FORMAT PENGKAJIAN KEPERAWATAN KESEHATAN JIWA
Tangga anggall Pengk Pengkajia ajian n
: 22 Novem November ber 2016 2016 Jam : 11. 11.30 30
Oleh
: Risma wulanari
I. IDEN IDENTI TIT TAS KLIEN KLIEN Nama : !i"i Nurha#a"i $P% &mur : 3' "ahun Peniikan : !() Pekerjaan : *iraswas"a )lama" : +la"en, kwaren ngawen kla"en Tg. Tg. (as (asuk uk R! : ... ..... .... .... .... .... .... .... .... .... .. Ruang : -eloonia Nomor /( : 0000 II. ALASAN ALASAN MASUK MASUK (erasa kakin#a anas seer"i "er"usuk neraka jahanam III. FAKTOR PR PREDISPOSISI 1. Pernah Pernah menga mengalami lami ganggan ganggan !i"a #i ma$a ma$a lal% lal% a Tiak &. Peng Peng'( '(a) a)an an $e( $e(el elm mn* n*a a+ e erhasil +urang berhasil ,. Trama +
Jenis Trauma )nia#a 4isik )nia#a !eksual Penolakan +ekerasan alam +eluarga Tinakan +riminal 5ainlain
&sia
Pelaku
Tiak berhasil +orban
!aksi
Jelaskan No 1,2,3 : ............................................ ................................................................... .............................................. ............................................... ......................................... ................. ............................................ ................................................................... .............................................. .............................................. .............................................. ............................. ...... ............................................ ................................................................... .............................................. .............................................. .............................................. ............................. ...... ........... Ma$alah Ke-era"a)an + Perubahan er"umbuhan an erkembangan !inroma Trauma Perkosaan eruka an"isiasi Resiko "inggi kekerasan eruka 7ungsional Reson asa "rauma 5ainlain
. Angg') Angg')a a Kelar Kelarga ga *ang *ang gangg ganggan an !i"a% !i"a%
)a Tiak ila aa hubungan keluarga : ......................................................................................... 8ejala : ........................................................................................................................... Riwa#a" engoba"an : ..................................................................................................... Ma$alah Ke-era"a)an + +oing keluarga "iak e7ek"i7 : ke"iakmamuan Resiko "inggi kekerasan +oing keluarga "iak e7ek"i7 : komromi 5ainlain, jelaskan................................................................................................ /. Pengalaman ma$a lal *ang )i#a0 men*enang0an% ..............................................................................................................................................
.............................................................................................................................................. .............................................................................................................................................. Ma$alah Ke-era"a)an + Perubahan er"umbuhan an erkembangan Reson asa "rauma eruka an"isiasi !inroma "rauma erkosaan eruka is7ungsional 5ainlain, jelaskan.....................................................................................................
I.
PEMERIKSAAN FISIK 1. Tan#a 2i)al : T9 : 130 60 mm-g N : ;6mn" ! : 36,< 0/ P : 20 mn" &. U0ran era" aan $% : ;2 +g Tinggi aan $T% : 160 m ,. Kelhan Fi$i0 Tiak aa )a, jelaskan .................................. Ma$alah Ke-era"a)an + Resiko "inggi erubahan suhu "ubuh
Perubahan erlinungan 9e7isi" volume airan +erusakan in"egri"as jaringan Perubahan volume airan Perubahan membran mukosa oral Resiko "inggi "erhaa in7eksi +erusakan in"egri"as kuli" Perubahan nu"risi : +urang ari kebu"uhan "ubuh Perubahan eliminasi 7eses Perubahan nu"risi : lebih ari kebu"uhan "ubuh Perubahan eliminasi uri Perubahan nu"risi : o"ensial lebih ari kebu"uhan "ubuh 5ainlain, jelaskan ...............................................................................................
. PSIKOSOSIAL 1. Gen'gram
Jelaskan : .............................................................................................................................. Ma$alah Ke-era"a)an +
+oing keluarga "iak e7ek"i7 : ke"iakmamuan +oing keluarga "iak e7ek"i7 : komromi +oing keluarga : o"ensial un"uk er"umbuhan 5ainlain, jelaskan .......................................................................................................... &. K'n$e- Diri a. 8ambaran iri +lien menga"akan : =Tubuh sa#a baik gak aa #ang aa", sa#a men#ukai semua
bagian "ubuh sa#a= (. >en"i"as iri +lien menga"akan : =Nama sa#a !i"i Nurha#a"i senang i anggil nur rumah sa#a kla"en, sa#a anak "erakhir ari lima bersauara?. Peran : sebelum masuk R! asien menga"akan seorang eagang 3. Peran : +lien menga"akan : =!a#a i rumah memban"u ibu mengerjakan ekerjaan rumah "angga, sebelum masuk Rumah !aki" sa#a agang?. #. >eal iri : +lien menga"akan : =!a#a engen ea" ulang an bisa jualan lagi?. +lien menga"akan : =9ulusa#a i a7"arkan kuliah sama kakak sa#a "ai gak jai?. e. -arga iri : +lien menga"akan : =sa#a "iak malu un#a en#aki" saki" jiwa karena semua i"u kehenak )llah?. Ma$alah Ke-era"a)an
Pengabaian unila"eral
-arga iri renah kronik
8angguan i"ra "ubuh
-arga iri renah si"uasional
8angguan ien"i"as iri
5ainlain, jelaskan ...............................
4. H(ngan S'$ial a. Orang #ang berar"i +lien menga"akan : =Orang "ua sa#a orang #ang berar"i alam hiu sa#a mbak, "ai
alon suami sa#a #ang osen ugm i"u juga sanga" berar"i bagi sa#a mbak. aak sa#a kemaren habis naik haji 2 kali mbak an kakak sa#a lulusan sarjana "a" boga sekarang bekerja ibanung sebagai engusaha?. b. Peran ser"a kegia"an kelomokmas#araka" +lien menga"akan : =sa#a iku" arisan ibuibu walauun sa#a belum jai ibu mbak, sa#a juga sering ngobrol sama ibuibu?. . -amba"an alam berhubungan engan orang lain +lien menga"akan : =sa#a un#a ban#ak "eman karena memerlanar rejeki an hubungan engan "eman"eman baik?. Ma$alah Ke-era"a)an +
+erusakan komunikasi
>solasi sosial
+erusakan in"eraksi sosial
5ainlain, jelaskan ..............................
g. S-iri)al a. Nilai an ke#akinan +lien menga"akan : =)gama sa#a islam mbak, sa#a memera#ai )llah i"u aa an
semua anggo"a keluarga sa#a shola" engan "ea" wak"u?. b. +egia"an ibaah +lien menga"akan : sa#a shola" lima wak"u engan "ea" wak"u, sa#a shola" "ahaju an shola" sunah semua sa#a lakukan.? Ma$alah Ke-era"a)an +
9iss"ress siri"ual
I.
5ainlain, jelaskan ...............................
STATUS MENTAL 1. Penam-ilan agaimana enamilan klien alam hal berakaian, mani, makan, "oile" "raining an
emakaian sarana rasarana a"au ins"rumen"asi alam menukung enamilan, aakah klien : Tiak rai Penggunaan akaian "iak sesuai /ara berakaian "iak seer"i biasa 5ainlain, jelaskan : .................................................................................................. Ma$alah Ke-era"a)an +
!inroma e7isi" erawa"an iri $makan, mani, "oile" "raining, ins"rumen"asi% 5ainlain, jelaskan .......................................................................................................... ......................................................................................................................................... &. Pem(i3araan
/ea"
+eras
8aga
>nkoherensi )a"is Tiak mamu mulai embiaraan 5amba" (embisu 5ainlain, jelaskan : saa" ikaji biaran#a n#ambung "e"ai lamalama jai nglan"ur kemanamana gak jelas, ban#ak biara. Ma$alah Ke-era"a)an + +erusakan komunikasi
+erusakan komunikasi verbal 5ainlain, jelaskan : .................................................................................................. ................................................................................................................................... ,. A0)i2i)a$ M')'ri0 5esu Tegang 8elisah )gi"asi T>+ 8rimas Tremor 5ainlain, jelaskan : berjalan#a gak seimbang karena kakin#a saki"
Ma$alah Ke-era"a)an + Resiko "inggi eera +erusakan mobili"as 7isik 9e7isi" ak"ivi"as eversionalhiburan . A4e0 #an Em'$i a. )7ek
9a"ar
Tumul
5abil
Tiak sesuai
5ainlain, jelaskan : ................................................................................................ Ma$alah Ke-era"a)an +
Resiko "inggi eera
+erusakan komunikasi verbal
+erusakan komunikasi
+erusakan in"eraksi sosial
5ainlain, jelaskan : ..................................................................................................... b. )lam erasaan $emosi% !eih +e"aku"an
Pu"us asa +ua"ir
8embira 5ainlain, jelaskan : .................
Ma$alah Ke-era"a)an +
Resiko "inggi eera
Resiko "inggi meneerai iri
Resiko "inggi engania#aan iri
)nsie"as
+e"aku"an
>solasi sosial
+e"iakbera#aan
Resiko "inggi mu"ilasi iri
5ainlain, jelaskan : .................................................................................................. ................................................................................................................................... /. In)era0$i Selama Wa"an3ara
ermusuhan
Tiak kooera"i7
(uah "ersinggung
+on"ak ma"a kurang 9e7ensi7 /uriga 5ainlain, jelaskan : klien mamu menjawab er"an#aan #ang iajukan, kon"ak ma"a baik mena"a ma"a erawa", biaran#a ea". Ma$alah Ke-era"a)an +
+erusakan komunikasi
>solasi sosial
Resiko "inggi engania#aan iri
Resiko "inggi kekerasan
+erusakan in"eraksi sosial
Resiko membaha#akan iri
Resiko "inggi mu"ilasi iri 5ainlain, jelaskan : .................................................................................................. ................................................................................................................................... 5. Per$e-$i Sen$'ri a. )akah aa gangguan@ b. -alusinasi :
)a Penengaran
Tiak aa Pengliha"an
Pengeaan
Penghiu
)a
Tiak aa
Perabaan
. >lusi :
5ainlain, jelaskan : =+aang sa#a sering menengar suarasuara #ang "iak jelas mbak sser"i suara makhluk goib men#uruhn#uruh sa#a, aa saa" sa#a senirian,sa#a engar suara i"u malam hari an munuln#a #a kirakira "iga kali sehari suara i"u bua" sa#a "erganggu "iak n#aman?.
Ma$alah Ke-era"a)an +
Perubahan ersesi sensori $enengaran, engliha"an, erabaan, engeaan, enghiu%. 5ainlain, jelaskan : .......................................................................................................... 6. Pr'$e$ Pi0ir a. Proses Pikir $)rus an en"uk Pikir% !irkum"ansial Tangensial Blocking +ehilangan asosiasi Flight of idea Pengulangan embiaraanerseverasi 5ainlain, jelaskan : .............................................................................................. b. >si Pikir Obsesi -iokonria 9eersonalisasi Pikiran magis >e "erkai" *aham : )gama !oma"ik +ebesaran /uriga Nihilis"ik !isi ikir !iar ikir +on"rol ikir 5ainlain, jelaskan : .............................................................................................. Ma$alah Ke-era"a)an +
Perubahan roses ikir, jelaskan : waham kebesaran
7. Ting0a) Ke$a#aran ingung 5ainlain, jelaskan :
!easi
!"uor
8 +lien "iak mengalami gangguan orien"asi wak"u ibuk"ikan saa" i"an#a sekarang
jam beraa klien mamu menjawab engan benar, misaln#a klien menjawab =sekarang jam 11.30 *> mbak?. +lien "iak mengalami gangguan orien"asi "ema" ibuk"ikan saa" i"an#a sekarang i mana klien mamu menjawab engan benar, misaln#a klien menjawab =sekarang sa#a bangsal heloonia i Rumah !aki" Jiwa !oejarwai mbak?.
+lien "iak mengalami gangguan orien"asi orang ibuk"ikan saa" i"an#a sekarang siaa nama sa#a $erawa"% klien mamu menjawab engan benar, misaln#a klien menjawab =mbak naman#a risma?. )a gangguan orien"asi $isorien"asi% : *ak"u Orang Jelaskan : "iak aa gangguan orien"asi
Tema"
Ma$alah Ke-era"a)an +
Resiko "inggi eera Perubahan roses ikir, jelaskan : ................................................................................... 5ainlain, jelaskan : ......................................................................................................... 9. Mem'ri 8angguan a#a inga" jangka anjang 8angguan a#a inga" jangka menengah 8angguan a#a inga" jangka enek +on7abulasi 5ainlain, jelaskan : ................................................................................................... Ma$alah Ke-era"a)an +
Perubahan roses ikir, jelaskan : .................................................................................... .......................................................................................................................................... 1:. Ting0a) K'n$en)ra$i #an ;erhi)ng (uah beralih Tiak mamu berkonsen"rasi Tiak mamu berhi"ung seerhana 5ainlain, jelaskan : ................................................................................................... Ma$alah Ke-era"a)an +
Perubahan roses ikir < jelaskan : .................................................................................... >solasi sosial 5ainlain, jelaskan : ..........................................................................................................
..........................................................................................................................................
11. Kemam-an Penilaian
8angguan ringan
8angguan bermakna
5ainlain, jelaskan : ...................................................................................................
1&. Da*a Tili0 Diri (engingkari en#aki" #ang ieri"a (en#alahkan halhal iluar irin#a 5ainlain, jelaskan : ................................................................................................... Ma$alah Ke-era"a)an +
+e"iake7ek"i7an ena"alaksanaan regimen" "eraeu"ik Perubahan roses ikir, jelaskan : ....................................................................................
+e"iaka"uhan 5ainlain, jelaskan : ..........................................................................................................
II.
KE;UTUHAN PEREN=ANAAN PULANG 1. Kemam-an Klien Memenhi Ke()han
+emamuan memenuhi kebu"uhan
a
Tiak
(akanan +eamanan Perawa"an keseha"an Pakaian Transor"asi Tema" "inggal +euangan 5ainlain Jelaskan : ............................................................................................................................. .............................................................................................................................................. Ma$alah Ke-era"a)an + Perubahan emeliharaan keseha"an Perilaku menari ban"uan keseha"an 5ainlain, jelaskan : .................................................................................................. &. Kegia)an Hi#- Sehari8hari >ADL? a. Perawa"an 9iri
+egia"an hiu seharihari (ani +ebersihan (akan uang air keil $)+% uang air besar $)% 8an"i akaian
an"uan "o"al
an"uan minimal
Jelaskan : ....................................................................................................................... ........................................................................................................................................ Ma$alah Ke-era"a)an +
Perubahan emeliharaan keseha"an !inroma e7isi" erawa"an iri Perubahan eliminasi 7eses Perubahan eliminasi urin +erusakan ena"alaksanaan emeliharaan rumah 5ainlain, jelaskan : .................................................................................................. ...................................................................................................................................
b. Nu"risi )akah ana uas engan ola makan ana@ Puas Tiak uas ila "iak uas, jelaskan : ........................................................................................ .................................................................................................................................. )akah saa" makan ana memisahkan iri@ a Tiak ila #a, jelaskan : .................................................................................................... .................................................................................................................................. 4rekuiensi makan sehari : .......... Na7su makan (eningka" (enurun erlebihan seiki"seiki" era" baan (eningka" (enurun saa" ini : ........ +g "erenah : ....... +g "er"inggi : ...... +g Jelaskan : ................................................................................................................. .................................................................................................................................. Ma$alah Ke-era"a)an + Perubahan nu"risi : kurang ari kebu"uhan "ubuh Perubahan nu"risi : lebih ari kebu"uhan "ubuh Perubahan nu"risi : o"ensial lebih ari kebu"uhan "ubuh 5ainlain, jelaskan : ............................................................................................. .............................................................................................................................. . Tiur )akah aa masalah "iur@ Tiak aa )a, jelaskan : ............................................................................................. )akah merasa segar se"elah bangun "iur@ !egar Tiak segar, jelaskan : .................................................................................. )akah aa #ang menolong ana un"uk memermuah "iur@ Tiak aa )a, jelaskan : ............................................................................................... Tiur malam jam : ......... angun jam : ......... Ra"ara"a "iur malam : ....... )akah aa gangguan "iur@ !uli" un"uk "iur angun "erlalu agi !amnambulisme Terbangun saa" "iur 8elisah saa" "iur erbiara saa" "iur 5ainlain, jelaskan : ....................................................................................... ....................................................................................................................... Ma$alah Ke-era"a)an +
8angguan ola "iur, sesi7ikn#a : ......................................................................
,. Kemam-an Klien #alam Hal8Hal ;eri0) a. (engan"isiasi kehiuan seharihari : a b. (embua" keu"usan berasarkan keinginan seniri : a Tiak . (enga"ur enggunaan oba" :
Tiak
a Tiak . (elakukan emeriksaan keseha"an a Tiak Jelaskan : ....................................................................................................................... Ma$alah Ke-era"a)an + +on7lik engambilan keu"usan +e"iaka"uhan +e"iake7ek"i7an ena"alaksanaan regimen" "eraeu"ik 5ainlain, jelaskan : ............................................................................................. . Klien Memili0i Si$)em Pen#0ng a. +eluarga : a b. Teman sejawa" : a . Terais : a . +elomok sosial : a
Tiak Tiak Tiak Tiak
Jelaskan : ....................................................................................................................... Ma$alah Ke-era"a)an +
Perilaku menari ban"uan keseha"an 5ainlain, jelaskan : ............................................................................................
/. A-a0ah Klien Meni0ma)i Saa) ;e0er!a< Kegia)an Pr'#0)i4 a)a H'(i%
amenikma"i Tiak menikma"i, jelaskan : ...................................................................................... Ma$alah Ke-era"a)an +
9e7isi" ak"ivi"as eversionalhiburan 5ainn#a, jelaskan : .....................................................................................................
III. MEKANISME KOPING
)a"i7 iara engan orang lain (amu men#elesaikan masalah Teknik relaksasi )k"ivi"as kons"ruk"i7 Olahraga 5ainlain
(al )a"i7 (inum alkohol Reaksi lamba" berlebihan ekerja berlebihan (enghinar (eneerai iri 5ainlain
Jelaskan : .............................................................................................................................. ............................................................................................................................................... Ma$alah Ke-era"a)an + +egia"an en#esuaian +oing iniviu "iak e7ek"i7 $e7ensi7% +oing iniviu "iak e7ek"i7 $men#angkal% 5ainlain, jelaskan : ....................................................................................................
I@.
MASALAH PSIKOSOSIAL DAN LINGKUNGAN 1. (asalah engan ukungan kelomok, sesi7ikn#a ............................................................. .............................................................................................................................................. 2. (asalah berhubungan engan lingkungan, sesi7ikn#a ...................................................... .............................................................................................................................................. 3. (asalah engan eniikan, sesi7ikn#a ............................................................................ .............................................................................................................................................. A. (asalah engan ekerjaan, sesi7ikn#a .............................................................................. .............................................................................................................................................. <. (asalah engan erumahan, sesi7ikn#a ............................................................................ .............................................................................................................................................. 6. (asalah engan ekonomi, sesi7ikn#a ................................................................................ .............................................................................................................................................. ;. (asalah engan ela#anan keseha"an, sesi7ikn#a ............................................................. .............................................................................................................................................. B. (asalah lainn#a, sesi7ikn#a .............................................................................................. .............................................................................................................................................. Ma$alah Ke-era"a)an +
Perubahan emeliharaan keseha"an Cnuresis ma"urasi Perubahan ola eliminasi urin $re"ensi urin%
+e"iakbera#aan Perubahan ola eliminasi urin $inkon"inensia "o"al%
+eu"usasaan Perubahan ola eliminasi urin $inkon"inensia is7ungsional% Perubahan kinerja eran Perubahan ola eliminasi urin $inkon"inensia re7ek% !inroma s"ress relokasi Perubahan ola eliminasi urin $inkon"inensia s"ress% Perilaku menari ban"uan 8angguan konse iri $gangguan i"ra "ubuh% 8angguan konse iri $gangguan ien"i"as iri% 8angguan konse iri $gangguan harga iri% 8angguan konse iri $gangguan harga iri renah kronik% 8angguan konse iri $gangguan harga iri renah si"uasional% 5ainlain, jelaskan : ....................................................................................................
@. PENGETAHUAN KURANG TENTANG )akah klien memun#ai masalah #ang berkai"an engan enge"ahuan #ang kurang "en"ang
sua"u hal@
Pen#aki"gangguan jiwa !is"em enukung 4ak"or resii"asi +oing Pen#aki" 7isik Oba"oba"an 5ainlain, jelaskan : ........................................................................................................ Ma$alah Ke-era"a)an + Perilaku menari ban"uan keseha"an Pena"alaksanaan "eraeu"ik "iak e7ek"i7 +e"iakuasan +urang enge"ahuan, sesi7ikn#a ....................................................................................
@I.
ASPEK MEDIS 9iagnosa meis : ....................................................................................................................... Terai (eis : ........................................................................................................................... ....................................................................................................................................................
.................................................................................................................................................... .................................................................................................................................................... Ma$alah Ke-era"a)an + C7ek "erai oba"oba"an C7ek "erai an"i ansie"as C7ek merugikan "erai an"i eresi C7ek "erai an"i siko"ik (asalah kolabora"i7o"ensial komlikasi : mul"isis"em, sesi7ikn#a ............................ ..........................................................................................................................................
@II.
ANALISA DATA
NO 1.
2.
9)T) !ubjek"i7 : ............................................................. ............................................................. ............................................................. Objek"i7 : ............................................................. ............................................................. ............................................................. !ubjek"i7 : ............................................................. . ............................................................. . ............................................................. . Objek"i7 : ............................................................. .
()!)5)-
............................................................. . ............................................................. .
@III. DAFTAR MASALAH KEPERAWATAN 1. ......................................................................................................................................... 2. ......................................................................................................................................... 3. ......................................................................................................................................... A. ......................................................................................................................................... <. .........................................................................................................................................
@I.
POHON MASALAH
C4C+ =ORE PRO;LEM
!C)
@.
DAFTAR DIAGNOSA KEPERAWATAN 1. .............................................................................................................................................. 2. .............................................................................................................................................. 3. .............................................................................................................................................. A. .............................................................................................................................................. <. .............................................................................................................................................. 6. .............................................................................................................................................. ;. .............................................................................................................................................. B. ..............................................................................................................................................
Tanggal ............................................. Perawa" #ang mengkaji,
........................................................... N>( :
REN=ANA KEPERAWATAN
Nama
: .............................................
Ruangan
Nomor R(
: .............................................
9iagnosa meis : ..........................................
Renana Tinakan +eerawa"an +ri"eria Tinakan Tujuan Cvaluasi keerawa"an
9iagnosa 9 +e 1
T&( :
T&+ :
9 +e 2
T&( :
T&+ :
9 +e 3
: ..........................................
T&( :
Rasional
T&+ :
9 +e A
T&( :
T&+ :
TINDAKAN DAN EALUASI KEPERAWATAN JIWA > =a)a)an Tin#a0an Per0em(angan Ke-era"a)an?
Nama
: .............................................
Nomor R(
: .............................................
-ariTg
9 +e
Jam
Tujuan
Ruangan
Tinakan +eerawa"an
: ......................................
Cvaluasi
Para7 an
+eerawa"an
Nama
RESUME KEPERAWATAN
Nama
: .............................................
No R(
: .............................................
Tanggal an Jam
Ruangan
&raian +eaaan Terakhir
: .............................................
Para7 an Nama
STANDAR EALUASI KEPERAWATAN JIWA >Per0em(angan Perila0 Pa$ien?
Nama
:
Jenis +elamin : &mur
P
:
NO 1. 2. 3. A. <. 6. ;. B.
5
No.R(
:
Ruangan
:
Tgl (R!
:
()!)5)- +CPCR)*)T)N
1
(>N88& 2 3 A
<
8angguan kebersihan iri 8angguan "ingkah laku 8angguan alam embiaraan 8angguan emosia7ek 8angguan emikiran 8angguan ersesi $halusinasi% 8angguan "iur 8angguan makan Jumlah skor #ang ieroleh aa minggu > D >E +lasi7ikasi "ingka" ke"ergan"ungan asien Tanggal enilaianevaluasi erkembangan asien Nama jelas enilaianevaluasi erkembangan asien
/)T)T)N : !kor #ang ieroleh berasarkan ekembangan asien an klasi7ikasi "ingka" ke"erangan saa" ievaluasi :
aik sekali Perawa"an maniri $minimal care% aik Perawa"an sebagian $ Partial care% !eanguku
: 33 A0 : 2< 32 : 1; 2A
Perawa"an sebagian $ Partial care% +urang : ' D 16 Perawa"an "o"al $Total care% uruk :1B Perawa"an "o"al $Total care% ASUHAN KEPERAWATAN KESEHATAN JIWA Un)0 Ra"a) Jalan #an Ga"a) Darra)
9iagnosa
Renana +eerawa"an
Tinakan +eerawa"an
Cvaluasi +eerawa"an