LAPORAN TUTORIAL HARI 1 MODUL 4 SKENARIO 4: SEMOGA ANAK-ANAKKU TIDAK BERMASALAH BLOK 3.6 GANGGUAN HIDUP PADA NEONATUS, BAYI, ANAK REMAJA DAN LANSIA
Kelo!o" 3A PUTRI A#ALIYAH DE$A
141%311%6%
AHMAD &ATHAN &ATHAN
141%31'%(4 141%3 1'%(4
ELSY MAYASARI
14 1%31' % ()
ANNISA BADRIYYAH BADRIYYAH HAKIMAH141%31'%*' HAKIMAH141 %31'%*' AU&A UMMAIMAH EPILOKSA
14 1%3 1' %1 *
KHAIRUNNISA SALSABILA
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&ADHILLA ANNISA E&ENDI
141%311%+*
IAN IAN D#I KURNIA#AN KURNIA#AN
141%311%*' 141%3 11%*'
GILANG MUHAMMAD &AU$AN
1 4 1%3 1' %' 1
IKMAH &AU$AN
141%3111%(
To/: DR.D/.H.M0/l,M.S2, DR.D/.H.M0/l,M.S2, S!.GK
PROGRAM STUDI PRO&ESI DOKTER &AKULTAS KEDOKTERAN UNIERSITAS ANDALAS TAHUN AJARAN '%16'%1)
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MODUL 4 SKENARIO 4: SEMOGA ANAK-ANAKKU ANAK-ANAKKU TIDAK BERMASALAH S5, /e070 l0"5-l0"5 8e/50 1* 09 5800 58;0 "e !ol5l"l55" "0/e0 e70" 0 09 55 l5 50/, 58;0 0" 75"0 S5 e<0l05 "e7050 50" e;e0<"0 e!e/5 !00 /e070 l05 ;0< e/5< 550/"0 5 T. A!0l0<5 00 55 !e/5l0" e" 8e80 7<0 e0"5 0/0" !00 /e070 0 0<0 e2e0"0 0;0/0"0 . I8 S5 7<0 ee/5"0"0 00";0 oo/ 0, S5=0, !e/e!0 / 13 09. Se70" e0 8l0 ;0< l0l 0!05 00 55, S5=0 8el e/05, !0090l !0;0/0;0 09 89. A!0"09 55 059 o/0l 00 e/l080. Do"e/ e0;0"0 e0< 25/5-25/5 el0/"9e 0! 0/e0/"9e !00 05";0 55. I8 e800 7<0 05" l0"5-l0"5 S5, So, 8e// e!0 09 e<0 "el90 0<0 0 0 50" 0 5!0<<5l. I8 "9005/ 00";0 55 ee/50 ADHD 00 05e. Do"e/ el0""0 00e5 e<0 le<"0! e/0 el0""0 00e5 0 !ee/5"00 e/"/ e/900! 80l50 el0l5 >o/0 ;0< el09 5e"0, ;05 M007ee Te/!0 B0l50 S0"5 ?MTBS@, " ee"0 0!0"09 00 "el050 l05 !00 05" S5. Do"e/ e75 58 S5 ;0< !e9 !e/9050 !00 "e5<0 00";0. Do"e/ 0 58 S5 e5"5"0 7<0 e0< "e8e/000 00" 70l00 ;0< e/5< 5/9 e705 !eo/e5". B0<0500 A0 0!0 e7el0"0 e0 !e/00l090 5 00
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*. A!0 !e;e808 !e/5l0" e" 8e80 0/0" 5 /e070 0 e<0!0 850 e2e0"0 0;0/0"0 6. B0<0500 98<0 50 0 7e5 "el05 e/900! "el90 S5=0 ;0< 8el e/05 !0090l !0;0/0;0 09 89 ). A!0-0!0 070 25/5-25/5 el0/"9e 0 0/e0/"9e !00 !e/e!0 (. Me<0!0 S5=0 8el e/05, !0090l !0;0/0;0 09 89 0 0!0"09 e/05;0 059 o/0l 00 e/l080 +. A!0 70 o"e/ e0;0"0 e0< el0/"9e 0 0/e0/"9e !00 S5=0 1%. Me<0!0 58 e 0 50" 0 5!0<<5l 11. Me<0!0 58;0 "9005/ 00";0 55 ee/50 ADHD 1'. Me<0!0 58;0 "9005/ 00";0 55 ee/50 05e 13. A!0-0!0 070 25/5-25/5 ADHD 0 80<0500 e"05e;0 14. A!0-0!0 070 25/5-25/5 05e 0 80<0500 e"05e;0 1*. B0<0500 9" eo/e5" 1(. B0<0500 00 0!0 e7el0"0 e0 !e/00l090 5 00 LANGKAH 3: ANALISIS MASALAH 1.S5 e<0l05 <0<<0 5<"09 l0", 500 B0;0" 00" ;0< e<0l05 <0<<0 5<"09 l0" 7<0 e7""0 <0<<0 l05. A0 5<"0 "oo/8550 ;0< 5<<5 00/0 <0<<0 5<"09 l0" 0 ADHD. Se"50/ 4% 00"-00" e<0 ADHD 7<0 e<0l05 <0<<0 5<"09 l0". H0l 55 e/705 !00 00" l0"5-l0"5, 0 709 le859 e5"5 ;0< 5"e095 e
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E05< D5o/e/ M00l09 "ee900 7<0 705 !e/9050 !e5< ;0< e/5< 50l05 /e070. S0l09 0;0 00l09 eating disorder . M0l09, eating disorder 55 705 00l09 "ee900 00 ;0< e/5< 5900!5 /e070. T0 " "/ e80 "50 el0""0 5e ;0< 0l09 0 8e/7< "e eating disorder 55. Seel09 e0!0"0 00-00 eating disorder , "50 09/ e
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5<"00 0/5 Ae5o De>525 H;!e/025C5; D5o/e/, ;05 e809 <0<<0 !00 !e/"e80<0 o0" ;0< e;e808"0 !ee/50;0 e705 95!e/0"5>, 5!l5>, e/0 09 e0"0 !e/9050. Ko55 55 l;0 5"e0l e<0 ADD 00 Ae5o De>525 D5o/e/.
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&0"o/ 0"o/ ;0< e!e<0/95 !e/"e80<0 , 5805<"0 e<0 00"-00" l05;0 ;0< 50" ee/50 ADHD.
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&AKTOR RESIKO ADHD Pe;e808 ADHD 8el 850 5"e095 e<0 !05. Te0!5 e7l09 !eel550 e7""0 8090 /55"o eeo/0< " ee/50 "o55 55 0!0 5e808"0 ole9 "o8505 0/5 8e8e/0!0 >0"o/. 1. &0"o/ "e/0. Me5l5"5 58, 0;09, 00 00/0 e<0 "o55 ;0< 00 00 <0<<0 e0l l05. '. Kel095/0 !/e0/, ;05 e8el 50 "e905l0 3) 5<<. 3. Kel050 !00 /"/ 00 ><5 o0", e!e/5 "e50"e580<0 "00/ e/o/05e/ 0l0 o0" 00 "5e/70;0 ;0< e/<0<<. 4. Ke/0"0 o0" ;0< e/705 0l0 "0<0 00 50 55. *. I8 ;0< e<<0"0 o80-o800 e/l0/0<, e !00 eeo/0< ;0< "e80;0"0 50"580"0 ole9 >0"o/ 9e/e50 0 "00<-"00< el09 0!0 5ee"5 e70" 80;5 8e/50 6 8l0. Dee"5 0 e/0!5 e55 <"5 0"0 e705"0 5 !ee/50 le859 0!0 e;e05"0 5/5;0 e<0 ;0< o/0l. K00<-"00< e/0!5 90/ 5l0""0 e/ 95!, 0l0! e5"50 !ee/50 A5e ;0< 2"! 2e/0, eel09 e0!0 e/0!5 A5e e55 <"5, e/5<"0l5 0!0 e<5"5 Se"ol09 U, e705 S0/700 0 0!0 8e"e/70 ee95 00/ ;0< 589"0, e0!5 !e0900 0/5 /e"0 el00 8e/e"ol09 0 /e"0 e"e/70 e/5<"0l5 589"0, 50l;0 50" e;09 00 50" e00< 00 5 !e8520/0, "e5"0 5070" 8e/8520/0. K0/0"e/55" ;0< eo7ol !00 eeo/0< ;0< e<50! "el050 55 00l09 "el50 e850 98<0 o50l, 8e/"o5"05 e20/0 o/0l 0! e0905 eo5 e/0 !e/000 o/0< l05.1 A5e e/!0"0 0l09 0 <0<<0 !e/"e80<0 ;0< e/!0"0 80<50 0/5 <0<<0 !e"/ 05e 00 Autism Spectrum Disorders (ASD) 0 7<0 e/!0"0 0l09 0 0/5 l50 7e5 <0<<0 58009 !0;< G0<<0 Pe/"e80<0 Pe/C05> 00 Pervasive Development Disorder ?PDD@. A5e 8"0l09 !e;0"5 "e7500 "0/e0 50 e/!0"0 0 <0<<0 ;0< e/705 !00 o0" e95<<0 e;e808"0 o0" e/e8 50" 0!0 8e/><5 el0;0";0 o0" o/0l 0 90l 55 e/05>e05 !00 !e/5l0" !e;00< 05e. ' A5e 00l09 ;0< e/8e/0 5 00/0 PDD. Autisme
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el5!5 Ne/olo<, P5"olo<, Pe50/52, Te/0!5 #520/0, P0e0e5 l05;0 ;0< e0905 !e/o0l0 05e. Do"e/ !e50l5 ;0< 2o2o" " eee"5 A5e 00l09 Do"e/ S!e50l5 A0" ?S!.A@ ;0< 580 ole9 Do"e/ S!e50l5 Keo"e/0 J50 ?S!.KJ@ " e e/900! 0/0 00 809"0 50" 0!0 8e/"00-"00 0 0!0 50<"0 !ee/50 A5e, !0090l 8"0. Simtoma klinis menurut DSM IV
A. Interaksi Sosial ?550l '@: 1. T50" 0! e70l5 5e/0"5 o50l o Ce/80l: "o0" 00, e"!/e5 "0, !o55 89, 507505>, "/0< 5505 o250lQ . Imaginasi, berpikir fleksibel 0 bermain imaginatif ?550l 1@: 1. Me!e/090"0 1 50 00 le859 e<0 20/0 ;0< 0<0 "90 0 8e/le8590, 805" 5e50 0 >o";0 '. Te/!0" !00 0 "e<500 /50l55"/550 ;0< 50" 8e/<0 3. A0 <50. D5"00"0 ole9 !0/0 09l5 8090 00"-00" e<0 05e e<0 5<"0 5ele ;0< /e09, 50" 8e/8520/0
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U/ 550l 1' 09 " o"0/olo 0 14 09 " eoe/oe U/ l0< 550l 1% 09 T5<<5 5 8009 !e/e5l-3 S0 !8e/0 059 !/e!8e/0l 00 T0e/ G' 0 "00/ eoe/oe 5 8009 1%% <L P05e e/8"5 00 <0<<0 el>-50
Teoe/o 58e/5"0 e20/0 !0/e/0l e<0 o5 e090e e8e0/ *%-'%% < e50! 3 0!05 4 5<<. B500;0 5 8l0 "ee!0 0"0 l05 e/l590 00 e" e"e/. Ke2e!00 !e/890 5<<5 800 ;0< e/705 1%-1',6 209.44 De<0 20/0 !e8e/50 e!e/5 ;0< 507/"0 50" e/705 !e/2e!00 0/05 l0< 00! <0<<0 !/oe !8e/0.4%,44 /oe "" e805<"0 905l e/0!5 o0/oloe 0 eoe/o e!o !00 DGP. Peel550;0 e;5!l"0 "e0;0 e8e/5"0 905l ;0< 00 e/900! "e2e!00 !e/890 0 !8e/0.3*
I"5 !8e/0 !00 00" !e/e!0 e<0 DGP 00l09 e/05ol. Do5 e/05ol 2;!5o0e ;0< 507/"0 00l09 %,* < 5/0-2l0/ 00 e95;l e/05ol * V<90/5 !e/ o/0l 0!0 e/0<0< 89;0 !0;0/0 0 !e/890 >55".3+
#0l0! 00" e<0 DGP 0!0 5!e/2e!0 !e/890;0 e<0 8e/80<05 020 9o/o, 0 !e0"050;0 9e0";0 90/ 5!e/580<"0 805"-805".33,3.+ Pe8e/50 e/0!5 9e0";0 80/ 58e/5"0 85l0 e0< e/705 "e2e00 ;0< 00 8e/le8590 !00 o/0< 0 00 e/705 e"00 !5"oo50l !00 00". O/0< 0 90/ 58e/5 !e
Kee/l0800 !8e/0 90/ 5 e/0!5 e55" e!e/5 00"-00" 0 50" e/l590;0 <080/0 "0/0"e/55" e" e"e/. Ke000 55 7<0 0!0 e;e808"0 e/705;0 <0<<0 !5"olo<5. A"580 0/5 !e/o0l0 !8e/0 55 8e/"050 e/0 e<0 e5olo<5;0: 1 Ke000 95!e/e" 5e5 e5 0/oele/ ?4).WWY@, 20!/0 4*. W46, 555e5 X /e"0e, 5/o oC0/5 /e5e, 5/o T/e/. 8 A"550: 0o5, "eoe/0!5, 5>e"5 ?2o02"5e, !@, !e8e090, o/5, /005". ' Ke000 95!o5e@. 0 De>55e5 95!o90l0-95!o>5e De>55e5 e/5le@ LH 0 &SH - A"550 0o5, 5/0505 "/050l, !e;0"5 e" !/oe2e!0lo ?8e/98<0 e<0 5/o 525o/ e/0l, 2le> l5! !0l0e, 5>0250l 2le>, 5!l050 e!oo!5"@. 8 Eo"/5o!05 ?el5!5: e>55e5 l005, 55e, /0505, "50 /09"e !o29, !e8e090, /00, o/ ?"/05o>0/5<5o0, 0eo0 95!o>5e, !/o"l05o0@. 3 Kee/l0800 00 !e00 ><5 - o55o0l el0; o> 58/o5, <570l@ - Pe;0l09<00 o80 - Pe55e5
Ke5!l0
P8e/0 00l09 80<50 0/5 !/oe !e/890 00" 0 /e070 S0 !8e/0 e/0" 80<50 !ee/5"00 >55" ;0< 90/ 5!e/5"0 !00 00" 0 /e070 Sel05 00 e" e"e/, /0 58l;0 00 e" e"e/ 90/ 5!e/905"0 Pe;5!0<0 0/5 !/oe !8e/0 0!0 e/705 !00 e0 / 0/5 eo0 0!05 /e070
M00l09 !8e/0 e90/5-90/5 ;0< e/5< 57!05 ;05 el0/ !/e0/, el0/ !80/"e, <5e"o050 0 DGP M00l09 e90/5-90/5 e/e8 90/ 850 5"e0l5 0 5"e095 ;0< 00 ;0< >55olo<5 00 !0olo<5 U" 00l09 ;0< !0olo<5 00 ;0< ee/l"0 e/0!5 9o/o0l 5"ol05"0 "e "ol0 eo"/5 00". Mekanisme Agresif: Faktor en!ebab Anak "erperilaku Agresif
Be/00/"0 !eel550 ;0< 5l0""0 5 Ae/5"0 Se/5"0 ?0l0 M0;"o/5, '%%*: 1'.)@ e"50/ *-1% 00" 50 e"ol09 e7"0 perilaku agresif . Se20/0 , 00" l0"5-l0"5 le859 80;0" e0!5l"0 !e/5l0" 0, 5805<"0 00" !e/e!0. Me/ !eel550, !e/805<0;0 * 8e/805< 1, 0/5;0 7l09 00" l0"5-l0"5 ;0< el0""0 !e/5l0" 0 "5/0-"5/0 * "0l5 le859 80;0" 5805<"0 00" !e/e!0. Le859 l07 M0;"o/5 ee7el0"0, !e;e808 perilaku agresif 555"05"0 ole9 e!0 >0"o/ 00 ;05 <0<<0 85olo<5 0 !e;0"5, l5<"<0 "el0/<0, l5<"<0 e"ol09, 0 !e<0/9 80;0 e<05>. &0"o/->0"o/ !e;e808 55 5>0;0 "o!le" 0 50" <"5 90;0 0 >0"o/ 070 ;0< e705 !e;e808 58l;0 !e/5l0" 0. Keempat faktor pen!ebab anak berperilaku agresif adalah sebagai berikut: A# Faktor "iologis
Eo5 0 !e/5l0" 0!0 5!e<0/95 ole9 >0"o/ 0"o/ 85o"550, 7<0 "o8505 0/5 >0"o/ "e5<0;0. ;0< 7el0, 00 98<0 00/0 89 0 !e/5l0", e95<<0 0<0 8e/0l00 " e20/5 !e;e808 85olo<5 0/5 <0<<0 !e/5l0" 00 eo5o0l. 50l;0, "ee/<0<0 58 !00 0l2o9ol "e5"0 705 059 0l0 "0<0 0!0 e;e8A0" 8e/"e890 "90 8e/80<05 <0<<0 e/0" eo5 0 !e/5l0". A;09 ;0< !e5 0l"o9ol e/ !eel5050 7<0 8e/e5"o 5<<5 e58l"0 !e/5l0" 0 !00 00". Pe/5l0" 0 0!0 7<0 2l !00 00" ;0< o/0< 0;0 !ee/50 !5"o!0 ?<0<<0 "e7500@. Se0 00" e8e0/;0 l095/ e<0 "e000 85olo<5 e/e ;0< ee"0 <0;0 5<"09 l0" 00 e!e/0e;0, e"5! e!e/0e 0!0 8e/809 e05 !e<090. Sel05 5, !e;0"5 "/0< <55, 809"0 2ee/0 o0", 0!0 e705 !e;e808 58l;0 <0<<0 eo5 00 5<"09 l0". "# Faktor Keluarga
&0"o/ "el0/<0 ;0< 0!0 e;e8A0" 8e/"e890 "90 !e/5l0" 0 0!0 55e5>5"05"0 e!e/5 8e/5". 1. Pol0 09 o/0< 0 ;0< ee/0!"0 55!l5 e<0 50" "o55e. M50l;0 o/0< 0 e/5< e<020 00" 75"0 00" 8e/05 el0""0 90l ;0< e;5!0<. Te0!5 "e5"0 !e/5l0" e/e8 8e0/-8e0/ 5l0""0 00" 9"0 e/e8 "00< 58e/5"0 "00< 50", e80 00" 85<< "0/e0 50" 00 00/ ;0< 7el0. 90l 55 e52 !e/5l0" 0 !00 00". Ke50"o5e0 !ee/0!0 55!l5 75"0 7<0 e/705 85l0 00 !e/e0<0 !ol0 09 00/0 "e0 o/0< 0, 50l;0 5 I8
"/0< 55!l5 0 09 el!0"0 !e/5l0" 00" ;0< e;5!0<, e0< 5 0;09 5<5 e8e/5"0 9"0 ;0< "e/0. '. S5"0! !e/55> o/0< 0, ;0< 8500;0 8e/00l 0/5 5"0! o/0< 0 ;0< e/00 50" 0!0 e>e"5> " e<9e5"0 !e/5l0" e;5!0< 00";0, e95<<0 2ee/< e850/"0 070 00 50" 0 09. S5"0! !e/55> 55 e80 !e/5l0" 0 2ee/< ee0!. 3. S5"0! ;0< "e/0 0 !e9 0, ;05 o/0< 0 ;0< e/8500 e<<0"0 <0;0 5/"5 0<0/ 00" el0""0 00 50" el0""0 e0, 70/0< e8e/5"0 "ee!00 !00 00" " 8e/5"5 00 8e/8520/0 0"/08 0l0 000 "e"el0/<00. D0l0 90l 55 2l 9" 0"5-/e0"5, e0"5 00" 5 o/0< 0, e0"5 5<<5 "e5<50 00" " e8e/o0" e<0 !e/5l0" 0. 4. G0<0l e8e/5"0 9"0 ;0< e!0, e95<<0 9"0 7/ e58l"0 5"0! !e/90 00" !00 o/0< 0 0 e5<"0"0 5"0! !e/5l0" 0 00". *. Me8e/5 90509 !00 !e/5l0" 0 00 e8e/5"0 9"0 " !e/5l0" !/oo50l. 6. K/0< eo5o/ 500 00"-00" 8e/00 ). K/0< e8e/5"0 0/0 (. T5<"0 "o5"05 Ce/80l ;0< /e09 +. G0<0l e705 oel ;0< 1%. I8 ;0< e!/e5> ;0< 09 0/09
$# Faktor Sekolah
Be8e/0!0 00" 0!0 e<0l05 00l09 eo5 00 !e/5l0" e8el e/e"0 l05 0" e"ol09, e0<"0 8e8e/0!0 00" ;0< l05;0 0!0" l05 e7""0 !e/5l0" 0 "e5"0 l05 8e/e"ol09. &0"o/ e"ol09 ;0< 8e/!e<0/9 00/0 l05: 1@ e0 e80;0, l5<"<0 o50l e"ol09, '@ !0/0 </, 0 3@ 55!l5 e"ol09. 1. Pe<0l00 8e/e"ol09 0 l5<"<0;0 e5l5"5 !e/00 !e5< 0l0 !e8e"0 !e/5l0" 0 00" e5"50 7<0 e!e/0e e0 e80;0 0 "o!ee5 o50l '. G/-</ 5 e"ol09 0<0 8e/!e/0 0l0 2l;0 00l09 eo5 0 !e/5l0" 5. Pe/5l0" 050 </ 0!0 5705"0 oel ole9 00". 3. D55!l5 e"ol09 ;0< 0<0 "0" 00 0<0 lo<<0/ 5 l5<"<0 e"ol09 0"0 0<0 e85<<"0 00" ;0< 059 e89"0 !00 " 8e/!e/5l0". L5<"<0 e"ol09 50<<0! ole9 00" e80<05 l5<"<0 ;0< e!e/905"0 5/5;0. Be" !e9050 5 0!0 8e/!0 9"0, "/55"0 00! 07<0. D# Faktor "uda!a
Pe<0/9 80;0 ;0< e<05> e!e<0/95 !5"5/0 el0l5 !e0;0<0 "e"e/00 ;0< 50!5l"0 5 e50, e/00 eleC55 0 >5l. Me/ B0/0 ?0l0 M0;"o/5, '%%*: 1'.1%@ e<<"0!"0 8e8e/0!0 0"580 !e0;0<0 "e"e/00 5 e50, e80<05 8e/5". 1. Me<070/5 00" e<0 5!e !e/5l0" 0 0 5e 8090 e<0l0 00l09 0!0 5005 e<0 !e/5l0" 0. '. A0 e;0"5"0 8090 "e"e/00 850 e009"0 /50<0 e/900! "e"e/00 0 !e/5l0" 0, e95<<0 !e/5l0" 0 0!0" l/09 0 850 5e/50. 3. Me705 50" e55> 0 e/8500 e<0 "e"e/00 0 !ee/500 ?e!l"0 e!05 0 "e!e"00 o50l@.
4. Me8e" 25/0 050 e0< "e;000 0 2ee/< e<0<<0! 50 e80<05 e!0 ;0< 50" 00 " 95!. A"580 e/5< oo 0l09 0 "0/, 0 >5l /o8o 5 8e8e/0!0 05 T, 00" 2ee/< e5/ o"o9 e/e8 0 el05 5 7<0 e5/ !e/5l0" 00/0 e!! e0 e!e/050;0. Te/"00< o/0< 0 el0/0< !/0 !/5;0 " eoo >5l >5l "0/ 0 >5l /o8o e/e8 e;0 e<0 e8e/5"0 !e7el00, e0!5 8el e809"0 905l ;0< 0"50l. Sel05 5, >0"o/ e0 e80;0 7<0 e/!0"0 8e/ ;0< !0l5< e!e<0/95 00". I5 e/!0"0 >0"o/ ;0< !0l5< <"5 e/705 "e5"0 !e/5l0" 0 5l0""0 e20/0 8e/"elo!o". A0 e0 ;0< e!e<0/95 e/e"0 0<0/ el0""0 50"0-50"0 0 e/900! 00" l05. B500;0 00 "e0 "elo!o" ;0< 50<<0! e80<05 00" ;0< 700"o/ Pe;e808 A0" Be/!e/5l0" A 5 00 0<0 "o!le" 0 0l5< e!e<0/95 0 00 l05. LANGKAH 4: SKEMA
GANGGUAN PERKEMBANGAN ANAK DAN REMAJA
SUDIN
REMAJA
REMAJA
FASE TRANSISI
GANGGUAN PSIKOSOSIAL DAN KEPRIBADIAN
SON 4 TAHUN
SANGAT AGRESIF
SEX BEBAS
TIDAK MAU DIPANGG CIRI-CIRI ADHD/AUTISM
TELARKHE ADA MENARKHE BELUM ADA
SULIT DIATU
SEXUAL ABUSE
SIQA 13 TAHUN
15 TAHUN
MUDAH DIPENGARU HI OLEH LINGKUNGA
CHILD ABUSE
JIKA TERGANGGU GANGGUAN PERKEMBANGA N BALITA
NORMAL GANGGUAN PUBERTAS
LANGKAH *: &ORMULASI LEARNING OBJEKTI& M09050 M0! Me7el0"0: 1.De>555, "l05>5"05, e!5e5olo<5, e5olo<5, !0o>55olo<5, 50, ADHD 0 A5e !00 A0"-Re070 '.De>555, "l05>5"05, e!5e5olo<5, e5olo<5, !0o>55olo<5, 555, "l05>5"05, e!5e5olo<5, e5olo<5, !0o>55olo<5,
DA&TAR PUSTAKA L09o5 SL, M2l05 N, G5/0/e R, M2eee M, 9e< K. EC0l05< 9e 95l >o/ Se0l A8e. A &0 P9;5250 '%%163:((3-+'. S0/" MM. Me520l &o/e52 Me525e A P9;5250 G5e. ' E55o. Ne Je/e; : H00 P/e I2. '%%*. P95l5! SL. l5520l &o/e52 Me525e : M29 S2o!e >o/ DeCelo!e 5 Ho< Ko<. Ho<"o< : De!0/e o> P09olo<; &02l; o> Me525e U5Ce/5; o> Ho< Ko<. '%%). #e80e/. &o/e5" Kl55". D5505 0<<0l : ' NoCe8e/ 9!:.&o/e5""l55"".e8.2o. U!0e : O"o8e/ '%%(
'%%(
0/5
:
S005 S. A!e"-A!e" &55" Me5 Se/0 Pe/0 P0 K/55 0 T/00 0l0 Pe0<00 Ko/80 T50" Ke"e/00. D5505 T0<<0l : * NoCe8e/ 0/5 : 9!:.05/e.2o2e/o/ He0l9 0 H0 Se/C52e, 95l/e B/e0. #hild %altreatment **+, -eports from the States to the !ational #hild Abuse and !eglect Data System (!#A!DS)' #095<o, D..: U.S. GoCe/e P/55< O>>52e. '%%%.
&05 A, L2;0005 M, H05>0 L, e 0l. Ke"e/00 Te/900! Pe/e!0. D5505 T0<<0l ( NoCe8e/ '%%( 0/5 : 9!:.5."e/e!/o.5>o e/e5'.9 . U!0e : Jl; '%%( #e80e/. Ne<0/0 0 Ke"e/00 Te/900! Pe/e!0. D5505 T0<<0l ( NoCe8e/ '%%( 0/5 : 9!:.ol59".2o. U!0e : J00/5 '%%4 T9e Ro;0l olle P0e50/52 0 95l He0l9 0 T9e Ao2505o o> &o/e52 P9;5250. .uidance on Paediatric /orensic Examinations in -elation to Possible #hild Sexual Abuse. D5505 0<0l ' NoCe8e/ '%%( 0/5 : 9!:.0>!e8.o/<." . U!0e : Se!e8e/ '%%4 U0<-0< Re!8l5" Ioe50 Noo/ '3 09 '%%' e0< Pe/l5<0 A0". U52e>, Ioe50. Ho88 J, H0" HGI, #;e JM: iolence and criminality. D0l0: #hild Abuse and !eglect A #linician0s $andbook . ' E55o. 9/295ll L5C5<oe, Loo. 1+++. B5e/ S, Ne8e/ . U!0e : Jl5 '%%)
