lfo7; tab-stops: list 33.0pt; text-indent: 4.4pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pola-pola komunikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 65.45pt; tab-stops: list 69.0pt; text-indent: -14.45pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1034"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1034" width="15" /><!--[endif]--> Jangkauan
komunikasi fungsional dan disfungsional (tipe-tipe pola berulang).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 65.45pt; tab-stops: list 69.0pt; text-indent: -14.45pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1035"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1035" width="15" /><!--[endif]--> Jangkauan
dari pesan dan bagaimana diungkapkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 65.45pt; tab-stops: list 69.0pt; text-indent: -14.45pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1036"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1036" width="15" /><!--[endif]--> Karekteristik
komunikasi dalam sub sistem-sub sistem keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 65.45pt; tab-stops: list 69.0pt; text-indent: -14.45pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1037"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1037" width="15" /><!--[endif]--> Tipe-tipe
proses komunikasi disfungsional yang ditemukan dalam keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l3 level1 lfo7; tab-stops: list 33.0pt 55.4pt; text-indent: -4.95pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Struktur kekuasaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1038" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1038" width="15" /><!--[endif]--> Hasil-hasil
dari kekuasaan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1039" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1039" width="15" /><!--[endif]--> Proses
pengambilan keputusan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1040" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1040" width="15" /><!--[endif]--> Dasar-dasar
kekuasaan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1041" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1041" width="15" /><!--[endif]--> Variabel-variabel
yang mempengaruhi kekuasaan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1042" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1042" width="15" /><!--[endif]--> Seluruh
kekuasaan keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; mso-list: l3 level1 lfo7; tab-stops: list 33.0pt 55.4pt; text-indent: -9.35pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Struktur peran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1043" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1043" width="15" /><!--[endif]--> Struktur
peran formal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1044" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1044" width="15" /><!--[endif]--> Struktur
peran informal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1045" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1045" width="15" /><!--[endif]--> Analisis
model-model peran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 51.0pt; tab-stops: list 69.0pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1046" type="#_x0000_t75"
style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1046" width="15" /><!--[endif]--> Variabel
struktur peran yang mempengaruhi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 33.0pt; mso-list: l3 level1 lfo7; tab-stops: list 33.0pt left 46.75pt; text-indent: -4.95pt;">
<!--[if !supportLists]--><span lang="EN-US">d.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Nilai-nilai keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 65.45pt; tab-stops: list 69.0pt; text-indent: -14.45pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1047"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1047" width="15" /><!--[endif]--> Identifikasi
nilai-nilai penting keluarga dan pentingnya (prioritas) dalam keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 65.45pt; tab-stops: list 69.0pt; text-indent: -14.45pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1048"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1048" width="15" /><!--[endif]--> Kongruensi
antara nilai-nilai keluarga dan nilai-nilai subsistem keluarga juga kelompok
referensi dan atau komunitas yan lebih luas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 65.45pt; tab-stops: list 69.0pt; text-indent: -14.45pt;">
<span lang="EN-US"><!--[if gte vml 1]><v:shape id="_x0000_i1049"
type="#_x0000_t75" style='width:11.25pt;height:8.25pt' o:bullet="t">
<v:imagedata src="file:///C:\Users\user\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img alt="*" height="11" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_i1049" width="15" /><!--[endif]--> Variabel-variabel
yang mempengaruhi nilai-nilai keluarga.Apakah nilai-nilai ini dipegang teguh
oleh keluarga secara sadar maupun secara tidak sadar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 33.0pt; tab-stops: list 51.0pt;">
<br /></div>
<h1 style="line-height: 150%;">
<span lang="EN-US">E. FUNGSI-FUNGSI KELUARGA</span></h1>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l5 level1 lfo8; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Fungsi afektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo10; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Kebutuhan-kebutuhan keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo10; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Mutual Nurturance, keakrapan dan identifikasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo10; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Diagram kedekatan dalam keluarga sangat membantu dalam hal ini.</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Perpisahan dan kekerabatan.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Fungsi sosialisasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Praktik-praktik pengasuhan anak dalam keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Kemampuan adaptasi praktik-praktik pengasuhan anak untuk bentuk
keluarga dan situasi dari keluarga.Siapa-siapa yang menjadi pelaku sosialisasi
bagi anak-anak? Nilai-nilai anak dalam keluarga. Keyakinan-keyakinan kultur
yang mempengaruhi pola-pola pengasuhan anak.Estimasi tentang apakah keluarga
beresiko. Mengalami masalah-masalah pengasuhan anak dan jika demikian, indikasi
bagi faktor-faktor resiko tinggi. Adekuasi lingkungan rumah akan kebutuhan anak
untuk bermain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l5 level1 lfo8; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US">Fungsi perawatan kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Keyakinan kesehatan, nilai-nilai dan perilaku keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Definisi sehat-sakit dari keluarga dan tingkat pengetahuan mereka.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US"> Status kesehatan yang
diketahui keluarga dan kerentanan terhadap sakit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Kebiasaan tidur dan istirahat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Latihan dan praktik-praktik rekreasi (tidak dimasukkan sebelumnya)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Kebiasaan menggunakan obat-obat keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.1pt; mso-list: l9 level1 lfo11; tab-stops: list 56.1pt 102.0pt; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Peran keluarga dalam praktik-praktik perawatan diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 12.0pt;">
<span lang="EN-US"> </span></div>
<h1 style="line-height: 150%;">
<span lang="EN-US">F. COPING KELUARGA</span></h1>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Stressor-stressor keluarga jangka panjang dan pendek.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo9; tab-stops: list 50.2pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Kemampuan keluarga untk merespon,berdasarkan penilaian obyektif
terhadap situasi-situasi yan menimbulkan stress.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo9; tab-stops: list 50.2pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penggunaan strategi-strategi koping(sekarang/yang lalu). </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo9; tab-stops: list 50.2pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">-Perbedaan cara koping keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo9; tab-stops: list 50.2pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">-Strategi-strategi coping internal keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo9; tab-stops: list 50.2pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">-Strategi-strategi coping eksternal keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo9; tab-stops: list 50.2pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US">Penggunaan strategi-strategi adaptif disfungsional yang
digunakan(sekarang/yang lalu).</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-1212562725982866562013-04-10T11:59:00.001+07:002013-04-10T11:59:41.540+07:00ASKEP HIPOGLIKEMIA<br />
<div class="Section1">
<div class="MsoTitle">
<span lang="EN-US">LAPORAN PENDAHULUAN</span></div>
<div class="MsoTitle">
<span lang="EN-US">HIPOGLIKEMIA<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">A.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pengertian</span></div>
<div class="MsoNormal">
<span lang="EN-US">Hipoglikemi adalah suatu keadaan, dimana
kadar gula darah plasma puasa kurang dari 50 mg/%. </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Populasi yang
memiliki resiko tinggi mengalami hipoglikemi adalah:</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Diabetes melitus</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Parenteral nutrition</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sepsis</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Enteral feeding</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Corticosteroid therapi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Bayi dengan ibu dengan diabetik</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Bayi dengan kecil masa kehamilan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Bayi dengan ibu yang
ketergantungan narkotika</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Luka bakar</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kanker pankreas</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Penyakit Addison’s</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Hiperfungsi kelenjar adrenal</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Penyakit hati</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Type hipoglikemi
digolongkan menjadi beberapa jenis yakni:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><i><span lang="EN-US">Transisi dini neonatus</span></i><span lang="EN-US"> ( early transitional neonatal ) : ukuran bayi yang besar ataupun
normal yang mengalami kerusakan sistem
produksi pankreas sehingga terjadi hiperinsulin.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US"> <i>Hipoglikemi klasik sementara (</i>Classic
transient neonatal) : tarjadi jika bayi mengalami <i>malnutrisi </i>sehingga
mengalami kekurangan cadangan lemak dan glikogen.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><i><span lang="EN-US">Sekunder (</span></i><span lang="EN-US">Scondary) : sebagai suatu respon stress dari neonatus sehingga terjadi peningkatan metabolisme yang memerlukan banyak cadangan glikogen.<i><o:p></o:p></i></span></div>
<div class="MsoNormal">
<br /></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><i><span lang="EN-US">Berulang </span></i><span lang="EN-US"> ( Recurrent) : disebabkan
oleh adanya kerusakan enzimatis, atau metabolisme insulin terganggu.<i><o:p></o:p></i></span></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section2">
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<!--[if !supportLists]--><span lang="EN-US">B.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Patofiologi</span></div>
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<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal style='line-height:normal'>
<span lang=EN-US>Disfungsi
pankreas</span></p>
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text-align:left;margin-left:0;margin-top:261.9pt;width:186pt;height:27pt;
z-index:251680256'>
<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoFooter style='tab-stops:36.0pt;mso-layout-grid-align:auto;
punctuation-wrap:hanging;text-autospace:ideograph-numeric ideograph-other;
mso-vertical-align-alt:auto'>
<span lang=EN-US style='mso-bidi-font-size:
12.0pt;line-height:150%;mso-no-proof:yes'>Pemakaian Corticosteroid therapi<o:p></o:p></span></p>
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<![if !mso]></td>
</tr>
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
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<p class=MsoNormal>
<span lang=EN-US style='mso-no-proof:yes'>Ibu yang
memakai atau ketergantungan narkotika</span></p>
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<![if !mso]></td>
</tr>
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<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal>
<span lang=EN-US style='mso-no-proof:yes'>Kanker pada
keluarga</span></p>
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<![if !mso]></td>
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</v:shape><v:shape id="_x0000_s1033" type="#_x0000_t202" style='position:absolute;
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height:63pt;z-index:251640320'>
<v:textbox style='mso-next-textbox:#_x0000_s1033'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal style='line-height:normal'>
<span lang=EN-US>Kadar
glukaosa darah kurang</span></p>
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text-align:left;margin-left:0;margin-top:138.6pt;width:180pt;height:27pt;
z-index:251678208'>
<v:textbox style='mso-next-textbox:#_x0000_s1070'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal>
<span lang=EN-US style='mso-no-proof:yes'>Pemakaian
parenteral nutrition</span></p>
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<![if !mso]></td>
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height:27pt;z-index:251679232'>
<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoFooter style='tab-stops:36.0pt;mso-layout-grid-align:auto;
punctuation-wrap:hanging;text-autospace:ideograph-numeric ideograph-other;
mso-vertical-align-alt:auto'>
<span lang=EN-US style='mso-bidi-font-size:
12.0pt;line-height:150%;mso-no-proof:yes'>Enteral feeding<o:p></o:p></span></p>
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<![if !mso]></td>
</tr>
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z-index:251642368'>
<v:textbox style='mso-next-textbox:#_x0000_s1035'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal>
<span lang=EN-US>Hipermetabolisme</span></p>
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<![if !mso]></td>
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<v:stroke endarrow="block"/>
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left:0;text-align:left;margin-left:18pt;margin-top:15.3pt;width:90pt;height:27pt;
z-index:251676160'>
<v:textbox>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US>Sepsis</span></p>
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<![if !mso]></td>
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<v:stroke endarrow="block"/>
</v:line><v:shape id="_x0000_s1036" type="#_x0000_t202" style='position:absolute;
left:0;text-align:left;margin-left:363pt;margin-top:6.3pt;width:27pt;height:207pt;
z-index:251643392'>
<v:textbox style='mso-next-textbox:#_x0000_s1036'/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 583px; left: -25px; mso-ignore: vglayout; position: relative; top: 7px; width: 550px; z-index: 251641344;">
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<tbody>
<tr>
<td height="0" width="0"></td>
<td width="24"></td>
<td width="24"></td>
<td width="278"></td>
<td width="4"></td>
<td width="27"></td>
<td width="3"></td>
<td width="102"></td>
<td width="4"></td>
<td width="8"></td>
<td width="4"></td>
<td width="15"></td>
<td width="15"></td>
<td width="1"></td>
<td width="41"></td>
</tr>
<tr>
<td height="12"></td>
<td colspan="12"></td>
<td bgcolor="white" colspan="2" height="282" rowspan="12" style="background: white; border: .75pt solid black; vertical-align: top;" width="42"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251643392;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
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<tr>
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<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1036">
<div class="MsoNormal">
<span lang="EN-US">HIPOGLIKEMIA</span></div>
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</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
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<tr>
<td height="17"></td>
<td colspan="2"></td>
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<tr>
<td height="12"></td>
<td colspan="2"></td>
<td></td>
<td align="left" colspan="3" valign="top"><img height="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1040" width="27" /></td>
</tr>
<tr>
<td height="13"></td>
</tr>
<tr>
<td height="35"></td>
</tr>
<tr>
<td height="12"></td>
<td colspan="6"></td>
<td bgcolor="white" colspan="3" height="66" rowspan="5" style="background: white; border: .75pt solid black; vertical-align: top;" width="114"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251641344;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
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<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1034">
<div class="MsoNormal">
<span lang="EN-US">Intra uterin
malnutrisi</span></div>
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</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
<tr>
<td height="17"></td>
<td></td>
<td bgcolor="white" colspan="2" height="42" rowspan="3" style="background: white; border: .75pt solid black; vertical-align: top;" width="302"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251677184;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1069">
<div class="MsoNormal">
<span lang="EN-US">Diabetes
melitus pada orang tua/ keluarga</span></div>
</div>
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</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
<tr>
<td height="12"></td>
<td></td>
<td></td>
<td align="left" valign="top"><img height="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1042" width="27" /></td>
<td></td>
<td></td>
<td align="left" valign="top"><img height="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_s1039" width="15" /></td>
</tr>
<tr>
<td height="13"></td>
</tr>
<tr>
<td height="12"></td>
</tr>
<tr>
<td height="22"></td>
</tr>
<tr>
<td height="105"></td>
<td></td>
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</tr>
<tr>
<td height="13"></td>
</tr>
<tr>
<td height="46"></td>
</tr>
<tr>
<td height="235"></td>
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</span><!--[endif]--><span lang="EN-US"> </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
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<p class=MsoNormal style='line-height:normal'>
<span lang=EN-US>Potensial
komplikasi s.e kadar glukosa plasma yang rendah seperti, gangguan mental,
gangguan perkembangan otak, gangguan fungsi saraf otonom, koma hipoglikemi</span></p>
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<p class=MsoNormal style='line-height:normal'>
<span lang=EN-US>Resiko infeksi</span></p>
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<v:stroke linestyle="thinThick"/>
<v:textbox style='mso-next-textbox:#_x0000_s1066'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal style='line-height:normal'>
<span lang=EN-US>Potensial
terjadi hipotermi</span></p>
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<v:textbox style='mso-next-textbox:#_x0000_s1048'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal align=center style='text-align:center;line-height:normal'>
<span
lang=EN-US>Gangguan metabolisme muskuler</span></p>
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<![if !mso]></td>
</tr>
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z-index:251658752' strokeweight="4.5pt">
<v:stroke linestyle="thinThick"/>
<v:textbox style='mso-next-textbox:#_x0000_s1051'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal style='line-height:normal'>
<span lang=EN-US>Keterbatasan
gerak dan aktivitas</span></p>
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<![if !mso]></td>
</tr>
</table>
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</v:shape><v:shape id="_x0000_s1053" type="#_x0000_t202" style='position:absolute;
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height:22.15pt;z-index:251660800'>
<v:textbox style='mso-next-textbox:#_x0000_s1053'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal>
<span lang=EN-US style='font-size:10.0pt;mso-bidi-font-size:
12.0pt;line-height:150%'>GGn saraf otonom<o:p></o:p></span></p>
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<![if !mso]></td>
</tr>
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</v:line><v:shape id="_x0000_s1055" type="#_x0000_t202" style='position:absolute;
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<v:textbox style='mso-next-textbox:#_x0000_s1055'>
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal>
<span lang=EN-US style='font-size:11.0pt;mso-bidi-font-size:
12.0pt;line-height:150%'>Banyak keringat<o:p></o:p></span></p>
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<![if !mso]></td>
</tr>
</table>
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<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal style='line-height:normal'>
<span lang=EN-US>Potensial
Ggn Keseibangan cairan dan elektrolit</span></p>
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text-align:left;z-index:251670016' from="333pt,134.45pt" to="333pt,152.45pt">
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</v:line><v:line id="_x0000_s1047" style='position:absolute;left:0;
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z-index:251656704' from="54pt,5.7pt" to="54pt,32.7pt">
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<v:stroke endarrow="block"/>
</v:line><v:line id="_x0000_s1060" style='position:absolute;left:0;
text-align:left;z-index:251667968' from="342pt,5.7pt" to="342pt,32.7pt">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 439px; left: -3px; mso-ignore: vglayout; position: relative; top: 7px; width: 514px; z-index: 251666944;">
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="0"></td>
<td width="71"></td>
<td width="1"></td>
<td width="106"></td>
<td width="84"></td>
<td width="2"></td>
<td width="142"></td>
<td width="14"></td>
<td width="2"></td>
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<td width="12"></td>
<td width="31"></td>
<td width="2"></td>
<td width="26"></td>
</tr>
<tr>
<td height="39"></td>
<td></td>
<td align="left" colspan="10" valign="top"><img height="39" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" v:shapes="_x0000_s1047 _x0000_s1049 _x0000_s1052 _x0000_s1058 _x0000_s1060" width="415" /></td>
</tr>
<tr>
<td height="10"></td>
</tr>
<tr>
<td height="3"></td>
<td align="left" colspan="4" rowspan="8" valign="top"><img height="256" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" v:shapes="_x0000_s1048 _x0000_s1050 _x0000_s1051 _x0000_s1053 _x0000_s1054 _x0000_s1055 _x0000_s1056 _x0000_s1057 _x0000_s1064 _x0000_s1065" width="262" /></td>
</tr>
<tr>
<td height="25"></td>
<td></td>
<td align="left" rowspan="8" valign="top"><img alt="Text Box: Potensial komplikasi s.e kadar glukosa plasma yang rendah seperti, gangguan mental, gangguan perkembangan otak, gangguan fungsi saraf otonom, koma hipoglikemi" height="270" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" v:shapes="_x0000_s1059" width="142" /></td>
</tr>
<tr>
<td height="76"></td>
<td></td>
<td colspan="2"></td>
<td bgcolor="white" colspan="4" height="76" style="background: white; border: .75pt solid black; vertical-align: top;" width="66"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251668992;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1061">
<div class="MsoNormal">
<span lang="EN-US">Daya tahan
turun</span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
<tr>
<td height="18"></td>
</tr>
<tr>
<td height="27"></td>
<td></td>
<td colspan="3"></td>
<td align="left" valign="top"><img height="27" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" v:shapes="_x0000_s1062" width="12" /></td>
</tr>
<tr>
<td height="3"></td>
</tr>
<tr>
<td height="68"></td>
<td></td>
<td></td>
<td align="left" colspan="6" valign="top"><img alt="Text Box: Resiko infeksi" height="68" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" v:shapes="_x0000_s1063" width="94" /></td>
</tr>
<tr>
<td height="36"></td>
</tr>
<tr>
<td height="17"></td>
</tr>
<tr>
<td height="23"></td>
</tr>
<tr>
<td height="87"></td>
<td colspan="2"></td>
<td align="left" valign="top"><img alt="Text Box: Potensial terjadi hipotermi" height="87" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" v:shapes="_x0000_s1066" width="106" /></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if gte vml 1]></o:wrapblock><![endif]--><span lang="EN-US"> </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span><br clear="ALL" />
<div class="Section3">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">C.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Fokus Pengkajian</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Data dasar yang
perlu dikaji adalah :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Keluhan utama : sering tidak
jelas tetapi bisanya simptomatis, dan lebih sering hipoglikemi merupakan
diagnose sekunder yang menyertai keluhan lain sebelumnya seperti asfiksia,
kejang, sepsis.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Riwayat :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">ANC</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Perinatal</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Post natal</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Imunisasi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Diabetes melitus pada orang
tua/ keluarga</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pemakaian parenteral nutrition</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sepsis</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Enteral feeding</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pemakaian Corticosteroid
therapi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Ibu yang memakai atau
ketergantungan narkotika</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kanker </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Data fokus</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US"> Data Subyektif:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list blank 1.0cm blank 36.0pt left 63.0pt; text-indent: 9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sering masuk dengan keluhan
yang tidak jelas</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list blank 1.0cm blank 36.0pt left 63.0pt; text-indent: 9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Keluarga mengeluh bayinya
keluar banyaj keringat dingin</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list blank 1.0cm blank 36.0pt left 63.0pt; text-indent: 9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Rasa lapar (bayi sering nangis)</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list blank 1.0cm blank 36.0pt left 63.0pt; text-indent: 9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Nyeri kepala</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list blank 1.0cm blank 36.0pt left 63.0pt; text-indent: 9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sering menguap</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list blank 1.0cm blank 36.0pt left 63.0pt; text-indent: 9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Irritabel</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: list 36.0pt left 63.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: list 36.0pt left 63.0pt; text-indent: 9.0pt;">
<span lang="EN-US">Data obyektif:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 63.0pt; text-indent: 9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Parestisia pada bibir dan jari,
gelisah, gugup, tremor, kejang, kaku, </span></div>
<div class="MsoNormal" style="margin-left: 63.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Hight—pitched cry, lemas,
apatis, bingung, cyanosis, apnea, nafas cepat irreguler, keringat dingin, mata
berputar-putar, menolak makan dan koma</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 63.0pt; text-indent: 9.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Plasma glukosa < 50 gr/%</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: list 36.0pt left 63.0pt; text-indent: 9.0pt;">
<br /></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section4">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">D.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Diagnose dan Rencana
Keperawatan</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Resiko komplikasi berhubungan dengan kadar glukosa
plasma yang rendah seperti, gangguan mental, gangguan perkembangan otak,
gangguan fungsi saraf otonom, koma hipoglikemi</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Rencana tindakan:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Cek serum glukosa sebelum dan
setelah makan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Monitor : kadar glukosa, pucat,
keringat dingin, kulit yang lembab</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Monitor vital sign</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Monitor kesadaran</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Monitor tanda gugup, irritabilitas</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan pemberian susu
manis peroral 20 cc X 12</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Analisis kondisi lingkungan
yang berpotensi menimbulkan hipoglikemi.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Cek BB setiap hari</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Cek tanda-tanda infeksi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Hindari terjadinya hipotermi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan kolaborasi pemberian
Dex 15 % IV</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt left 54.0pt 63.0pt; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan kolaborasi pemberian O2
1 lt – 2 lt /menit</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Resiko terjadi infeksi berhubungan dengan penurunan daya tahan tubuh</span></div>
<div class="MsoNormal">
<span lang="EN-US">Rencana tindakan:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan prosedur perawatan
tangan sebelum dan setelah tindakan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pastikan setiap benda yang
dipakai kontak dengan bayi dalam keadaan bersih atau steril</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Cegah kontak dengan petugas
atau pihak lain yang menderita infeksi saluran nafas.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Perhatikan kondisi feces bayi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anjurkan keluarga agar
mengikuti prosedur septik aseptik.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Berikan antibiotik sebagai
profolaksis sesuai dengan order.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan pemeriksaan DL, UL, FL
secara teratur.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Resiko Ggn Keseimbangan cairan dan elektrolit
berhubungan dengan peningkatan
pengeluaran keringat </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Cek intake dan output</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Berikan cairan sesuai dengan
kebutuhan bayi /kg BB/24 jam</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Cek turgor kulit bayi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kaji intoleransi minum bayi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Jika mengisap sudah baik
anjurkan pemberian ASI</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Keterbatasan gerak dan
aktivitas berhubungan dengan hipoglikemi
pada otot</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Bantu pemenihan kebutuhan
sehari-hari</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Lakukan fisiotherapi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Ganti pakaian bayi secara
teratur dan atau jika kotor dan basah.</span></div>
</div>
<b><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></i></b>
<div class="MsoTitle">
<span lang="EN-US">DAFTAR PUSTAKA</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-indent: -54.0pt;">
<span lang="EN-US">Carpenito (1997), L.J <i>Nursing Diagnosis, </i> Lippincott , New York</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-indent: -54.0pt;">
<span lang="EN-US">Marino (1991), <i>ICU Book, </i>Lea & Febiger,
London</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-indent: -54.0pt;">
<span lang="EN-US">Nelson (1993), <i>Ilmu Kesehatan Anak, </i> EGC, Jakarta</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-indent: -54.0pt;">
<span lang="EN-US">Suparman (1988), <i>Ilmu Penyakit Dalam , </i>Universitas
Indonesia, Jakarta<i>.</i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-indent: -54.0pt;">
<span lang="EN-US">Wong and Whaley (1996) <i>Peiatric Nursing ; Clinical
Manual, </i>Morsby, Philadelpia</span></div>
<div class="MsoNormal">
<br /></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-60908537160431305042013-04-10T11:56:00.001+07:002013-04-10T11:56:45.571+07:00ASKEP GLAUKOMA<br />
<div class="Section1">
<div class="MsoTitle">
<span lang="EN-US">ASUHAN
KEPERAWATAN PADA KLIEN GLAUKOMA<o:p></o:p></span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US">Pengertian<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="EN-US"> Glaukoma
adalah sejumlah kelainan mata yang mempunyai gejala peningkatan tekanan intra
okuler (TIO), dimana dapat mengakibatkan penggaungan atau pencekungan papil
syaraf optik sehingga terjadi atropi syaraf optik, penyempitan lapang pandang
dan penurunan tajam pengelihatan (Martinelli, 1991).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US">Patofisiologi<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="EN-US"> Tekanan
intraokuler dipertahankan oleh produksi dan pengaliran Aqueus humor dimana secara kontinue diproduksi oleh badan silier
(sel epitel prosesus ciliary bilik mata belakang untuk memberikan nutrien pada
lensa. Aqueua humor yang merupakan cairan jernih berbahan gelatinosa jernih
yang terletak diantara ruang antara lensa dan retina yang mengalir melalui
jaring-jaring trabekuler, pupil, bilik mata depan, trabekuler mesh work dan
kanal schlem. Tekanan intra okuler (TIO) dipertahankan dalam batas 10-21 mmHg
tergantung keseimbangan antara produksi dan pegeluaran (aliran) AqH di bilik
mata depan.</span></div>
<div class="MsoNormal">
<span lang="EN-US"> Peningkatan
TIO akan menekan aliran darah ke syaraf optik dan retina sehingga dapat merusak
serabut syaraf optik menjadi iskemik dan mati.
Selanjutnya menyebabkan kerusakan
jaringan yang dimulai dari perifer menuju ke fovea sentralis. Hal ini
menyebabkan penurunan lapang pandang yang dimulai dari derah nasal atas dan
sisa terakhir pada temporal </span></div>
<div class="MsoNormal">
<span lang="EN-US"> Lebih
jelasnya dapat dilihat di skema dibawah ini :</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 72.0pt; text-align: center;">
<b><u><span lang="EN-US">Produksi homur aqueus<o:p></o:p></span></u></b></div>
<div align="center" class="MsoNormal" style="margin-left: 72.0pt; text-align: center;">
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<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 39px; left: 0px; margin-left: 330px; margin-top: 16px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 1;"><img height="39" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1026" width="12" /></span><!--[endif]--><span lang="EN-US">Corpus Ciliaris</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
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<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 39px; left: 0px; margin-left: 330px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 2;"><img height="39" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1027" width="12" /></span><!--[endif]--><span lang="EN-US">
Bilik Mata Belakang</span></div>
<div class="MsoNormal">
<span lang="EN-US">
</span></div>
<div class="MsoNormal">
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</v:line><![endif]--><!--[if !vml]--><span style="height: 36px; left: 0px; margin-left: 330px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 3;"><img height="36" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1028" width="12" /></span><!--[endif]--><span lang="EN-US">
Pupil</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US"> Bilik
Mata Depan</span></div>
<div class="MsoNormal">
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<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="3" width="330"></td>
</tr>
<tr>
<td></td>
<td><img height="27" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1029" width="12" /></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<div class="MsoNormal">
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</v:line><![endif]--><!--[if !vml]--><span style="height: 27px; left: 0px; margin-left: 330px; margin-top: 23px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 5;"><img height="27" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1030" width="12" /></span><!--[endif]--><span lang="EN-US"> Sudut
BMD</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US"> Trab.
Schlem</span></div>
<div class="MsoNormal">
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<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="330"></td>
</tr>
<tr>
<td></td>
<td><img height="27" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1031" width="12" /></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<div class="MsoNormal">
<span lang="EN-US"> Sistem
Vena Sklera</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">
Kornea</span></div>
<div class="MsoNormal">
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<div class="MsoNormal">
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Aqueous Iris</span></div>
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style='position:absolute;left:0;text-align:left;margin-left:108pt;
margin-top:15pt;width:27pt;height:27pt;z-index:13;mso-position-horizontal:absolute;
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</v:shape><![endif]--><!--[if !vml]--><span style="height: 38px; left: 0px; margin-left: 143px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 38px; z-index: 13;"><img height="38" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" v:shapes="_x0000_s1038" width="38" /></span><!--[endif]--><span lang="EN-US"> Canal Of Schlemm Trabeculameshwork</span></div>
<div class="MsoNormal">
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<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">
Ciliary body</span></div>
<div class="MsoNormal">
<span lang="EN-US">
</span></div>
<div class="MsoNormal">
<span lang="EN-US"> Surgical drainage</span></div>
<div class="MsoNormal">
<span lang="EN-US">
opening Kornea</span></div>
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</span></div>
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</v:shape><![endif]--><!--[if !vml]--><span style="height: 64px; left: 0px; margin-left: 263px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 80px; z-index: 23;"><img height="64" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" v:shapes="_x0000_s1048" width="80" /></span><!--[endif]--><span lang="EN-US">
Aqueous Iris</span></div>
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style='position:absolute;left:0;text-align:left;margin-left:162pt;
margin-top:17.7pt;width:63pt;height:27pt;z-index:-22'/><![endif]--><!--[if !vml]--><span style="height: 38px; left: 0px; margin-left: 215px; margin-top: 23px; mso-ignore: vglayout; position: absolute; width: 86px; z-index: -22;"><img height="38" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" v:shapes="_x0000_s1045" width="86" /></span><!--[endif]--><!--[if gte vml 1]><v:shape id="_x0000_s1050"
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style='position:absolute;left:0;text-align:left;margin-left:108pt;
margin-top:15pt;width:27pt;height:27pt;z-index:26;mso-position-horizontal:absolute;
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</v:shape><![endif]--><!--[if !vml]--><span style="height: 38px; left: 0px; margin-left: 143px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 38px; z-index: 26;"><img height="38" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" v:shapes="_x0000_s1051" width="38" /></span><!--[endif]--><span lang="EN-US"> Canal Of Schlemm
Trabeculameshwork</span></div>
<div class="MsoNormal">
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to="2in,14.15pt" strokeweight="3pt"/><![endif]--><!--[if !vml]--><span style="height: 17px; left: 0px; margin-left: 166px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 28px; z-index: 33;"><img height="17" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image025.gif" v:shapes="_x0000_s1058" width="28" /></span><!--[endif]--><!--[if gte vml 1]><v:line id="_x0000_s1053"
style='position:absolute;left:0;text-align:left;z-index:28' from="117pt,7.75pt"
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</v:line><![endif]--><!--[if !vml]--><span style="height: 31px; left: 0px; margin-left: 155px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 30px; z-index: 28;"><img height="31" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" v:shapes="_x0000_s1053" width="30" /></span><!--[endif]--><span lang="EN-US"> Sclera Lensa</span></div>
<div class="MsoNormal">
<span lang="EN-US"> konjungtiva</span></div>
<div class="MsoNormal">
<span lang="EN-US">
Ciliary body</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US">Gambar 1.</span></b><span lang="EN-US">
Proses pengaliran aquaeos yang sebenarnya, aqueos mengalir melalui pupil masuk
keruang anterior dan meninggalkan mata melalui saluran schelemm, B. Pada
glaukoma, aliran aqueous yang normal tertahan, Tujuan pembedahan pada glaukoma
adalah membuat saluran baru yang memungkinkan aqueous dapat mengalir keluar
mata (dari Havener, WH : Sypnosis of Orphalmogy, ed. 5, St Louis 1979, The VC
mosby Co) Long (1996)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Glaukoma dibedakan menjadi ada beberapa
macam yaitu:</span></div>
<div class="MsoNormal">
<br /></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal"><span lang="EN-US">Glaukoma sudut terbuka /simplek (kronis)</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Adalah sebagian
besar glaukoma (90% - 95%), yang meliputi kedua belah mata, disebut sudut
terbuka karena humor aqueous mempunyai pintu terbuka kejaringan
trabekuler. Sudut bilik depan terbuka
normal, pengaliran dihambat karena adanya perubahan degeratif jaringan
trebuekuler, saluran schelem dan saluran yang berdekatan. adanya hambatan
aliran AgH tidak secepat produksi, bila berlangsung secara terus menerus, maka
menyebabkan degenerasi syaraf optik, sel gangglion, atropi iris dan siliare.
Gejala yang timbul awal biasanya tidak ada kelainan biasanya diketahui dengan
adanya peningkatan IOP dan sudut ruang anterior normal seperti: mata terasa
berat, pening, pengelihatan kabur, halo di sekitar cahaya, kelainan lapang
pandang , membesarnya titik buta.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal"><span lang="EN-US">Glaukoma sudut tertutup/sudut sempit (akut) </span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Adalah
terganggunya aliran akibat tertutupnya atau terjadinya penyempitan sudut antara
iris dan kornea, serangan intermiten, tekanan normal bila sudut terbuka,
kedaruratan mata akut</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Disebut sudut
tertutup karena ruang anterior secara anatomis menyempit sehingga iris
terdorong kedepan, menempel kejaringan trabekuler dan menghambat humor aquaeos
mengalir kesaluran schelemm. Dimana terjadinya penyempitan sudut dan perubahan
iris ke anterior, mengakibatkan terjadi penekanan kornea dan menutup sudut
mata, AqH tidak bisa mengakir keluar, bilik mata depan menjadi dangkal. Gejala
yang timbul dari penutupan yang tiba-tiba dan meningkatnya IOP, adalah: nyeri
selama beberapa jam dan hilang kalau tidur sebentar, TIO >75 mmHg, halo
disekitar cahaya, headache, mual, muntah, bradikardi, pengelihatan kabur dan
berkabut serta odema pada kornea. Bila terjadi penempelan iris menyebabkan
dilatasi pupil dan jika tidak ditangani bisa terjadi kebutaan dan nyeri yang
hebat.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal"><span lang="EN-US">Glaukoma Kongenital </span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Adalah
perkembangan abnormal dari sudut filtrasi dapat terjadi sekunder terhdap
kelainan mata systemik jarang (0,05%) manifestasi klinik biasanya adanya
pembesaran mata, lakrimasi, fotofobia blepharospme.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<ol start="4" style="margin-top: 0cm;" type="1">
<li class="MsoNormal"><span lang="EN-US">Glaukoma sekunder </span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Adalah glaukoma
yang terjadi dari peradangan mata, perubahan pembuluh darah, trauma. Dengan
gejala yang hampir mirip dengan sudut terbuka dan sudut tertutup tergantung
pada penyebab</span></div>
<div class="MsoNormal">
<br /></div>
<h1>
<!--[if !supportLists]--><span lang="EN-US">I.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Pengkajian</span></h1>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l15 level1 lfo2; tab-stops: list 18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Riwayat atau adanya faktor
risiko:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Riwayat keluarga positif</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Umur penderita >40 tahun</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Riwayat penyakit mata: tumor mata, hemoragi intraokuler, uveitis</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Riwayat operasi mata</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Riwayat gangguan pengelihatan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Penggunaan obat-obatan: antihistamin, kortikosteroid</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l15 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pemeriksaan fisik</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l11 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Melaporkan kehilangan pengelihatan perifer lambat</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l11 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Kaji ketajaman penglihatan snelen chart bila tersedia</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l11 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Awitan tiba-tiba dari nyeri berat pada mata sering disertai sakit
kepala, mual dan muntah</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l11 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Keluhan-keluhan sinar halo pelangi (bayangan disekitar mata),
pengelihatan kabur dan penurunan persepsi sinar.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l15 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pemeriksaan Diagnostik</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l12 level1 lfo6; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Tonometri digunakan untuk pemeriksaan TIO, tonometri yang sering
digunakan adalah appalansi yang menggunakan lamp (celah lampu) dimana sebagian
kecildaerah kornea diratakan untuk mengimbangi beban alat ukur ysng mengukur
tekanan, selain itu ada juga metode langsung yang kurang akurat yang lebih
murah, dan mudah adalah schiotz tonometer dengan cara tonometer ditempatkan
lansung diatas kornea yang sebelumnya mata terlebih dahulu dianastesi.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l12 level1 lfo6; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Gonioskopi digunakan untuk melihat secara langsung ruang anterior
untuk membedakan antara glaukoma sudut tertutut dengan glaukoma sudut terbuka</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l12 level1 lfo6; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Oftalmoskopi digunakan untuk melihat gambaran bagain mata secara
langsung diskus optik dan struktur mata internal</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Penatalaksanaan Medik</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l12 level1 lfo6; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Tujuan farmakologik adalah untuk mempertahankan kontraksi pupil agar
pengaliran humor aqueous lebih baik dan produksi humor aqueous dapat dikurangi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l12 level1 lfo6; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Pemberian obat diharapkan haruslah sesuai dengan anjuran</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l12 level1 lfo6; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Ada beberapa alternatif obat yang diberikan :</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pilocarpine</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Adalah obat
miotik yang dipilih dalam pengobatan glaukoma sudut terbuka yang biasanya
diberikan dalam bentuk tetes mata atau dalam bentuk lain tetesan membram
(ocusert) yang biasanya diletakkan pada diatas // dibawah konjungtiva diberikan
pada malam hari agar efek miotik stabil pada pagi harinya dan efek bertahan
sampai seminggu, efek yang muncul biasanya seringkali menurunkan penglihatan
selama 1 -2 jam dan dapat menyebabkan spasme mata yang sering pada orang-orang
muda</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Cont :
pilocarpine, carbachol( carbecel) efek ialah merangsang reseptor kolinergik,
mengkontraksikan otot-otot iris untuk mengecilkan pupil da n menurukan tahanan
terhadap aliran humor aqueous juga mengkontraskan otot-otot ciliary untuk
meningkatkan akomodasi.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Kolonerasi
inhibitor (miotik)</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Physostigmine(eserine),
Demecarium bromide(humorsol), isoflurophate(floropryt), echothiopine iodide
(phospoline iodede) yang mempunyai efek menghambat penghancuran
asetylchloholine yang berefek sebagai kolinergik tidak digunakan pada glaukoma
sudut tertutup(meningkatkan tahanan pupil)</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Agent penghambat beta
adrenergik /adrenigic beta bloker</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">dapat digunakan
secara mandiri atau kombinasi dengan obat-obat lainseperti Betaxolol mempunyai
keuntungan sedikit efek samping pada pulmonal. Penekanan pada lakrimal selama
satu menit dapat mencegah efek sisitemik yang cepat</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">cont : timolol
meleate (timoptic), betaxolol hydrochloride (betoptic), levobunol
hydraochloride (betagan) yang berefek memblok impuls-impuls adrenergik
(sympathetik) yang secara normal menyebabkan mydriasis, mekanisme yang bisa
menurunkan IOP, tidak jelas.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Agen osmotik</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Yang biasanya
diberikan pada keadaan yang akut yang berat dalam maksud menurunkan IOP dengan
menyerap cairan dari mata, bila osmotik oral tidakefektif atau meyebabkan mual,
manitol dapat diberikan secara intravenous</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Contoh :
glicerine, (glycerol, osmoglyn), mannitol (osmitrol), urea (ureaphil, urevert)
berefek meningkatkan osmolaritas plasma darah, meningkatkan aliran aqueous
humor keplasma </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Cat” obat
midriatik dan cycloplegik merupakan kontradiksi pada orang dengan glaukoma
karena dapat menyebabkan terbatasnya aliran humor aqueous humor.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Agen adrenergik </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">seperti
efinephryl borate(eppy), epinephrine hydrochloride (glaucon, epifrin),
epinephrine
bitartrate(epitrate,mucocoll), dipivefrin (propine) berefek menurunkan
produksi humor aqueous dan meningkatkan aliran aqueous jangan menggunakan untuk
glaukoma sudut tertutup</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">§<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">carbonik anhydrase inhibitor :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">acetazolamide(diamox),
ethoxzolamide(cardase), dichlorhenamide(daramide), methazolamide (neptazane)
berefek menghambat produksi humor aqueous </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l2 level1 lfo19; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">terapi pembedahan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">terapi
pembedahan dilakukan apabila cara konservatif gagal untuk mengatur peningkatan
IOP antara lain iridotomy/iredektomy dengan membuang sebagian kecil iris dan
membuka saluran antara ruang posterior dan anteriordan biasanya kalau gagal
dapat dilakukan trabeculectomy dengan membuat pembukaan antara anterior dan
rongga subkojungtiva</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<h1>
<!--[if !supportLists]--><span lang="EN-US">II.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Diagnose Keperawatan</span></h1>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l17 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Penurunan sensori-persepsi
visual s.d. kerusakan serabut syaraf oleh karena peningkatan TIO</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l17 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Nyeri s.d peningkatan TIO</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l17 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kurang pengetahuan : tentang
proses penyakit, status klinik saat ini s.d kurang informasi tentang penyakit
glaukoma.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l17 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Cemas s.d penurunan
pengelihatan aktual.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l17 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Potensial injuri s.d penurunan
lapang pandang</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l17 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Ketidakmampuan dalam perawatan
diri s.d.penurunan penglihatan</span></div>
<div class="MsoNormal">
<br /></div>
<h1>
<!--[if !supportLists]--><span lang="EN-US">III.<span style="font-size: 7pt; font-weight: normal;">
</span></span><!--[endif]--><span lang="EN-US">Rencana Keperawatan</span></h1>
<div class="MsoNormal">
<span lang="EN-US">Penurunan sensori pengelihatan s.d.
kerusakan serabut syaraf karena peningkatan TIO</span></div>
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<span lang="EN-US">Ditandai:</span></div>
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<span lang="EN-US">Data subyektif:</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Menyatakan pengelihatan kabur</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l14 level1 lfo7; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Menyatakan adanya sambaran seperti kilat (halo)</span></div>
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<br /></div>
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<span lang="EN-US">Data obyektif:</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Visus menurun</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l13 level1 lfo8; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">TIO meningkat</span></div>
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<br /></div>
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<span lang="EN-US">Kriteria Evaluasi</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Klien dapat meneteskan obat dengan benar</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Kooperatif dalam tindakan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l9 level1 lfo9; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Menyadari hilangnya pengelihatan secara permanen</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l9 level1 lfo9; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Tidak terjadi penurunan visus lebih lanjut</span></div>
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<br /></div>
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<br /></div>
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<tbody>
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<b><span lang="EN-US">INTERVENSI<o:p></o:p></span></b></div>
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<b><span lang="EN-US">RASIONAL<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kaji dan catat ketajaman
pengelihatan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kaji deskripsi fungsional apa
yang dapat dilihat/tidak.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l16 level1 lfo11; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sesuaikan lingkungan dengan kemampuan pengelihatan:</span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Orientasikan thd lingkungan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l16 level1 lfo11; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Letakan alat-alat yang sering dipakai dalam jangkuan pengelihatan
klien.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l16 level1 lfo11; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Berikan pencahayaan yang cukup.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l16 level1 lfo11; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Letakan alat-alat ditempat yang tetap.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l16 level1 lfo11; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Berikan bahan-bahan bacaan dengan tulisan yang besar.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l16 level1 lfo11; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">¯<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Hindari pencahayaan yang menyilaukan.</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l6 level1 lfo10; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Gunakan jam yang ada
bunyinya.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kaji jumlah dan tipe
rangsangan yang dapat diterima klien.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Anjurkan pada alternatif
bentuk rangsangan seperti radio. TV.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Menetukan kemampuan visual</span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l10 level1 lfo12; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Memberikan keakuratan thd
pengelihatan dan perawatan.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Meningkatkan self care dan
mengurangi ketergantung</span></div>
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<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Meningkatkan rangsangan pada
waktu </span></div>
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<span lang="EN-US">
kemampuan pengelihatan menurun.</span></div>
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<span lang="EN-US">Cemas berhubungan dengan penurunan
penglihatan, kurangnya pengetahuan.</span></div>
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<span lang="EN-US">Ditandai:</span></div>
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<span lang="EN-US">Data subyektif:</span></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal"><span lang="EN-US">Menyatakan perasaan takut</span></li>
<li class="MsoNormal"><span lang="EN-US">Sering menanyakan tentang penyakitnya</span></li>
<li class="MsoNormal"><span lang="EN-US">Mengakui kurangnya pemahaman</span></li>
</ul>
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<br /></div>
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<span lang="EN-US">Data obyektif:</span></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal"><span lang="EN-US">Suara gemetar</span></li>
<li class="MsoNormal"><span lang="EN-US">Tampak gugup</span></li>
<li class="MsoNormal"><span lang="EN-US">Nadi meningkat</span></li>
<li class="MsoNormal"><span lang="EN-US">Berkeringat dingin</span></li>
</ul>
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<br /></div>
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<span lang="EN-US">Kriteria evaluasi</span></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal"><span lang="EN-US">Berkurangnya perasaan gugup</span></li>
<li class="MsoNormal"><span lang="EN-US">Mengungkapkan pemahaman tentang rencana tindakan</span></li>
<li class="MsoNormal"><span lang="EN-US">Posisi tubuh rileks.</span></li>
</ul>
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<br /></div>
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<tbody>
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<b><span lang="EN-US">INTERVENSI<o:p></o:p></span></b></div>
</td>
<td style="background: #CCCCCC; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
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<b><span lang="EN-US">RASIONAL<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Hati-hati menyampaikan
hilangnya pengelihatan secara permanen</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Berikan kesempatan klien
mengekspresikan tentang kondisinya.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pertahankan kondisi yang
rileks.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Jelaskan tujuan setiap
tindakan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Siapakn bel di tempat tidur
dan intruksikan klien memberikan tanda bila mohon bantuan.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">pertahankan kontrol nyeri
yang efektif</span></div>
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<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kalau klien belum siap, akan
menambah kecemasan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pengekspresikan perasaan
membantu klien mengidentifikasi sumber cemas.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Rileks dapat menurunkan
cemas.</span></div>
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<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Dengan penjelasan akan
memberikan informasi yang jelas.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Dengan memberikan perhatian
akan menambah kepercayaan klien.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo17; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Nyeri adalah sumber stress</span></div>
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</div>
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="Section2">
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<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">Daftar Pustaka<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 48.0pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -48.0pt;">
<span lang="EN-US">Carpenito,
L.J. (1999). <b>Rencana Asuhan & Dokumentasi Keperawatan</b>. Ed. 2.
Jakarta : EGC</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 48.0pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -48.0pt;">
<u><span lang="EN-US"> </span></u><span lang="EN-US"> (2000). <b>Diagnosa
Keperawatan dan Masalah Kolaboratif</b>. Ed. 8.
Jakarta : EGC</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 48.0pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -48.0pt;">
<span lang="EN-US">Danielle
G dan Jane C. (2000). <b>Rencana Asuhan Keperawatan Onkologi</b>. EGC Jakarta</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 48.0pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -48.0pt;">
<span lang="EN-US">Darling,
V.H. & Thorpe, M.R. (1996). <b>Perawatan Mata.</b> Yogyakarta : Yayasan
Essentia Media.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 48.0pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -48.0pt;">
<span lang="EN-US">Ilyas,
Sidarta. (2000). <b>Kedaruratan Dalam Ilmu Penyakit Mata</b>. Jakarta : FKUI
Jakarta.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 48.0pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -48.0pt;">
<span lang="EN-US">Mansjoer,
A. (1999). <b>Kapita Selekta Kedokteran</b>. Jilid 1. Jakarta : Media
Aesculapius FKUI Jakarta.</span><span lang="EN-US" style="font-family: "Tahoma","sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 48.0pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -48.0pt;">
<span lang="EN-US">Sidarata
I. (1982). <b>Ilmu Penyakit Mata</b>. FKUI. Jakarta </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 48.0pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -48.0pt;">
<span lang="EN-US">Wijana,
Nana. (1983). <b>Ilmu Penyakit Mata</b>. Jakarta : FKUI Jakarta</span></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Arial Unicode MS"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-39854133907667836212013-04-10T11:54:00.001+07:002013-04-10T11:54:19.051+07:00ASKEP LEPTOSPIROSIS<br />
<div class="Section1">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-size: 14.0pt;">RC ASUHAN KEPERAWATAN<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-size: 14.0pt;">PADA KLIEN DENGAN LEPTOSPIROSIS<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">I.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">LANDASAN TEORI</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">A.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Pengertian<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<i><span lang="EN-US">Leptospirosis</span></i><span lang="EN-US"> adalah suatu zoonosis yang disebabkan suatu mikroorganisme yaitu
leptospira tanpa memandang bentuk spesifik serotipenya. Penyakit ini juga
dikenal dengan nama seperti mud fever, slim fever, swamp fever, autumnal fever,
infectoius jaundice, field fever, cane cutler fever.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">B.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Etiologi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Penyakit yang
terdapat di negara yang beriklim tropis. Berbagai subgroup yang masing- masing
terbagi dalam atas :</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">1.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">L icterohaemorhagiae
dengan reservoire tikus (syndroma weil)<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">2.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">L. canicola dengan
reservoire anjing<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">3.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">L pamona dengan
reservoire sapi dan babi<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Insiden :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Penyakit ini
dapat berjangkit pada laki-laki dan perempuan pada semua umur.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">C.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Manifestasi klinis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Masa tunas
berkisar antara 2-26 hari(kebanyakan 7-13 hari) rata-rata 10 hari.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Pada leptospira
ini ditemukan perjalanan klini sbifasik :</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l3 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">1.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Leptopiremia
(berlangsung 4-9 hari)<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US">Timbul demam
mendadak, diserta sakit kepala (frontal, oksipital atau bitemporal). Pada otot
akan timbul keluhan mialgia dan nyeri tekan (otot gastronemius, paha pinggang,)
dandiikuti heperestesia kulit. Gejala menggigil dan demam tinggi, mual, muntah,
diare, batuk, sakit dada, hemoptisis, penurunan kesadaran, dan injeksi
konjunctiva. Injeksi faringeal, kulit dengan ruam berbentuk
makular/makolupapular/urtikaria yang tersebar pada badan, splenomegali, dan
hepatomegali.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l3 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">2.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Fase imun (1-3 hari)<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US">Fase imun yang
berkaitan dengan munculnya antibodi IgM sementara konsentrasi C<sup>3</sup>,
tetap normal. Meningismus, demam jarang melebihi 39<sup>o</sup>C. Gejala lain
yang muncul adalah iridosiklitis, neuritis optik, mielitis, ensefalitis, serta
neuripati perifer.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l3 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">3.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Fase penyembuhan (minggu
ke-2 sampai minggu ke-4)<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US">Dapat ditemukan
adanya demam atau nyeri otot yang kemudian berangsur-angsur hilang.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">D.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Patofisiologi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Manusia bisa
terinfeksi jika terjadi kontak pada kulit atau selaput lendir yang luka/erosi
dengan air, lumpur dan sebagainya yang telah tercemar oleh air kemih binatang
yang terinfeksi leptospira. Leptospira yang masuk melalui kulit maupun selaput
lendir yang luka/erosi akan menyebar ke organ-organ dan jaringan tubuh melalui
darah. Sistem imun tubuh akan berespon sehingga jumlah laptospira akan
berkurang, kecuali pada ginjal yaitu tubulus dimana kan terbentuk koloni-koloni
pada dinding lumen yang mengeluarkan endotoksin dan kemudian dapat masuk ke
dalam kemih.</span></div>
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<br /></div>
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<br /></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section2">
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<span lang="EN-US">Gambaran
patofisilogi </span></div>
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<p class=MsoNormal>
<span lang=EN-US>Etiologi :</span></p>
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mso-list:l13 level1 lfo18;tab-stops:list 36.0pt'>
<![if !supportLists]><span
lang=EN-US><span style='mso-list:Ignore'>-<span style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><span lang=EN-US>L. interrograns</span></p>
<p class=MsoNormal style='margin-left:36.0pt;text-indent:-18.0pt;
mso-list:l13 level1 lfo18;tab-stops:list 36.0pt'>
<![if !supportLists]><span
lang=EN-US><span style='mso-list:Ignore'>-<span style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><span lang=EN-US>L. icterohaemorhagiae</span></p>
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mso-list:l13 level1 lfo18;tab-stops:list 36.0pt'>
<![if !supportLists]><span
lang=EN-US><span style='mso-list:Ignore'>-<span style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><span lang=EN-US>L. canicola</span></p>
<p class=MsoNormal style='margin-left:36.0pt;text-indent:-18.0pt;
mso-list:l13 level1 lfo18;tab-stops:list 36.0pt'>
<![if !supportLists]><span
lang=EN-US><span style='mso-list:Ignore'>-<span style='font:7.0pt "Times New Roman"'>
</span></span></span><![endif]><span lang=EN-US>L. Pamona</span></p>
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to="8277,8460">
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to="8277,10080">
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to="9537,9360">
<v:stroke endarrow="block"/>
</v:line></v:group><![endif]--><!--[if !vml]--><span style="height: 653px; left: 0px; margin-left: 47px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 489px; z-index: 251658240;"><img height="653" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1026 _x0000_s1027 _x0000_s1028 _x0000_s1029 _x0000_s1030 _x0000_s1031 _x0000_s1032 _x0000_s1033 _x0000_s1034 _x0000_s1035 _x0000_s1036 _x0000_s1037 _x0000_s1038 _x0000_s1039 _x0000_s1040 _x0000_s1041 _x0000_s1042 _x0000_s1043 _x0000_s1044 _x0000_s1045 _x0000_s1046 _x0000_s1047" width="489" /></span><!--[endif]--><span lang="EN-US">Organisme</span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<span lang="EN-US">Kontak pada kulit. Selaput lendir,</span></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<span lang="EN-US">Luka erosi dengan air, tanah, lumpur)</span></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<span lang="EN-US">air kemih binatang yang terinfeksi leptospira</span></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<span lang="EN-US">endoktoksin</span></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
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</tr>
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<td></td>
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</tbody></table>
<!--[endif]--><span lang="EN-US"> </span></div>
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<br /></div>
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<br /></div>
<br clear="ALL" />
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<span lang="EN-US">Masuk darah dan alirannya</span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<br /></div>
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<br /></div>
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<div align="center" class="MsoNormal" style="margin-left: 3.6pt; text-align: center;">
<span lang="EN-US">Leukositosis, nuetro-filia (proses fagosi-tosis)</span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 3.6pt; text-align: center;">
<i><span lang="EN-US">Demam sampai meng-gigil<o:p></o:p></span></i></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US">Miokar-ditis</span></div>
<div class="MsoNormal" style="margin-left: 3.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 3.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 3.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 3.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 3.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 3.6pt;">
<i><span lang="EN-US">Peningkatan
suhu tubuh *)<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 3.6pt;">
<i><span lang="EN-US">Kurang
pengetahuan *)<o:p></o:p></span></i></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 72.0pt;" valign="top" width="96">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Vaskulitits
difus di kapiler</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Trombositopenia</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Pertaharan<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Epitaksis<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Hemoptisis<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Hemetem-isis <o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">melena<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Perdarahan adrenal, gagal ginjal, perdarahan paru<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Risiko defisit cairan dan eletrolit *)<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Cemas<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">/takut *)</span></i></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Gastro-intestinal</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Hepatomegali,
spleno-megali</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Mual<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Muntah<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Risiko nutrisi kurang dari kebutuhan *)</span></i></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Leukosit
CSS</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Meningismus</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">ensepalitis</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Panas<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">nyeri kepala (frontal, oksipital)<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">fotofobia</span></i><span lang="EN-US">,</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Nyeri
*)</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Pretibial
fever</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Eritema-tosa</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">ruam, makular, makulopapula<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Kerusakan kulit *)<o:p></o:p></span></i></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Rekasi
kimia kinin, bradikin, prostag-landing</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Mialgia,<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<i><span lang="EN-US">Nyeri*)<o:p></o:p></span></i></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">E.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Komplikasi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Pada leptospira,
komplikasi yang sering terjadi adalah iridosiklitis, gagal ginjal, miokarditis,
meningitis aseptik dan hepatitis. Perdarahan masif jarang ditemui dan bila
terjadi selalu menyebabkan kematian.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">F.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Penatalaksanaan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Obat antibiotika
yang biasa diberikan adalah penisillin, strptomisin, tetrasiklin,
kloramfenikol, eritromisin dan siproflokasasin. Obat pilihan utama adalah
penicillin G 1,5 juta unit setiap 6 jam selama 5-7 hari. Dalam 4-6 jam setelah
pemeberian penicilin G terlihat reaksi Jarisch Hecheimmer yang menunjukkan
adanya aktivitas antileptospira> obat ini efektif pada pemberian 1-3 hari
namun kurnag bermanfaat bila diberikan setelah fase imun dan tidak efektif jika
terdapat ikterus, gagal ginjal dan meningitis. Tindakan suporatif diberikan
sesuai denan keparahan penyakit dan komplikasi yang timbul.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">G.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">prognosis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US">Tergantung
keadaan umum klien, umur, virulensi leptospira, dan ada tidaknya kekebalan yang
didapat. Kematian juga biasanya terjadi akibat sekunder dari faktor pemberat
seperti gagal ginjal atau perdarahan dan terlambatnya klien mendapat
pengobatan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l1 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 14.0pt;">II.<span style="font-size: 7pt; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 14.0pt;">KONSEP KEPERAWATAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">A.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Pengkajian<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">1.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Identitis<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US">Keadaan umum
klien seperti umur dan imunisasi., laki dan perempuan tingkat kejadiannya sama.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">2.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Keluhan utama<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US">Demam yang
mendadak</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US">Timbul gejala
demam yang disertai sakit kepala, mialgia dan nyeri tekan (frontal) mata merah,
fotofobia, keluahan gastrointestinal. Demam disertai mual, muntah, diare,
batuk, sakit dada, hemoptosis, penurunan kesadaran dan injeksi konjunctiva.
Demam ini berlangsung 1-3 hari.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">3.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Riwayat keperawatan<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Imunisasi, riwayat imunisasi
perlu untuk peningkatan daya tahan tubuh</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Riwayat penyakit, influenza,
hapatitis, bruselosis, pneuma atipik, DBD, penyakit susunan saraf akut, fever
of unknown origin.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Riwayat pekerjaan klien apakah
termasuk kelompok orang resiko tinggi seperti bepergian di hutan belantara,
rawa, sungai atau petani. </span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">4.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Pemeriksaan dan
observasi<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Fisik</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US">Keadaan umum,
penurunan kesadaran, lemah, aktvivitas menurun</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US">Review of sistem
:</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level5 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sistem pernafasan</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US">Epitaksis,
penumonitis hemoragik di paru, batuk, sakit dada</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level5 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sistem cardiovaskuler</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US">Perdarahan,
anemia, demam, bradikardia.</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level5 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sistem persyrafan</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US">Penuruanan
kesadaran, sakit kepala terutama dibagian frontal, mata merah.fotofobia,
injeksi konjunctiva,iridosiklitis</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level5 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sistem perkemihan</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US">Oligoria,
azometmia,perdarahan adernal</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level5 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sistem pencernaan</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US">Hepatomegali,
splenomegali, hemoptosis, melenana</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level5 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sistem muskoloskletal</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US">Kulit dengan
ruam berbentuk makular/makulopapular/urtikaria yang teresebar pada badan.
Pretibial.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Laboratorium</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Leukositosis normal, sedikit menurun, </span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Neurtrofilia dan laju endap darah (LED) yang meninggiu</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Proteinuria, leukositoria</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sedimen sel torak</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">BUN , ureum dan kreatinin meningkat</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">SGOT meninggi tetapi tidak melebihi 5 x normal</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Bilirubin meninggi samapai 40 %</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Trombositopenia</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Hiporptrombinemia</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Leukosit dalam cairan serebrospinal 10-100/mm<sup>3</sup></span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l1 level6 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Glukosa dalam CSS Normal atau menurun</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">5.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">penatalaksanaan<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US">Lihat pada
landasan teori.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level3 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">6.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Diagnosa keperawatan<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><i><span lang="EN-US">Peningkatan suhu tubuh
sehubungan dengan proses infeksi dari perjalanan penyakitnya</span></i><span lang="EN-US">.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">b.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Cemas / takut
berhubungan dengan perubahan kesehatan (penyakit leptospirosisi) ditandai
dengan peningkatan tegangan, kelelahan, mengekspresikan kecanggungan peran,
perasaan tergantung, tidak adekuat kemampuan menolong diri, stimulasi
simpatetik.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">c.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US"> Nyeri (akut) berhubungan dengan proses penyakit
(penekanan/kerusakan jaringan syaraf, infiltrasi sistem suplay syaraf, syaraf, inflamasi), ditandai dengan klien
mngatakan nyeri, klien sulit tidur, tidak mampu memusatkan perhatian, ekspresi
nyeri, kelemahan.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">d.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Kurangnya pengetahuan
tentang penyakit, prognosis dan pengobatan berhubungan dengan kurangnya
informasi, misinterpretasi, keterbatasan kognitif ditandai dengan sering
bertanya, menyatakan masalahnya, pernyataan miskonsepsi, tidak akurat dalam
mengikiuti intruksi/pencegahan komplikasi.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">e.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Pemenuhan nutrisi
(kurang dari kebutuhan tubuh) berhubungan dengan intake kurang ditandai dengan
klien mengatakan intake tidak adekuat, hilangnya rasa kecap, kehilangan selera,
nausea dan vomitng, berat badan turun sampai 20% atau lebih dibawah ideal, penurunan
massa otot dan lemak subkutan, <o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">f.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Resiko tinggi kurangnya
volume cairan berhubungan dengan output yang tidak normal (vomiting, diare),
hipermetabolik, kurangnya intake<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level4 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US">g.<span style="font-size: 7pt; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US">Resiko tinggi kerusakan
integritas kulit berhubungan dengan efek kerja penyakitnya deficit imunologik,
penurunan intake nutrisi dan anemia.<o:p></o:p></span></i></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section3">
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level2 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US">B.<span style="font-size: 7pt; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US">Perencanaan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<i><span lang="EN-US">1. Peningkatan suhu tubuh sehubungan dengan proses infeksi dari
perjalanan penyakitnya.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt; tab-stops: 127.6pt 148.85pt;">
<span lang="EN-US">Tujuan : suhu tubuh turun sampai batas normal</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Kriteria hasil :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Suhu tubuh dalam batas normal
36 – 37 <sup>0</sup> C </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien bebas demam</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level2 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Mukosa mulut basah, mata tidak
cekung, istirahat cukup </span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 24.1pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 199.6pt;" valign="top" width="266">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">INTERVENSI<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.7pt;" valign="top" width="296">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">RASIONAL<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 199.6pt;" valign="top" width="266">
<div class="MsoNormal" style="margin-left: 20.9pt; mso-list: l4 level3 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Bina
hubungan baik dengan klien dan keluarga<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.9pt; mso-list: l4 level3 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
kompres dingin dan ajarkan cara untuk memakai es atau handuk pada tubu,
khususnya pada aksila atau lipatan paha.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.9pt; mso-list: l4 level3 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Peningkatan
kalori dan beri banyak minuman (cairan)<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.9pt; mso-list: l4 level3 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
memakai baju tipis yang menyerap
keringat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.9pt; mso-list: l4 level3 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Observasi
tanda-tanda vital terutama suhu dan denyut nadi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 2.9pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.9pt; mso-list: l4 level3 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Kolaborasi
dengan tim medis dalam pemberian obat-obatan terutama anti piretik.,
antibiotika (Pinicillin G )<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.7pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-left: 19.3pt; mso-list: l2 level3 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Dengan
hubungan yang baik dapat meningkatkan kerjasama dengan klien sehingga pengobatan dan perawatan
mudah dilaksanakan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 19.3pt; mso-list: l2 level3 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Pemberian
kompres dingin merangsang penurunan suhu tubuh.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 19.3pt; mso-list: l2 level3 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Air
merupakan pangatur suhu tubuh. Setiap
ada kenaikan suhu melebihi normal, kebutuhan metabolisme air juga meningkat
dari kebutuhan setiap ada kenaikan suhu tubuh.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 19.3pt; mso-list: l2 level3 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Baju
yang tipis akan mudah untuk menyerap keringat yang keluar.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 19.3pt; mso-list: l2 level3 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Observasi
tanda-tanda vital merupakan deteksi
dini untuk mengetahui komplikasi yang
terjadi sehingga cepat mengambil tindakan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 19.3pt; mso-list: l2 level3 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Pemberian
obat-obatan terutama antibiotik akan membunuh kuman Salmonella typhi sehingga
mempercepat proses penyembuhan
sedangkan antipiretik untuk menurunkan suhu tubuh. Antibotika spektrrum luas.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<i><span lang="EN-US">2. Cemas / takut berhubungan dengan perubahan kesehatan (penyakit
leptospirosisi) ditandai dengan peningkatan tegangan, kelelahan,
mengekspresikan kecanggungan peran, perasaan tergantung, tidak adekuat
kemampuan menolong diri, stimulasi simpatetik.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Tujuan :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Klien dapat mengurangi rasa
cemasnya</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Rileks dan dapat melihat
dirinya secara obyektif.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Menunjukkan koping yang efektif
serta mampu berpartisipasi dalam pengobatan.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 24.1pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">INTERVENSI<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">RASIONAL<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l9 level1 lfo4; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Tentukan
pengalaman klien sebelumnya terhadap penyakit yang dideritanya.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l9 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
informasi tentang prognosis secara akurat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l9 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Beri
kesempatan pada klien untuk mengekspresikan rasa marah, takut, konfrontasi.
Beri informasi dengan emosi wajar dan ekspresi yang sesuai.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l9 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Jelaskan
pengobatan, tujuan dan efek samping. Bantu klien mempersiapkan diri dalam
pengobatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l9 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Catat
koping yang tidak efektif seperti kurang interaksi sosial, ketidak berdayaan
dll.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 4.65pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l9 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
untuk mengembangkan interaksi dengan support system.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l9 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
lingkungan yang tenang dan nyaman.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l9 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Pertahankan
kontak dengan klien, bicara dan sentuhlah dengan wajar.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Data-data
mengenai pengalaman klien sebelumnya akan memberikan dasar untuk penyuluhan
dan menghindari adanya duplikasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Pemberian
informasi dapat membantu klien dalam memahami proses penyakitnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Dapat
menurunkan kecemasan klien.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Membantu
klien dalam memahami kebutuhan untuk pengobatan dan efek sampingnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 2.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mengetahui
dan menggali pola koping klien serta mengatasinya/memberikan solusi dalam
upaya meningkatkan kekuatan dalam mengatasi kecemasan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Agar
klien memperoleh dukungan dari orang yang terdekat/keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Memberikan
kesempatan pada klien untuk berpikir/merenung/istirahat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l8 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Klien
mendapatkan kepercayaan diri dan keyakinan bahwa dia benar-benar ditolong. <o:p></o:p></span></div>
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<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<i><span lang="EN-US">3. Nyeri (akut) berhubungan dengan proses penyakit
(penekanan/kerusakan jaringan syaraf, infiltrasi sistem suplay syaraf, syaraf, inflamasi), ditandai dengan klien
mngatakan nyeri, klien sulit tidur, tidak mampu memusatkan perhatian, ekspresi
nyeri, kelemahan.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<i><span lang="EN-US">Tujuan :<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<i><span lang="EN-US">- Klien mampu mengontrol rasa nyeri melalui
aktivitas<o:p></o:p></span></i></div>
<div class="MsoNormal">
<i><span lang="EN-US">
- Melaporkan nyeri yang
dialaminya<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<i><span lang="EN-US">- Mengikuti program pengobatan<o:p></o:p></span></i></div>
<div class="MsoNormal">
<i><span lang="EN-US">-
Mendemontrasikan tehnik relaksasi dan pengalihan rasa nyeri melalui
aktivitas yang mungkin<o:p></o:p></span></i></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 24.1pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">INTERVENSI<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">RASIONAL<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l12 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Tentukan
riwayat nyeri, lokasi, durasi dan intensitas<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l12 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Evaluasi
therapi: pembedahan, radiasi, khemotherapi, biotherapi, ajarkan klien dan
keluarga tentang cara menghadapinya<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l12 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
pengalihan seperti reposisi dan aktivitas menyenangkan seperti mendengarkan
musik atau nonton TV (distraksi)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l12 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Menganjurkan
tehnik penanganan stress (tehnik relaksasi, visualisasi, bimbingan), gembira,
dan berikan sentuhan therapeutik.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l12 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Evaluasi
nyeri, berikan pengobatan bila perlu.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.65pt; text-indent: -18.7pt;">
<span lang="EN-US" style="font-size: 10.0pt;">f.
Diskusikan penanganan nyeri dengan dokter dan juga dengan klien<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt;">
<span lang="EN-US" style="font-size: 10.0pt;">g. Berikan
analgetik sesuai indikasi seperti morfin, methadone, narkotik dll<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Memberikan
informasi yang diperlukan untuk merencanakan asuhan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Untuk
mengetahui terapi yang dilakukan sesuai atau tidak, atau malah menyebabkan
komplikasi.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Untuk
meningkatkan kenyamanan dengan mengalihkan perhatian klien dari rasa nyeri.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 2.3pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Meningkatkan
kontrol diri atas efek samping dengan menurunkan stress dan ansietas.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 2.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Untuk
mengetahui efektifitas penanganan nyeri, tingkat nyeri dan sampai sejauhmana
klien mampu menahannya serta untuk mengetahui kebutuhan klien akan
obat-obatan anti nyeri.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Agar
terapi yang diberikan tepat sasaran.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 2.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Untuk
mengatasi nyeri.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<i><span lang="EN-US">4. Pemenuhan nutrisi (kurang dari kebutuhan tubuh) berhubungan
dengan intake kurang ditandai dengan klien mengatakan intake tidak adekuat,
hilangnya rasa kecap, kehilangan selera, nausea dan vomitng, berat badan turun
sampai 20% atau lebih dibawah ideal, penurunan massa otot dan lemak subkutan, <o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Tujuan :</span></div>
<div class="MsoNormal">
<span lang="EN-US">- Klien menunjukkan berat badan yang stabil,
hasil lab normal dan tidak ada tanda malnutrisi</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">- Menyatakan pengertiannya terhadap perlunya
intake yang adekuat</span></div>
<div class="MsoNormal">
<span lang="EN-US">-
Berpartisipasi dalam penatalaksanaan diet yang berhubungan dengan
penyakitnya</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 24.1pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">INTERVENSI<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">RASIONAL<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Monitor
intake makanan setiap hari, apakah klien makan sesuai dengan kebutuhannya.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Timbang
dan ukur berat badan, ukuran triceps serta amati penurunan berat badan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Kaji
pucat, penyembuhan luka yang lambat dan pembesaran kelenjar parotis.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
klien untuk mengkonsumsi makanan tinggi kalori dengan intake cairan yang
adekuat. Anjurkan pula makanan kecil untuk klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Kontrol
faktor lingkungan seperti bau busuk atau bising. Hindarkan makanan yang
terlalu manis, berlemak dan pedas.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 4.65pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Ciptakan
suasana makan yang menyenangkan misalnya makan bersama teman atau keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
tehnik relaksasi, visualisasi, latihan moderate sebelum makan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
komunikasi terbuka tentang problem anoreksia yang dialami klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt;">
<span lang="EN-US" style="font-size: 10.0pt;">Kolaboratif<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">i.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Amati
studi laboraturium seperti total limposit, serum transferin dan albumin<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">j.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
pengobatan sesuai indikasi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt;">
<span lang="EN-US" style="font-size: 10.0pt;">Phenotiazine, antidopaminergic, corticosteroids,
vitamins khususnya A,D,E dan B6, antacida<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l14 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">k.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Pasang
pipa nasogastrik untuk memberikan makanan secara enteral, imbangi dengan
infus.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Memberikan
informasi tentang status gizi klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: -.7pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Memberikan
informasi tentang penambahan dan penurunan berat badan klien.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Menunjukkan
keadaan gizi klien sangat buruk.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: -.7pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Kalori
merupakan sumber energi.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mencegah
mual muntah, distensi berlebihan, dispepsia yang menyebabkan penurunan nafsu
makan serta mengurangi stimulus berbahaya yang dapat meningkatkan ansietas.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Agar
klien merasa seperti berada dirumah sendiri.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: -.7pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Untuk
menimbulkan perasaan ingin makan/membangkitkan selera makan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Agar
dapat diatasi secara bersama-sama (dengan ahli gizi, perawat dan klien).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: -.7pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">i.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Untuk
mengetahui/menegakkan terjadinya gangguan nutrisi sebagi akibat perjalanan
penyakit, pengobatan dan perawatan terhadap klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">j.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Membantu
menghilangkan gejala penyakit, efek samping dan meningkatkan status kesehatan
klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l7 level1 lfo9; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">k.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mempermudah
intake makanan dan minuman dengan hasil yang maksimal dan tepat sesuai
kebutuhan.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<i><span lang="EN-US">5. Kurangnya pengetahuan tentang penyakit, prognosis dan pengobatan
berhubungan dengan kurangnya informasi, misinterpretasi, keterbatasan kognitif
ditandai dengan sering bertanya, menyatakan masalahnya, pernyataan miskonsepsi,
tidak akurat dalam mengikiuti intruksi/pencegahan komplikasi.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Tujuan :</span></div>
<div class="MsoNormal">
<span lang="EN-US">- Klien dapat
mengatakan secara akurat tentang diagnosis dan pengobatan pada ting-katan siap.</span></div>
<div class="MsoNormal">
<span lang="EN-US">-
Mengikuti prosedur dengan baik dan menjelaskan tentang alasan mengikuti
prosedur tersebut.</span></div>
<div class="MsoNormal">
<span lang="EN-US">-
Mempunyai inisiatif dalam perubahan gaya hidup dan berpartisipasi dalam
pengo- batan.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">- Bekerjasama dengan pemberi informasi.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 24.1pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">INTERVENSI<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">RASIONAL<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Review
pengertian klien dan keluarga tentang diagnosa, pengobatan dan akibatnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Tentukan
persepsi klien tentang kanker dan pengobatannya, ceritakan pada klien tentang
pengalaman klien lain yang menderita kanker.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Beri
informasi yang akurat dan faktual. Jawab pertanyaan secara spesifik,
hindarkan informasi yang tidak diperlukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
bimbingan kepada klien/keluarga sebelum mengikuti prosedur pengobatan,
therapy yang lama, komplikasi. Jujurlah pada klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
klien untuk memberikan umpan balik verbal dan mengkoreksi miskonsepsi tentang
penyakitnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Review
klien /keluarga tentang pentingnya status nutrisi yang optimal.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
klien untuk mengkaji membran mukosa mulutnya secara rutin, perhatikan adanya
eritema, ulcerasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 4.65pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
klien memelihara kebersihan kulit dan rambut.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l16 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Menghindari
adanya duplikasi dan pengulangan terhadap pengetahuan klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 2.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l16 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Memungkinkan
dilakukan pembenaran terhadap kesalahan persepsi dan konsepsi serta kesalahan
pengertian.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l16 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Membantu
klien dalam memahami proses penyakit.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 2.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l16 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Membantu
klien dan keluarga dalam membuat keputusan pengobatan.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l16 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mengetahui
sampai sejauhmana pemahaman klien dan keluarga mengenai penyakit klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l16 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Meningkatkan
pengetahuan klien dan keluarga mengenai nutrisi yang adekuat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 2.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l16 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mengkaji
perkembangan proses-proses penyembuhan dan tanda-tanda infeksi serta masalah
dengan kesehatan mulut yang dapat mempengaruhi intake makanan dan minuman.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l16 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Meningkatkan
integritas kulit dan kepala.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<i><span lang="EN-US">6. Resiko tinggi kurangnya volume cairan berhubungan dengan output
yang tidak normal (vomiting, diare), hipermetabolik, kurangnya intake<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Tujuan :</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Klien
menunjukkan keseimbangan cairan dengan tanda vital normal, membran mukosa
normal, turgor kulit bagus, capilarry ferill normal, urine output normal.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 24.1pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">INTERVENSI<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">RASIONAL<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l0 level1 lfo12; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Monitor
intake dan output termasuk keluaran yang tidak normal seperti emesis, diare, drainase
luka. Hitung keseimbangan selama 24 jam.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l0 level1 lfo12; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Timbang
berat badan jika diperlukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 3.95pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l0 level1 lfo12; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Monitor
vital signs. Evaluasi pulse peripheral, capilarry refil.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 3.95pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l0 level1 lfo12; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Kaji
turgor kulit dan keadaan membran mukosa. Catat keadaan kehausan pada klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l0 level1 lfo12; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
intake cairan samapi 3000 ml per hari sesuai kebutuhan individu.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l0 level1 lfo12; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Observasi
kemungkinan perdarahan seperti perlukaan pada membran mukosa, luka bedah,
adanya ekimosis dan pethekie.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l0 level1 lfo12; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Hindarkan
trauma dan tekanan yang berlebihan pada luka bedah.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l0 level1 lfo12; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Kolaboratif
<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
cairan IV bila diperlukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
therapy antiemetik.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Monitor
hasil laboratorium : Hb, elektrolit, albumin<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l15 level1 lfo13; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Pemasukan
oral yang tidak adekuat dapat menyebabkan hipovolemia.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l15 level1 lfo13; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Dengan
memonitor berat badan dapat diketahui bila ada ketidakseimbangan cairan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l15 level1 lfo13; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Tanda-tanda
hipovolemia segera diketahui dengan adanya takikardi, hipotensi dan suhu
tubuh yang meningkat berhubungan dengan dehidrasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l15 level1 lfo13; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Dengan
mengetahui tanda-tanda dehidrasi dapat mencegah terjadinya hipovolemia.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 1.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l15 level1 lfo13; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">e.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Memenuhi
kebutuhan cairan yang kurang.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l15 level1 lfo13; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">f.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Segera
diketahui adanya perubahan keseimbangan volume cairan.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l15 level1 lfo13; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">g.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mencegah
terjadinya perdarahan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 1.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l15 level1 lfo13; text-indent: -18.7pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">h.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Kolaborasi
:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Memenuhi
kebutuhan cairan yang kurang.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mencegah/menghilangkan
mual muntah.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mengetahui
perubahan yang terjadi.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<i><span lang="EN-US">7. Resiko tinggi kerusakan integritas kulit berhubungan dengan efek
kerja penyakitnya deficit imunologik, penurunan intake nutrisi dan anemia.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Tujuan :</span></div>
<div class="MsoNormal" style="margin-left: 28.05pt; tab-stops: 28.05pt; text-indent: -10.05pt;">
<span lang="EN-US">- Klien dapat mengidentifikasi intervensi yang
berhubungan dengan kondisi spesifik</span></div>
<div class="MsoNormal">
- Berpartisipasi dalam
pencegahan <span lang="EN-US">komplikasi dan percepatan penyembuhan</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 24.1pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">INTERVENSI<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-size: 10.0pt;">RASIONAL<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 208.05pt;" valign="top" width="277">
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l11 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Monitor
perkembangan kerusakan integritas
kulit untuk melihat adanya efek kerusakan kulit, <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l11 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Anjurkan
klien untuk tidak menggaruk bagian yang gatal.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l11 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Ubah
posisi klien secara teratur.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 4.65pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.65pt; mso-list: l11 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Berikan
advise pada klien untuk menghindari pemakaian cream kulit, minyak, bedak
tanpa rekomendasi dokter.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 232.2pt;" valign="top" width="310">
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l17 level1 lfo15; text-indent: -18.75pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">a.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Memberikan
informasi untuk perencanaan asuhan dan mengembangkan identifikasi awal
terhadap perubahan integritas kulit.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l17 level1 lfo15; text-indent: -18.75pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">b.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Menghindari
perlukaan yang dapat menimbulkan infeksi.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l17 level1 lfo15; text-indent: -18.75pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">c.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Menghindari
penekanan yang terus menerus pada suatu daerah tertentu.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.3pt; mso-list: l17 level1 lfo15; text-indent: -18.75pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 10.0pt;">d.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt;">Mencegah
trauma berlanjut pada kulit dan produk yang kontra indikatif<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-autospace: none;">
<b><span lang="EN-US">C. Pelaksanaan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: .55pt;">
<span lang="EN-US">Pelaksanaan
keperawatan merupakan kegiatan yang dilakukan sesuai dengan rencana yang telah
ditetapkan. Selama pelaksanaan kegiatan dapat bersifat mandiri dan kolaboratif.
Selama melaksanakan kegiatan perlu diawasi dan dimonitor kemajuan kesehatan
klien <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-autospace: none;">
<b><span lang="EN-US">D. Evaluasi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: .55pt;">
<span lang="EN-US">Tahap
evaluasi dalam proses keperawatan menyangkut pengumpulan data subyektif dan
obyektif yang akan menunjukkan apakah tujuan pelayanan keperawatan sudah
dicapai atau belum. Bila perlu langkah evaluasi ini merupakan langkah awal dari
identifikasi dan analisa masalah selanjutnya <o:p></o:p></span></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b><span lang="EN-US">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<span lang="EN-US">Donna,
D.I. Et al. 1995. <b>Medical Surgical
Nursing ; A Nursing Process Approach</b> 2 nd Edition : WB Sauders.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<span lang="EN-US">Carpenito
LJ. 2000. <b>Dokumentasi dan Asuhan Keperawatan</b>. EGC. Jakarta </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<span lang="EN-US">FKUA,
1984. <b>Pedoman Diagnosis dan Ilmu Penyakit Dalam</b>. FKUA, Surabaya </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; mso-outline-level: 1; text-indent: -42.5pt;">
<span lang="EN-US">Rothrock, C. J. 2000. <b>Perencanaan Asuhan Keperawatan
Perioperatif</b>. EGC : Jakarta.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; mso-outline-level: 1; text-indent: -42.5pt;">
<span lang="EN-US">Sjamsuhidajat & Wim De Jong. 1997<b>. Buku Ajar Ilmu
Bedah</b>. EGC : Jakarta.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; mso-outline-level: 1; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; mso-outline-level: 1; text-indent: -42.5pt;">
<span lang="EN-US">Sylviana. 1996. <b>Kapita Selekta Kedokteran Buku</b> 1.
EGC. JAkarta</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
Anonymoushttp://www.blogger.com/profile/14744473270915555521noreply@blogger.com0tag:blogger.com,1999:blog-1788393968502795316.post-34681078572217143412013-04-10T11:51:00.003+07:002013-04-10T11:51:24.243+07:00ASKEP PNEUMONIA<br />
<div class="Section1">
<div class="MsoTitle">
<span lang="EN-US">PNEUMONIA</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoSubtitle">
<span lang="EN-US">Pengertian</span></div>
<div class="MsoNormal">
<span lang="EN-US">Pneumonia adalah penyakit inflamasi pada
paru yang dicirikan dengan adanya konsolidasi akibat eksudat yang masuk dalam area alveoli. (Axton
& Fugate, 1993)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoSubtitle">
<span lang="EN-US">Penyebab</span></div>
</div>
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; text-transform: uppercase;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span></b>
<div class="Section2">
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Virus Influensa</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Virus Synsitical respiratorik</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Adenovirus</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Rhinovirus</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Rubeola</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Varisella</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Micoplasma (pada anak yang
relatif besar)</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Pneumococcus</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Streptococcus</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l1 level1 lfo1; text-indent: -17.0pt;">
<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Staphilococcus</span></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span>
<div class="Section3">
<div class="MsoNormal">
<br /></div>
<div class="MsoSubtitle">
<span lang="EN-US">Tanda dan Gejala</span></div>
</div>
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; text-transform: uppercase;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span></b>
<div class="Section4">
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Sesak Nafas</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Batuk nonproduktif</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Ingus (nasal discharge)</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Suara napas lemah</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Retraksi intercosta</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Penggunaan otot bantu nafas</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Demam</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Ronchii</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Cyanosis</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Leukositosis</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">v<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US">Thorax photo menunjukkan infiltrasi melebar</span></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span>
<div class="Section5">
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US">Jenis</span></b><span lang="EN-US"> </span></div>
<div class="MsoNormal">
<span lang="EN-US">Pneumonia lobular </span></div>
<div class="MsoNormal">
<span lang="EN-US">Bronchopneumonia</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoSubtitle">
<span lang="EN-US">Patofisiologi</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<!--[if gte vml 1]><v:line
id="_x0000_s1026" style='position:absolute;left:0;text-align:left;z-index:251658240'
from="212.4pt,8.85pt" to="212.4pt,23.25pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 22px; left: 0px; margin-left: 277px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251658240;"><img height="22" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1026" width="12" /></span><!--[endif]--><!--[if gte vml 1]><v:line id="_x0000_s1027"
style='position:absolute;left:0;text-align:left;z-index:251659264' from="320.4pt,12.15pt"
to="320.4pt,26.55pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 22px; left: 0px; margin-left: 421px; margin-top: 15px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251659264;"><img height="22" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1027" width="12" /></span><!--[endif]--><span lang="EN-US">Kuman mati Virulensi
tinggi</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 184.3pt; text-align: center; text-indent: 36.0pt;">
<!--[if gte vml 1]><v:line id="_x0000_s1028" style='position:absolute;
left:0;text-align:left;flip:x;z-index:251660288' from="255.6pt,8.45pt" to="277.2pt,15.65pt"
o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 17px; left: 0px; margin-left: 337px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 34px; z-index: 251660288;"><img height="17" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1028" width="34" /></span><!--[endif]--><!--[if gte vml 1]><v:shapetype id="_x0000_t202"
coordsize="21600,21600" o:spt="202" path="m,l,21600r21600,l21600,xe">
<v:stroke joinstyle="miter"/>
<v:path gradientshapeok="t" o:connecttype="rect"/>
</v:shapetype><v:shape id="_x0000_s1029" type="#_x0000_t202" style='position:absolute;
left:0;text-align:left;margin-left:140.4pt;margin-top:8.45pt;width:108pt;
height:21.6pt;text-indent:0;z-index:251661312' o:allowincell="f"/><![endif]--><!--[if !vml]--><span style="height: 35px; left: 0px; margin-left: 186px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 150px; z-index: 251661312;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="35" style="background: white; border: .75pt solid black; vertical-align: top;" width="150"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251661312;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1029">
<div class="MsoNormal">
<span lang="EN-US">Pola nafas tak efektif</span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><span lang="EN-US">Destruksi jaringan</span></div>
<div class="MsoNormal">
<!--[if gte vml 1]><v:line id="_x0000_s1030" style='position:absolute;
left:0;text-align:left;flip:x;z-index:251662336' from="90pt,3pt" to="140.4pt,24.6pt"
o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><v:line id="_x0000_s1032" style='position:absolute;left:0;
text-align:left;z-index:251664384' from="320.4pt,3pt" to="320.4pt,10.2pt"
o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><v:line id="_x0000_s1031" style='position:absolute;left:0;
text-align:left;z-index:251663360' from="54pt,10.2pt" to="54pt,24.6pt"
o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]-->
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="3" width="66"></td>
<td width="12"></td>
<td width="38"></td>
<td width="72"></td>
<td width="233"></td>
<td width="12"></td>
</tr>
<tr>
<td height="10"></td>
<td colspan="2"></td>
<td align="left" rowspan="4" valign="top"><img height="36" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_s1030" width="72" /></td>
<td></td>
<td align="left" rowspan="2" valign="top"><img height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" v:shapes="_x0000_s1032" width="12" /></td>
</tr>
<tr>
<td height="3"></td>
<td align="left" rowspan="2" valign="top"><img height="22" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" v:shapes="_x0000_s1031" width="12" /></td>
</tr>
<tr>
<td height="19"></td>
</tr>
<tr>
<td height="4"></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="EN-US"> </span></div>
<br clear="ALL" />
<div align="center" class="MsoNormal" style="margin-left: 212.65pt; text-align: center;">
<!--[if gte vml 1]><v:shape
id="_x0000_s1033" type="#_x0000_t202" style='position:absolute;left:0;
text-align:left;margin-left:32.4pt;margin-top:11.95pt;width:93.6pt;height:21.6pt;
z-index:251665408' o:allowincell="f"/><![endif]--><!--[if !vml]--><span style="height: 35px; left: 0px; margin-left: 42px; margin-top: 15px; mso-ignore: vglayout; position: absolute; width: 131px; z-index: 251665408;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="35" style="background: white; border: .75pt solid black; vertical-align: top;" width="131"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251665408;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;" v:shape="_x0000_s1033">
<div class="MsoNormal">
<span lang="EN-US">Devisit vol. cairan</span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><span lang="EN-US">Shunt darah arteriole alveoli</span></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="MsoSubtitle">
<span lang="EN-US">Pengkajian</span></div>
<div class="MsoNormal">
<span lang="EN-US">Identitas :</span></div>
<div class="MsoNormal">
<span lang="EN-US">Umur :
Anak-anak cenderung mengalami infeksi virus dibanding dewasa</span></div>
<div class="MsoNormal">
<span lang="EN-US"> Mycoplasma
terjadi pada anak yang relatif besar</span></div>
<div class="MsoNormal">
<span lang="EN-US">Tempat tinggal: Lingkungan dengan sanitasi
buruk beresiko lebih besar</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Riwayat Masuk</span></div>
<div class="MsoNormal">
<span lang="EN-US">Anak biasanya dibawa ke rumah sakit setelah
sesak nafas, cyanosis atau batuk-batuk disertai dengan demam tinggi. Kesadaran
kadang sudah menurun apabila anak masuk dengan disertai riwayat kejang demam
(seizure).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Riwayat Penyakit Dahulu</span></div>
<div class="MsoNormal">
<span lang="EN-US">Predileksi penyakit saluran pernafasan lain
seperti ISPA, influenza sering terjadi dalam rentang waktu 3-14 hari sebelum
diketahui adanya penyakit Pneumonia.</span></div>
<div class="MsoNormal">
<span lang="EN-US">Penyakit paru, jantung serta kelainan organ
vital bawaan dapat memperberat klinis penderita</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Pengkajian</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l4 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sistem Integumen</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<span lang="EN-US">Subyektif : -</span></div>
<div class="MsoBodyTextIndent2">
<span lang="EN-US">Obyektif : kulit pucat, cyanosis, turgor menurun (akibat dehidrasi
sekunder), banyak keringat , suhu kulit meningkat, kemerahan</span></div>
<div class="MsoBodyTextIndent2">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l4 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sistem Pulmonal</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<span lang="EN-US">Subyektif : sesak nafas, dada tertekan, cengeng</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<span lang="EN-US">Obyektif : Pernafasan cuping hidung, hiperventilasi,
batuk (produktif/nonproduktif), sputum banyak, penggunaan otot bantu
pernafasan, pernafasan diafragma dan perut meningkat, Laju pernafasan
meningkat, terdengar stridor, ronchii pada lapang paru, </span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l4 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sistem Cardiovaskuler</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<span lang="EN-US">Subyektif : sakit kepala</span></div>
<div class="MsoBodyTextIndent3">
<span lang="EN-US">Obyektif : Denyut nadi meningkat, pembuluh darah vasokontriksi, kualitas
darah menurun</span></div>
<div class="MsoBodyTextIndent3">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l4 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sistem Neurosensori</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<span lang="EN-US">Subyektif : gelisah, penurunan kesadaran, kejang</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<span lang="EN-US">Obyektif : GCS menurun, refleks menurun/normal,
letargi</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l4 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">5.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sistem Musculoskeletal</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt;">
<span lang="EN-US">Subyektif : lemah, cepat lelah</span></div>
<div class="MsoBodyTextIndent3">
<span lang="EN-US">Obyektif : tonus otot menurun, nyeri otot/normal, retraksi paru dan
penggunaan otot aksesoris pernafasan</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-list: l4 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">6.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sistem genitourinaria</span></div>
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<span lang="EN-US">Subyektif : -</span></div>
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<span lang="EN-US">Obyektif : produksi urine menurun/normal, </span></div>
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<!--[if !supportLists]--><span lang="EN-US">7.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Sistem digestif</span></div>
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<span lang="EN-US">Subyektif : mual, kadang muntah</span></div>
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<span lang="EN-US">Obyektif : konsistensi feses normal/diare</span></div>
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<br /></div>
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<span lang="EN-US">Studi Laboratorik :</span></div>
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<span lang="EN-US">Hb :
menurun/normal</span></div>
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<span lang="EN-US">Analisa Gas
Darah : acidosis respiratorik,
penurunan kadar oksigen darah, kadar karbon darah meningkat/normal</span></div>
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<span lang="EN-US">Elektrolit :
Natrium/kalsium menurun/normal</span></div>
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<br /></div>
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<span lang="EN-US">Rencana Keperawatan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Ketidakefektifan Pola Nafas b.d
Infeksi Paru</span></div>
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<span lang="EN-US">Karakteristik :
batuk (baik produktif maupun non produktif) haluaran nasal, sesak nafas,
Tachipnea, suara nafas terbatas, retraksi, demam, diaporesis, ronchii,
cyanosis, leukositosis</span></div>
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<span lang="EN-US">Tujuan :</span></div>
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<span lang="EN-US">Anak akan
mengalami pola nafas efektif yang ditandai dengan :</span></div>
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<span lang="EN-US">Suara nafas paru
bersih dan sama pada kedua sisi</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Suhu tubuh dalam
batas 36,5 – 37,2<sup>O</sup>C </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Laju nafas dalam
rentang normal</span></div>
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<span lang="EN-US">Tidak terdapat
batuk, cyanosisi, haluaran hidung, retraksi dan diaporesis</span></div>
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<br /></div>
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<span lang="EN-US">Tindakan
keperawatan</span></div>
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<span lang="EN-US">Lakukan
pengkajian tiap 4 jam terhadap RR, S, dan tanda-tanda keefektifan jalan napas</span></div>
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<span lang="EN-US">R : Evaluasi dan
reassessment terhadap tindakan yang akan/telah diberikan</span></div>
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<span lang="EN-US">Lakukan
Phisioterapi dada secara terjadwal</span></div>
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<span lang="EN-US">R : Mengeluarkan
sekresi jalan nafas, mencegah obstruksi</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Berikan Oksigen
lembab, kaji keefektifan terapi</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">R : Meningkatkan
suplai oksigen jaringan paru</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Berikan
antibiotik dan antipiretik sesuai order, kaji keefektifan dan efek samping
(ruam, diare)</span></div>
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<span lang="EN-US">R :
Pemberantasan kuman sebagai faktor causa gangguan</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Lakukan
pengecekan hitung SDM dan photo thoraks</span></div>
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<span lang="EN-US">R : Evaluasi
terhadap keefektifan sirkulasi oksigen, evaluasi kondisi jaringan paru</span></div>
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<span lang="EN-US">Lakukan suction
secara bertahap</span></div>
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<span lang="EN-US">R : Membantu
pembersihan jalan nafas</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US">Catat hasil
pulse oximeter bila terpasang, tiap 2 – 4 jam</span></div>
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<span lang="EN-US">R : Evaluasi
berkala keberhasilan terapi/tindakan tim kesehatan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Defisit Volume Cairan b.d :</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Distress pernafasan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Penurunan intake cairan</span></div>
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<!--[if !supportLists]--><span lang="EN-US">-<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Peningkatan IWL akibat
pernafasan cepat dan demam</span></div>
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<span lang="EN-US">Karakteristik :</span></div>
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<span lang="EN-US">Hilangnya nafsu
makan/minum, letargi, demam., muntah, diare, membrana mukosa kering, turgor
kulit buruk, penurunan output urine.</span></div>
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<span lang="EN-US">Tujuan : Anak
mendapatkan sejumlah cairan yang adekuat ditandai dengan :</span></div>
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<span lang="EN-US">Intake adekuat,
baik IV maupun oral</span></div>
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<span lang="EN-US">Tidak adanya
letargi, muntah, diare</span></div>
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<span lang="EN-US">Suhu tubuh
dalam batas normal</span></div>
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<span lang="EN-US">Urine output
adekuat, BJ Urine 1.008 – 1,020</span></div>
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<span lang="EN-US">Intervensi
Keperawatan :</span></div>
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<span lang="EN-US">Catat intake
dan output, berat diapers untuk output</span></div>
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<span lang="EN-US">R : Evaluasi
ketat kebutuhan intake dan output</span></div>
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<span lang="EN-US">Kaji dan catat
suhu setiap 4 jam, tanda devisit cairan dan kondisi IV line</span></div>
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<span lang="EN-US">R : Meyakinkan
terpenuhinya kebutuhan cairan</span></div>
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<span lang="EN-US">Catat BJ Urine
tiap 4 jam atau bila perlu</span></div>
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<span lang="EN-US">R : Evaluasi
obyektif sederhana devisit volume cairan</span></div>
<div class="MsoNormal" style="margin-left: 19.85pt;">
<span lang="EN-US">Lakukan
Perawatan mulut tiap 4 jam</span></div>
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<span lang="EN-US">R :
Meningkatkan bersihan sal cerna, meningkatkan nafsu makan/minum</span></div>
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<b><span lang="EN-US">Diagnosa
lain :<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Perubahan Nutrisi : Kurang dari
kebutuhan b.d anoreksia, muntah, peningkatan konsumsi kalori sekunder terhadap
infeksi</span></div>
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<!--[if !supportLists]--><span lang="EN-US">2.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Perubahan rasa nyaman b.d sakit
kepala, nyeri dada</span></div>
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<!--[if !supportLists]--><span lang="EN-US">3.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Intoleransi aktivitas b.d
distres pernafasan, latergi, penurunan intake, demam</span></div>
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<!--[if !supportLists]--><span lang="EN-US">4.<span style="font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US">Kecemasan b.d hospitalisasi,
distress pernafasan</span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 19.85pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 19.85pt;">
<span lang="EN-US">Referensi :</span></div>
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<span lang="EN-US">Acton, Sharon
Enis & Fugate, Terry (1993) Pediatric Care Plans, AddisonWesley Co.
Philadelphia</span></div>
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