Format Sptk Jiwa

STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

Nama Mahasiswa Nama Pasien No Medrek Hari/Tanggal Interaksi ke

I. !.

(.

+.

.

II. II.

: : : : :

PROSES KEPERAATAN Kondisi Kondisi klien " gam#arka gam#arkann kondisi kondisi klien klien $ada saat terkahir terkahir #ertem%& #ertem%& 'O : ................. ......................... ................. ................. ................ .................. .................. ................ ................. .................. ................. ................ ................. ................. ............ ....   ...................................................................................................................................   ...................................................................................................................................   ................................................................................................................................... 'S : ................. ......................... ................. ................. ................ .................. .................. ................ ................. .................. ................. ................ ................. ................. ............ ....   ...................................................................................................................................   ...................................................................................................................................   ................................................................................................................................... 'iag 'iagno nosa sa Ke$e Ke$era rawa wata tann "t%liskan diagnosa ke$erawatan )ang akan diatasi $ada $ertem%an ini ses%ai dengan data diatas* t%lis diagnosa ke#era$a& ........................................................................................................................................................... ........................................................................................................................................................... .................................................................... T%,% T%,%an an Ke$e Ke$era rawa wata tann "t%liskan t%,%an )ang akan di-a$ai $ada $ertem%an ini& ........................................................................................................................................................... ........................................................................................................................................................... .................................................................... Tind Tindak akan an Ke$e Ke$era rawa wata tann "t%liskan tindakan ke$erawatan se-ara teoritis dari t%,%an ke$erawatan )ang akan diselesaikan $ada $ertem%an ini& ........................................................................................................................................................... ........................................................................................................................................................... ........................................................................................................................................................... ....................................... STRA STRATE TEI I KOM0 KOM0NI NIKA KASI SI TE TERA RAPE PE0T 0TIK IK !. Orient Orientasi asi Salam tera$e%tik ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. .................................   E1al%asi/1alidasi ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ................................. Kontrak "to$ik* wakt%* tem$at& ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ................................. (. Ker, Ker,aa ............................................................................................................................................. ............................................................................................................................................. 

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............................................................................................................................................. ................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ................................. ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ................................. +. Terminasi E1al%asi s%#)ekti2 "$erasaan klien setelah #er#in-ang3#in-ang& ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ................................. E1al%asi o#)ekti2 "isi materi )ang s%dah di#i-arakan& ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ................................. Ren-ana tindak lan,%t "PR %nt%k klien& ............................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ................................. Kontrak $ertem%an )ang akan datang "wakt%* tem$at* to$ik& ................................................................................................................................. ............................................................................................................................................. ............................................................................................................................................. ............ 

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STRATEGI INTERAKSI PERAWAT – KLIEN NO

DX

KLIEN

INT. KE

TOPIK

Pasien

I

Pen)e#a# PK Tanda dan ge,ala PK PK )ang dilak%kan Aki#at PK 4ara mengontrol PK 5atihan -ara mengontrol 2isik I Mas%kkan dalam ren-ana harian 5atihan -ara 2isik II Mas%kkan dalam ren-ana harian 5atihan -ara 1er#al Mas%kkan dalam ren-ana harian 5atihan s$irit%al Mas%kkan dalam ren-ana harian Pat%h min%m o#at Mas%kkan dalam ren-ana harian

KEPERAWATAN

!.

Resiko PK

II III I6 6

(.

Hal%sinasi

Kel%arga

I II III

Pasien

I

II

III

I6

Kel%arga

I II

III

Masalah PK $asien 4ara merawat $asien PK 5atihan -ara merawat S%m#er r%,%kan

Mengetah%i isi* wakt%* 2rekwensi* res$on terhada$ hal%sinasi 4ara3-ara mengontrol hal%sinasi 7ela,ar menghardik hal%sinasi Mas%kkan dalam ren-ana harian 7ela,ar -ara mengontrol dengan $at%h o#at Mas%kkan dalam ren-ana harian 7ela,ar mengontrol dengan #er-aka$3-aka$ Mas%kkan dalam ren-ana harian 7ela,ar mengontrol dengan akti1itas terarah Im$lementasi ses%ai dengan ren-ana harian

Mengenal masalah hal%sinasi 4ara3-ara merawat hal%sinasi* mem#ant% mengontrol hal%sinasi Praktek merawat $asien dengan hal%sinasi S%m#er %nt%k r%,%kan

+.

Isolasi sosial

Pasien

I

II

III

.

Harga diri rendah

Kel%arga

I II III

Pasien

I

II

8.

aham

Kel%arga

I II III

Pasien

I

II

III

Kel%arga

I

Pen)e#a# isolasi sosial Ke%nt%ngan #erh%#%ngan dengan orang lain Ker%gian tidak #erh%#%ngan dengan orang lain 7ela,ar #erkenalan Mas%kkan dalam ren-ana harian 7ela,ar interaksi dengan anggota kel%arga Mas%kkan dalam ren-ana harian 7ela,ar interaksi dengan tetangga Mas%kkan dalam ren-ana harian

Masalah isolasi sosial 4ara $enanganan isolasi sosial Praktek $enanganan isolasi sosial S%m#er r%,%kan

Identi2ikasi as$ek $ositi2 Nilai as$ek $ositi2 Pilih as$ek $ositi2 )ang #isa diker,akan 5atih as$ek $ositi2 I Mas%kkan dalam ren-ana harian 5atihan akti1itas $ositi2 ( Mas%kkan dalam ren-ana harian

Masalah H'R 4ara merawat $asien H'R Praktek merawat H'R Tem$at r%,%kan

Identi2ikasi ke#%t%han )ang tidak ter$en%hi Identi2ikasi -ara memen%hi ke#%t%han Praktek $emen%han ke#%t%han Mas%kkan dalam ren-ana harian Identi2ikasi kemam$%an $ositi2 Praktek as$ek $ositi2 ! dst Mas%kkan dalam ren-ana harian Pat%h o#at Mas%kkan dalam ren-ana harian

Masalah waham

II III

9.

Resiko #%n%h diri

Pasien

I

II III

Kel%arga

I

II III

.

'e2isit $erawatan diri

Pasien

I

II III I6

Kel%arga

I

II dst

4ara merawat $asien dengan waham Praktek merawat klien dengan waham S%m#er r%,%kan

Pengawasan ketat Amankan #enda #er#aha)a Kontrak treatment 4ara mengendalikan dorongan #%n%h diri As$ek $ositi2 diri Ko$ing konstr%kti2 ! dst Ko$ing konstr%kti2 ... Ren-ana masa de$an

Masalah resiko #%n%h diri Pengawasan ketat Amankan #enda #er#aha)a Pem#erian o#at R%,%k segera '%k%ngan ko$ing konstr%kti2 Meren-anakan masa de$an

Perl%n)a $erawatan diri 4ara3-ara sehat $erawatan diri Praktek ke#ersihan diri Mas%kkan dalam ren-ana harian 5atihan -ara makan )ang #aik Mas%kkan dalam ren-ana harian 5atihan eliminasi )ang #aik Mas%kkan dalam ren-ana harian 5atihan #erdandan Mas%kkan dalam ren-ana harian

Masalah $erawatan diri '%k%ngan kel%arga Mem#ant% $asien dalam $erawatan diri Praktek merawat $asien Tem$at r%,%kan