TEORI KEPERA KEPERAWATAN MODEL CALISTA ROY MAGISTER KEPERAWATAN FAKULT AKULTAS KEDOK KEDOKTERAN TERAN UNIV UNIVERS ERSIT ITAS AS DIPONEGORO SEMARANG 2015
SEJARAH
FILOSOFI Manusia ... •Ma!u" #i$%&si"$% s$sia!%"u!'u(a!% s&i(i'ua! )an* u'u. •S+!a!u ,ia,a&"an ,a!a- &+(s$a!an )* "$-&!+"s. •Di'un'u' ADAPTASI. •M+n**una"an -+"anis-+ "$&in*.
ASUMSI DASAR •In,ii,u
a,a!a -a"!u" #i$%&si"$%s$sia! )an* -+(u&a"an sua'u "+sa'uan u'u. •S+'ia& $(an* s+!a!u -+n**una"an "$&in*/ #ai" )an* #+(sia' &$si'i -au&un n+*a'i/ un'u" ,a&a' #+(a,a&'asi. K+-a-&uan a,a&'asi s+s+$(an* ,i&+n*a(ui $!+ 'i*a "$-&$n+n/ )ai'u &+n)+#a# u'a-a &+(u#aan "$n,isi ,an si'uasi/ "+)a"inan ,an &+n*a!a-an ,a!a- #+(a,a&'asi. •S+'ia& in,ii,u #+(+s&$ns '+(a,a& "+#u'uan si$!$*is/ "+#u'uan a"an "$ns+& ,i(i )an* &$si'i/ "+-a-&uan un'u" i,u& -an,i(i a'au "+-an,i(ian/ s+('a "+-a-&uan -+!a"u"an &+(an ,an un*si s+a(a $&'i-a! *una -+-+!ia(a in'+*(i'as ,i(i •In,ii,u s+!a!u #+(a,a ,a!a- (+n'an* s+a'%sa"i' )an* #+(u#un*an +(a' ,+n*an "+++"'ian "$&in* )an* ,i!a"u"an *una -+-&+('aan"an "+-a-&uan a,a&'asi.
SISTEM RESPON ADAPTASI
Sis'+- (+s&$n a,a&'asi/ '+(,i(i ,a(i3 1.P($s+s in&u' 2.K$n'($! 4.P($s+s $u'&u' .U-&an #a!i"
INPUT Da!a- -$,+! a,a&'asi R$)/ #+n'u" s'i-u!asi !in*"un*an '+(,i(i ,a(i 'i*a 'in*"a'/ )ai'u 6Mas'+(s/ 201273 1. Fokal !an*sun* #+(a,a&an ,n* -anusia 2. Konstekstual s'i-u!us in'+(na!8+"s'+(na! )* -+-&+n*a(ui si'uasi 9 ,&' ,i$#s+(asi 4. Residual su"a( ,i$#s+(asi "+&+(a)aan/ si"a&/ sia' in,ii,u
KONTROL •
P($s+s "$n'($! s+s+$(an* -+nu(u' R$) a,a!a #+n'u" -+"anis-+ "$&in* )an* ,i*una"an. M+"anis-+ "$n'($! ini ,i#a*i a'as (+*u!a'$( ,an "$*na'$( )an* -+(u&a"an su#sis'+-. • R+*u!a'$( Su#sis'+M+(u&a"an &($s+s "$&in* )an* -+n)+('a"an su#sis'+'u#u )ai'u sa(a/ &($s+s "i-ia:i ,an s)s'+- +n,$"(in • C$*na'$( Su#sis'+R+s&$n -+!a!ui sa!u(an "$*ni'i%+-$si$na!/ )ai'u &($s+s &+(s+&si ,an in$(-asi/ &+-#+!a;a(an/ &+('i-#an*an/ ,an +-$si. 1.M$,+ Fisi$!$*is8 Fisi" 2.M$,+ K$ns+& Di(i = I,+n'i'as K+!$-&$" 4.M$,+ Fun*si P+(an .M$,+ in'+(,+&+n,+n
OUTPUT Ou'&u' ,a(i sua'u sis'+- a,a!a &+(i!a"u )an* ,a&a' ,i a-a'i/ ,iu"u( a'au s+a(a su#)+"'i ,a&a' ,i!a&$("an #ai" #+(asa! ,a(i ,a!a-au&un ,a(i !ua(. T+(,a&a' ,ua (+s&$n a,a&'asi )an* ,in)a'a"an R$) )ai'u3 •R+s&$n )an* a,a&'i •R+s&$n )an* 'i,a" a,a&'i R+s&$n '+(s+#u' s+!ain -+n;a,i asi! ,a(i &($s+s a,a&'asi s+!an;u'n)a a"an ;u*a -+n;a,i u-&an #a!i" '+(a,a& s'i-u!i a,a&'asi.
UMPAN BALIK
KONSEP UTAMA KEPERAWATAN
•
M+nu(u' Mas'+(s/ K. 620127/ "$ns+& u'a-a "+&+(a:a'an #+(,asa("an -$,+! a,a&'asi R$) a,a!a s+#a*ai #+(i"u'3 • Manusia • Lin*"un*an • S+a' • K+&+(a:a'an
MANUSIA
M+nu(u' -$,+! a,a&'asi R$)/ -anusia -+(u&a"an... •S)s'+- a,a&'i )an* $!is'i. •S)s'+- -anusia -+na"u& $(an* s+#a*ai in,ii,u/ a'au ,a!a- "+!$-&$"/ )an* -+!i&u'i "+!ua(*a/ $(*anisasi/ "$-uni'as ,an -as)a(a"a' s+#a*ai "+sa'uan. •P+n+(i-a asuan "+&+(a:a'an.
LINGKUNGAN
•
S+-ua "$n,isi/ "+a,aan ,an &+n*a(u !in*"un*an s+"i'a( ,an -+-&+n*a(ui &+("+-#an*an ,an &+(i!a"u -anusia ,an "+!$-&$"/ ,+n*an #+#+(a&a &+('i-#an*an )an* -+n*un'un*"an in,ii,u ,an su-#+( ,a)a a!a-. • >+#+(a&a &+(u#aan !in*"un*an -+s"i&un &$si'i -+nun'u' &+nin*"a'an +n+(*i un'u" #+(a,a&'asi '+(a,a& "+a,aan. Fa"'$( ,a!a!in*"un*an )an* -+-&+n*a(ui in,ii,u '+(,i(i a'as s'i-u!us $a!/ "$n'+"s'ua! ,an (+si,ua!.
SEHAT
•
S+a' a,a!a s+#ua &+(n)a'aan ,an &($s+s '+(&a,u ,an -+n)+!u(u )an* -+n**a-#a("an in,ii,u ,an !in*"un*an a'au sa'u sa-a !ain.
KEPERAWATAN •
>+($"us &a,a &($s+s "+i,u&an • K+&+(a:a'an s+#a*ai i!-u ,an &(a"'i". • M+nin*"a'"an a,a&'asi in,ii,u ,an "+!$-&$" ,a!a- +-&a' -$,+ a,a&'asi )an* -+-&+n*a(ui "+s+a'an/ "ua!i'as i,u& ,an "+-a'ian ,+n*an #+(-a('a#a' ,+n*an a(a -+n*"a;i &+(i!a"u ,an a"'$( )an* -+-&+n*a(ui "+-a-&uan a,a&'asi s+('a un'u" -+nin*"a'"an a"'$( !in*"un*an.
PROSES KEPERAWATAN DAN MODEL ADAPTASI ROY •
PENGKAJIAN
P+n*u-&u!an ,a'a si$!$*is/ "$ns+& ,i(i/ un*si &+(an/ ana!isis "+*a:a'an ,an *a-#a(an 'in*"a !a"u "!i+n &($s+s &i"i( 6&si"$%s$sia!7 9 (+*u!a'$( 6#i$!$*i7 i,+n'i"asi s#* (+s&$n a,a&'i8-a!a,a&'i •
DIAGNOSIS KEPERAWATAN
1. Ti&+ ,ia*n$sa R$)
"$n,isi
Fisi$!$*is/
2. O#s+(asi 'in*"a !a"u
-a!a,a&'i
4
a!'+(na'i 3
"$ns+& ,i(i/ un*si &+(an ,an in'+(,+&+n,+n
s'i-u!us
4. K+si-&u!an •
PERENCANAAN
>+('u;uan -+nin*"a'"an a,a&'asi. >+(u&a &+(i!a"u )an* ,a&a' ,i $#s+(as/ &+(u#aan &+(i!a"u/ ,an :a"'u &+na&aian 'u;uan. •
IMPLEMENTASI
M+nin*"a'"an "+-a-&uan a,a&'asi ,+n*an -+n*u#a s'i-u!asi a'au -+nin*"a'"an &($s+s a,a&'asi. •
EVALASI
>+($"us &a,a &+ni!aian "+++"'ian in'+(+nsi "+&+(a:a'an ,a!a- u#un*ann)a ,+n*an &+(i!a"u in,ii,u a'au "+!$-&$".