Asuhan Keperawatan Gerontik Dengan Dm

6$41/$ : K!t!r"antun"an )!a"'an ,a)' : Dar' ha)' *!n"(a'an m!n""una(an m#&'?'(a)' &ar' >arth! &'&a*at(an )(#r 1/7 *#'n% )!h'n""a &a*at &')'m*u(an ah+a Ny. T man&'r'. 5. PENGKAJIAN STATUS MENTAL GERONTIK  a= I&!nt'?'(a)' t'n"(at (!ru)a(an 'nt!!(tua &!n"an m!n""una(an SPMSH ;Short portable Mental Status Questioner = >!nar

Saah 

N# 21

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2/

P!rtanyaan Tan""a !ra*a har' 'n'   Ny. T )aah m!ny!ut(an tan""a.  Ny. T m!n"ata(an har' 'n' tan""a // S!*t!m!r /21$ Ja+aan yan" !nar a&aah tan""a // A"u)tu) /21$ ,ar' a*a har' 'n'   Ny. T )aah m!ny!ut(an har'.  Ny. T m!n"ata(an har' 'n' har' Satu. Ja+aan yan" !nar a&aah har' Kam').

&ar' )!t'a* an"(a aru% )!mua )!3ara m!nurun Int!r*r!)ta)' ha)' : Saah 24< : ?un")' 'nt!!(tua utuh Saah 4$ : (!ru)a(an 'nt!!(tua r'n"an Saah 645 : (!ru)a(an 'nt!!(tua )!&an" Saah C412 : (!ru)a(an 'nt!!(tua !rat ,a)' : Dar' ha)' *!n"(a'an )tatu) m!nta &!n"an m!n""una(an SPMSQ  Ny. T ')a m!na+a 7 *!rtanyaan &!n"an !nar. S!h'n""a &a*at &')'m*u(an ah+a ?un")' 'nt!!(tuanya ma)'h utuh.  =

I&!nt'?'(a)' a)*!( (#"n't'? &ar' ?un")' m!nta &!n"an m!n""una(an MMSE ; Mini Mental Status Exam=  N# A)*!( N'a'  N'a' ('!n Kr't!r'a ma()'ma 1. Or'!nta)' $ < M!ny!ut(an &!n"an !nar :  Tahun /21$  Mu)'m K!marau  Tan""a //  ,ar' Satu

M!n"'(ut' *!r'ntah : < *#'nt (!rta)  M!n"am' &'tan"an  M!'*at / &an m!naruh &'anta' Int!r*r!)ta)' ha)' : / : T'&a( a&a "an""uan (#"n't'?   1<  /< : Gan""uan (#"n't'? )!&an" 2  17 : Gan""uan (#"n't'? !rat ,a)' : Dar' ha)' '&!nt'?'(a)' a)*!( (#"n't'? m!n""una(an MMSE &'*!r#!h )(#r  /% )!h'n""a &a*at &')'m*u(an ah+a t'&a( a&a "an""uan (#"n't'? *a&a Ny. T C. PENGKAJIAN KESEIM>ANGAN UNTUK KLIEN LANJUT USIA a= P!ruahan *#)')' atau "!ra(an (!)!'man"an 1= >an"un &ar' (ur)' T'&a( an"un &ar' &u&u( &!n"an )atu (a' "!ra(an% t!ta*' m!n&#r#n" tuuhnya (! ata) &!n"an atau !r"!ra( (! a"'an &!*an (ur)' t!r!'h &ahuu% t'&a( )ta' *a&a )aat !r&'r' *!rtama (a'.  N'a' : 1

 N'a' : 2 /= K!t'n""'an an"(ah (a(' ;m!n"an"(at (a(' *a&a )aat m!an"(ah= Ka(' t'&a( na'( &ar' anta' )!3ara (#n)')t!n ;m!n""!)!r atau m!ny!r!t (a('=% m!n"an"(at (a(' t!rau t'n""' ;/ 'n3'=.  N'a' : 2 <= K#nt'nu'ta) an"(ah (a(' ;!'h a'( &'#)!r0a)' &ar' )am*'n" ('!n= S!t!ah an"(ah4an"(ah a+a t'&a( (#n)')t!n% m!mua' m!n"an"(at )atu (a(' )!m!ntara (a(' yan" a'n m!ny!ntuh anta'  N'a' : 2 = K!)'m!tr')an an"(ah ;!'h a'( &'#)!r0a)' &ar' )am*'n" ('!n= Panan" an"(ah t'&a( )ama ;)')' yan" *at##"') 'a)anya m!m''(' an"(ah yan" !'h *anan"% ma)aah &a*at t!ra&' *a&a *'n""u% utut%  *!r"!an"an (a('% atau #t#t4#t#t &')!('tarnya=  N'a' : 2 $= P!ny'm*an"an aur *a&a )aat t!ra'( ;!'h a'( &'#)!r0a)' &ar' )am*'n" ('!n= T'&a( !raan &aam "ar') uru)% !r"!#man" &ar' )')' (! )')'.  N'a' : 1 Int!r*r!ta)' ha)' : 24$ : r')'(# atuh r!n&ah

I. N O

1.

ANALISA DATA

DATA

DS :  K'!n m!n"ata(an t'&urnya t!r"an""u

ETIOLOGI

A)u*an !!(tr#'t m!n'n"(at

(ar!na )!r'n" >AK maam har'  K'!n m!n"ata(an )!r'n" m!ra)a hau) )!h'n""a anya( m'num DO :  K'!n tam*a( *u3at  K'!n )!r'n" m!n"ua*  A&a ayan"an h'tam &' a+ah mata  K#nun"t'0a an!m').

M!n'n"(at(an &'ur!t'( 

 N#(tur'a

Gan""uan *#a t'&ur 

MASALAH KEPERAWATAN

Gan""uan *#a t'&ur 

III. INTER*ENSI KEPERAWATAN

 NO 1.

/6 12 /21$

D'a"n#)a K!*!ra+atan

Tuuan Gan""uan *#a t'&ur  S!t!ah &'a(u(an  .& n#(tur'a (unun"an rumah )!ama 62 m!n't% ('!n &a*at t'&ur &!n"an nyaman.

P!r!n3anaan Kr't!r'a ha)' 1. K'!n m!n"un"(a*(an  ah+a t'&urnya nyaman. /. K'!n tam*a(   )!"ar% &!n"an  ayan"an h'tam &'  a+ah mata )!&'('t m!n"h'an". <. K'!n tam*a(   !'h u"ar.

1.

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Ra)'#na')a)' Int!r0!n)' Ka' *!n"!tahuan 1. P!n"!tahuan (!uar"a (!uar"a ('!n t!rha&a* )an"at m!m*!n"aruh' "an""uan *a&a Ny. T.  *r#)!) *!ny!muhan M#t'0a)' ('!n a"ar t!ta* /. P#a &'!t yan" a'( &a*at m!m*!rtahan(an *#a m!n"#ntr# "ua &arah &'!t nya <. D!n"an m!n"'n"at(an Anur(an ('!n untu(  ('!n &'hara*(an ('!n &at'n" (! *u)(!)ma) &a*at rut'n a"ar m!n&a*at(an #at. m!m!r'()a(an "ua &a Aar(an (!uar"a ('!n &arah nya &an t!ra*' )!nam &'a!t!) m!n&a*at(an *!n"#atan . S!nam &'a!t!) m!m*unya' anya(  man?aat% ya'tu m!m*!ra'(' )'r(ua)' &arah% m!m*!r(uat #t#t4 #t#t (!3'% m!n3!"ah t!ra&'nya (!a'nan  !ntu( (a('% m!n'n"(at(an (!(uatan #t#t !t') &an  *aha%m!n"ata)' (!t!rata)an "!ra( )!n&' )!rta &a*at m!nurun(an (a&ar "ua &arah.

+ORMAT ATATAN KEPERAWATAN

,ar'Tan""a /641241$

DIAGNOSA KEPERAATAN

IMPLEMENTASI

E@ALUASI

Gan""uan *#a t'&ur  Jam 2C.22 /741241$  & n#(tur'a 1. Ka' *!n"!tahuan Jam 2C.22 (!uar"a ('!n S : Ny. T m!n"ata(an t!rha&a* "an""uan *a&a tuuhnya m!ra)a(an  Ny. T. )!&'('t u"ar  Jam 2C.1$ O: /. Anur(an (!uar"a ('!n untu( rut'n K'!n tam*a( )!"ar  m!a(u(an #  *!m!r'()aan (a&ar  T  <6 8 "ua &arah Ny. T  N  72 -m!n't Jam 2C.<2 <. Aar(an (!uar"a ('!n untu(   A : Ma)aah )!a"'an m!n"atu r &'!t t!rata)' ma(an *a&a Ny. T ya'tu umah% P :  a&+a &an !n') ma(anan yan" Lanut(an 'nt!r0!n)' &'(#n)um)' (!*!ra+atan ;N#

Jam 2C.$ . Aar(an (!uar"a ('!n t!ra*' )!nam &'a!t!)

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