tag:blogger.com,1999:blog-35325859986179160612024-02-18T22:26:26.191-08:00MR NURSEMR NURSEhttp://www.blogger.com/profile/12384241174298171466noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-3532585998617916061.post-5981729260175554892012-07-28T17:34:00.000-07:002012-07-28T17:34:11.745-07:00HERNIA NUKLEUS PULPOSUS ( HNP )<div class="separator" style="clear: both; text-align: center;">
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: EN-US;">ASUHAN
KEPERAWATAN</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: EN-US;">PADA KLEIN
DENGAN HNP (HERNIA NUKLEUS PULPOSUS)</span></b></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: EN-US;">Landasan teori</span></b></div>
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<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Pengertian</span></i></div>
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<span style="mso-ansi-language: EN-US;">HNP adalah Suatu nyeri yang disebabkan oleh
proses patologik dikolumna vertebralis pada diskus intervertebralis
(diskogenik) (Harsono, 1996)</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">HNP adalah keadaan dimana nukleus pulposus
keluar menonjol untuk kemudia menekan ke arah kanalis spinalis melalui anulus
fibrosis yang robek.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l47 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Etiologi</span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">HNP terjadi karena proses degenratif diskus
intervetebralis </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l47 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Insiden</span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Angka kejadi dan kesakitan banyak terjadi pada
usia pertengahan. Pada umumnya HNP didahului oelh aktiivtas yang berlebihan,
misalnya mengangkat beban berat (terutama mendadak) mendorong barang berat.
Laki—laki lebih banyak dari pada wanita</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l47 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">gejala</span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Gejala utama yang muncul adalah rasa nyeri di
punggung bawah disertai otot-otot sekitar lesi dan nyeri tekan .</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">HNP terbagi atas :</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l48 level1 lfo6; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">HNP
sentral </span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span style="mso-ansi-language: EN-US;">HNP sentral akan menimbulkan paraparesis flasid, parestesia, dan retensi
urine</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l48 level1 lfo6; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">HNP
lateral </span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Rasa nyeri terletak pada punggung bawah,
ditengah-tengah abtra pantat dan betis, belakang tumit dan telapak
kaki.Ditempat itu juga akan terasa nyeri tekan. Kekuatan ekstensi jari ke V
kaki berkurang dan refleks achiler negatif. Pada HNP lateral L 4-5 rasa nyeri
dan tekan didapatkan di punggung bawah, bagian lateral pantat, tungkai bawah
bagian lateral, dan di dorsum pedis. Kekuatan ekstensi ibu jari kaki berkurang
dan refleks patela negatif. Sensibilitas [ada dermatom yang sdesuai dengan
radiks yang terkena<span style="mso-spacerun: yes;"> </span>menurun. Pada
percobaan lasegue atau test mengnagkat tungkai yang lurus (straigh leg raising)
yaitu mengangkat tungkai secara lurus dengan fleksi di sendi panggul, akan
dirasakan nyeri disepanjang bagian belakang (tanda lasefue positif). Valsava
dab nafsinger akan memberikan hasil posistif .</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l47 level2 lfo2; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">patofisiologi</span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Pada umumnya HNP didahului oeleh aktiivta syang
berat dengan keluahan utamanya adalah nyeri di punggung bawah disertai nyeri
otot sekitar lesi dan nyeri tekan . Hal ini desebabkan oleh spasme otot-otot
tersebut dan spasme menyebabkan mengurangnya lordosis lumbal dan terjadi
skoliosis.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l47 level2 lfo2; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">F.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Penatalaksanaan</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l47 level3 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Terapi konservatif</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; mso-list: l47 level4 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>Tirah
baring</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Penderita hrus tetap berbaring di tempat tidur
selama beberapa hari dengan sikap yang baik adalah sikap<span style="mso-spacerun: yes;"> </span>dalam posisi setengah duduk dimana tungkai
dalam sikap fleksi pada sendi panggul dan lutut. tertentu. Tempat tidur tidak
boleh memakai pegas/per dengan demikina tempat tidur harus dari papan yang
larus dan diutu[ dengan lembar busa tipis. Tirah baring bermanfaat untuk nyeri
punggung bawah mekanik akut. Lama tirah baring tergantung pada berat ringannya
gangguan yang dirasakan penderita. Pada HNP memerlukan waktu yang lebih
lama.<span style="mso-spacerun: yes;"> </span>Setelah berbaring dianggp cukup
maka dilakukan latihan / dipasang korset<span style="mso-spacerun: yes;">
</span>untuk mencegah terjadinya kontraktur dan mengembalikan lagi
fungsi-fungsi otot.</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 81.0pt; mso-list: l47 level4 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Medikamentosa</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt;">
<span style="mso-ansi-language: EN-US;">1.<span style="mso-spacerun: yes;"> </span>Symtomatik</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Analgetik (salisilat, parasetamol),
kortikosteroid (prednison, prednisolon), anti-inflamasi non-steroid (AINS)
seperti piroksikan, antidepresan trisiklik ( amitriptilin), obat penenang minor
(diasepam, klordiasepoksid).</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt;">
<span style="mso-ansi-language: EN-US;">2.<span style="mso-spacerun: yes;"> </span>Kausal</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt;">
<span style="mso-ansi-language: EN-US;">Kolagenese</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; mso-list: l47 level4 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>Fisioterapi</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Biasanya dalam bentuk diatermy (pemanasan
dengan jangkauan permukaan yang lebih dalam) untuk relaksasi otot dan
mengurnagi lordosis.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l47 level3 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Terapi operatif</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Terapi operatif dikerjakan apabila dengan
tindakan konservatif tidak memberikan hasil yang nyata, kambuh berulang atau
terjadi defisit neurologik</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l47 level3 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Rehabilitasi</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l47 level4 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Mengupayakan penderita segera bekerja seperti
semula</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l47 level4 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Agar tidak menggantungkan diri pada orang lain
dalam melakkan kegiatan sehari-hari (the activity of daily living)</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l47 level4 lfo2; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Klien tidak mengalami komplikasi pneumonia,
infeksi saluran kencing dan sebagainya).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l47 level1 lfo2; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: EN-US;">konsep keperawatan</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l47 level2 lfo2; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">Pengkajian</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l29 level1 lfo5; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Identitas</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span style="mso-ansi-language: EN-US;">HNP terjadi pada umur pertengahan, kebanyakan pada jenis kelamin pria
dan pekerjaan atau aktivitas berat (mengangkat baran berat atau mendorong benda
berat)</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l29 level1 lfo5; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Keluahan Utama</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Nyeri pada punggung bawah</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">P, trauma (mengangkat atau mendorong benda
berat)</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Q, sifat nyeri seperti ditusuk-tusuk atau
seperti disayat, mendenyut, seperti kena api, nyeri tumpul atau kemeng yang
terus-menerus. Penyebaran nyeri apakah bersifat nyeri radikular atau nyeri
acuan (referred fain). Nyeri tadi bersifat menetap, atau hilang timbul, makin
lama makin<span style="mso-spacerun: yes;"> </span>nyeri .</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">R, letak atau lokasi nyeri menunjukkan nyeri
dengan setepat-tepatnya sehingga letak nyeri dapat diketahui dengan cermat.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">S, Pengaruh posisi tubuh atau atau anggota
tubuh berkaitan dengan aktivitas tubuh, posisi yang bagaimana yang dapat
meredakan rasa nyeri dan memperberat nyeri. Pengaruh pada aktivitas yang
menimbulkan rasa nyeri seperti berjalan, turun tangga, menyapu, gerakan yang
mendesak. Obat-oabata yang ssedang diminum seperti analgetik, berapa lama
diminumkan.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">T Sifanya akut, sub akut, perlahan-lahan atau
bertahap, bersifat menetap, hilng timbul, makin lama makin nyeri.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l29 level1 lfo5; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Riwayat Keperawatan</span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l47 level4 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Apakah
klien pernah menderita Tb tulang, osteomilitis, keganasan (mieloma multipleks),
metabolik (osteoporosis)</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l47 level4 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Riwayat
menstruasi, adneksitis dupleks kronis, bisa menimbulkan nyeri punggung bawah</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l29 level1 lfo5; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Status mental</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Pada umumny aklien menolak bila langsung
menanyakan tentang banyak pikiran/pikiran sedang (ruwet). Lebih bijakasana bila
kita menanyakan kemungkinan adanya ketidakseimbangan mental secara tidak
langsung (faktor-faktor stres) </span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l29 level1 lfo5; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Pemeriksaan</span></i></div>
<ol start="5" style="margin-top: 0cm;" type="1"><ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="mso-list: l29 level2 lfo5; tab-stops: list 72.0pt;"><span style="mso-ansi-language: EN-US;">Pemeriksaan Umum</span></li>
</ol>
</ol>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l29 level3 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Keadaan umum</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l29 level4 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">pemeriksaan
tanda-tanda vital, dilengkapi pemeriksaan jantung, paru-paru, perut.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l29 level4 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Inspeksi</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">inspeksi
punggung, pantat dan tungkai dalam berbagai posisi dan gerakan untuk evalusi
neyurogenik</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Kurvatura
yang berlebihan, pendataran arkus lumbal,adanya angulus, pelvis ya ng
miring/asimitris, muskulatur paravertebral atau<span style="mso-spacerun: yes;">
</span>pantat yang asimetris, postur tungkai yang abnormal.</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Hambatan
pada pegerakan punggung , pelvis dan tungkai selama begerak.</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Klien
dapat menegenakan pakaian secara wajar/tidak</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Kemungkinan
adanya atropi, faskulasi, pembengkakan, perubahan warna kulit.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l29 level4 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">palpasi
dan perkusi</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">paplasi
dan perkusi harus dikerjakan dengan hati-hati atau halus sehingga tidak
membingungkan klien</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Paplasi
pada daerah yang ringan rasa nyerinya ke arah yang paling terasanyeri.</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Ketika
meraba kolumnavertebralis dicari kemungkinan adanya deviasi ke lateral atau
antero-posterior</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Palpasi
dna perkusi perut, distensi pewrut, kandung kencing penuh dll.</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l29 level3 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Neuorologik</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l29 level4 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Pemeriksaan
motorik</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Kekuatan
fleksi dan ekstensi tungkai atas, tungkai bawah, kaki, ibu jari dan jari
lainnya dengan menyuruh klien unutk melakukan gerak fleksi dan ekstensi dengan
menahan gerakan.</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">atropi
otot pada maleolus atau kaput fibula dengan membandingkan kanan-kiri.</span></div>
<div class="MsoNormal" style="margin-left: 126.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">fakulasi
(kontraksi involunter yang bersifat halus) pada otot-otot tertentu.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l29 level4 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Pemeriksan
sensorik</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt;">
<span style="mso-ansi-language: EN-US;">Pemeriksaan rasa raba, rasa sakit, rasa suhu, rasa dalam dan rasa getar
(vibrasi) untuk menentukan dermatom mana yang terganggu sehingga dapat
ditentuakn pula radiks mana yang terganggu.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l29 level4 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">pemeriksaan
refleks</span></div>
<div class="MsoNormal" style="margin-left: 135.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">refleks
lutut /patela/hammer (klien bebraring.duduk dengan tungkai menjuntai), pada HNP
lateral di L4-5 refleks negatif.</span></div>
<div class="MsoNormal" style="margin-left: 135.0pt; mso-list: l29 level5 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Rfleks
tumit.achiles (klien dalam posisi berbaring , luutu posisi fleksi, tumit
diletakkan diatas tungkai yang satunya dan ujung kaki ditahan dalam posisi
dorsofleksi ringan, kemudian tendon achiles dipukul. Pada aHNP lateral 4-5
refleks ini negatif.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-list: l29 level4 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: EN-US;">Pemeriksaan
range of movement (ROM)</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Pemeriksaan ini dapat dilakukan aktif atau
pasif untuk memperkirakan derajat nyeri, functio laesa, atau untuk mememriksa
ada/tidaknya penyebaran nyeri.</span></div>
<div class="MsoNormal" style="margin-left: 162.0pt;">
<br /></div>
<ol start="5" style="margin-top: 0cm;" type="1"><ol start="2" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="mso-list: l29 level2 lfo5; tab-stops: list 72.0pt;"><span style="mso-ansi-language: EN-US;">Pemeriksaan penunjang</span></li>
</ol>
</ol>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l29 level3 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">foto rontgen, Foto rontgen dari depan, samping,
dan serong) untuk identifikasi ruang antar vertebra menyempit. Mielografi
adalah pemeriksaan dengan bahan kontras melalu tindakan lumbal pungsi dan
pemotrata dengan sinar tembus. Apabila diketahiu adanya penyumbatan.hambatan
kanalis spinalis yang mungkin disebabkan HNP.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l29 level3 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Elektroneuromiografi (ENMG)</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Untuk menegetahui radiks mana yang terkena /
melihat adanya polineuropati.</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l29 level3 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: EN-US;">Sken tomografi</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-align: justify;">
<span style="mso-ansi-language: EN-US;">Melihat gambaran vertebra dan jaringan
disekitarnya termasuk diskusi intervertebralis.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l29 level1 lfo5; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Penatalaksanaan</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span style="mso-ansi-language: EN-US;">(lihat pada landsan teori)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l29 level1 lfo5; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: EN-US;">Dignosa keperawatan</span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify; text-indent: 7.2pt;">
<span lang="IN"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Diagnosa keperawatan merupakan suatu
pernyataan dari masalah pasien yang nyata ataupun potensial dan membutuhkan
tindakan keperawatan sehingga masalah pasien dapat ditanggulangi atau
dikurangi. (Lismidar, 1990)</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l37 level4 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Nyeri berhubungan dengan
penjepitan saraf pada diskus intervetebralis</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l37 level4 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Cemas berhubuangan dengan prosedur
operasi, diagnosis, prognosis, anestesi, nyeri, hilangnya fungsi</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l37 level4 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Perubahan <span style="mso-spacerun: yes;"> </span>mobilitas fisik berhubungan dengan
hemiparese/hemiplagia</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l37 level4 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Perubahan eliminasi alvi (konstipasi)
berhubungan dengan imobilisasi, intake cairan yang tidak adekuat</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l37 level4 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Kurangnya pemenuhan perawatan diri
yang berhubungan dengan hemiparese/hemiplegi</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l37 level4 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Resiko gangguan integritas kulit
yang berhubungan tirah baring lama </span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; tab-stops: list 144.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">B.<span style="mso-spacerun: yes;"> </span>Perencanaan</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN">Setelah
merumuskan diagnosa keperawatan maka perlu dibuat perencanaan intervensi
keperawatan dan aktivitas keperawatan. Tujuan perencanaan adalah untuk
mengurangi, menghilangkan dan mencegah masalah keperawatan klien. Tahapan
perencanaan keperawatan klien adalah penentuan prioritas diagnosa
keperawatan,penetuan tujuan, penetapan kriteria hasil dan menntukan intervensi
keperawatan. </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN">Rencana
keperawatan dari diagnosa keperawatan diatas adalah :</span></div>
<div class="MsoNormal" style="margin-left: 39.6pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">1. Perubahan rasa nyaman (nyeri) berhubungan dengan
dampak penjepitan saraf pada radiks intervertebralis</span></i></div>
<div class="MsoNormal" style="margin-left: 35.45pt; mso-outline-level: 1; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN">Tujuan :</span></i></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; mso-outline-level: 1; text-align: justify;">
<span lang="IN">Nyeri berkurang atau rasa nyaman terpenuhi</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; mso-outline-level: 1; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN">Kriteria :</span></i></b></div>
<div class="MsoNormal" style="margin-left: 49.65pt; mso-list: l14 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien mengatakan tidak terasa
nyeri.</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; mso-list: l14 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">lokasi nyeri minimal</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; mso-list: l14 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">keparahan nyeri berskala 0</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; mso-list: l14 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Indikator nyeri verbal dan
noverbal<span style="mso-spacerun: yes;"> </span>(tidak menyeringai)</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.1pt;" valign="top" width="252">
<div align="center" class="MsoBodyText" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 220.25pt;" valign="top" width="294">
<div align="center" class="MsoBodyText" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.1pt;" valign="top" width="252">
<div class="MsoBodyText">
<span lang="IN">Identifikasi klien dalam membantu
menghilangkan rasa nyerinya</span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 220.25pt;" valign="top" width="294">
<div class="MsoBodyText">
<span lang="IN">Pengetahuan yang mendalam tentang nyeri
dan kefektifan tindakan penghilangan nyeri.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.1pt;" valign="top" width="252">
<div class="MsoBodyText">
<span lang="IN">Berikan informasi tentang penyebab dan
cara mengatasinya</span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 220.25pt;" valign="top" width="294">
<div class="MsoBodyText">
<span lang="IN">Informasi mengurangi ansietas yang
berhubungan dengan sesuatu yang diperkirakan.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.1pt;" valign="top" width="252">
<div class="MsoBodyText">
<span lang="IN">Tindakan penghilangan rasa nyeri
noninvasif dan nonfarmakologis (posisi, balutan (24-48 jam), distraksi dan
relaksasi.</span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 220.25pt;" valign="top" width="294">
<div class="MsoBodyText">
<span lang="IN">Tindakan ini memungkinkan klien untuk
mendapatkan rasa kontrol terhadap nyeri.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.1pt;" valign="top" width="252">
<div class="MsoBodyText">
<span lang="IN">Terapi analgetik</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 220.25pt;" valign="top" width="294">
<div class="MsoBodyText">
<span lang="IN">Terapi farmakologi diperlukan untuk
memberikan<span style="mso-spacerun: yes;"> </span>peredam nyeri.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">2. Cemas berhubuangan dengan
prosedur operasi, diagnosis, prognosis, anestesi, nyeri, hilangnya fungsi,</span></i><span lang="IN">.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Tujuan :<span style="mso-spacerun: yes;"> </span></span></i><span lang="IN">Rasa cemas klien
akan berkurang/hilang.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="IN">Krite<i style="mso-bidi-font-style: normal;">ria hasil :</i></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; mso-list: l53 level1 lfo29; text-align: justify; text-indent: -21.25pt;">
<span lang="IN" style="font-family: LotusWPSet; font-size: 8.0pt; mso-bidi-font-family: LotusWPSet; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: LotusWPSet; mso-text-animation: blink-background;"><span style="mso-list: Ignore;">T<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien mampu mengungkapkan
ketakutan/kekuatirannya.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; mso-list: l32 level1 lfo30; text-align: justify; text-indent: -21.25pt;">
<span lang="IN" style="font-family: LotusWPSet; font-size: 8.0pt; mso-bidi-font-family: LotusWPSet; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: LotusWPSet; mso-text-animation: blink-background;"><span style="mso-list: Ignore;">T<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Respon klien tampak tersenyum.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">INTERVENSI </span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">RASIONAL</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l41 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Diskusikan mengenai kemungkinan
kemajuan dari fungsi gerak untuk mempertahankan harapan klien dalam memenuhi
kebutuhan sehari-hari</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l41 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Berikan informasi mengenai klien
yang juga pernah mengalami gangguan seperti yang dialami klien danmenjalani
operasi</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.15pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l41 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Berikan informasi mengenai
sumber-sumber dan alat-lat yang tersedia yang dapat membantu klien </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l41 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Berikan support sistem (perawat,
keluarga atau teman dekat dan pendekatan spiritual)</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.15pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l41 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Reinforcement terhadap potensi
dan sumber yang dimiliki berhubungan dengan penyakit, perawatan dan tindakan </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l18 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Menunjukkan kepada klien bahwa
dia dapat berkomunikasi dengan efektif tanpa menggunakan alat khusus,
sehingga dapat mengurangi rasa cemasnya.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l18 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Harapan-harapan yang tidak
realistik tiak dapat mengurangi kecemasan,<span style="mso-spacerun: yes;">
</span>justru malah menimbulkan ketidak percayaan klien terhadap perawat.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l18 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Memungkinkan klien untuk memilih
metode komunikasi yang paling tepat untuk kehidupannya sehari-hari
disesuaikan dnegan tingkat keterampilannya sehingga dapat mengurangi rasa
cemas dan frustasinya.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l18 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Dukungan dari bebarapa orang
yang memiliki pengalaman yang sama akan sangat membantu klien.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l18 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Agar klien menyadari
sumber-sumber apa saja yang ada disekitarnya yang dapat mendukung dia untuk
berkomunikasi.</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN">3<i style="mso-bidi-font-style: normal;">. Perubahan mobilitas fisik berhubungan
dengan hemiparese/hemiplegia</i></span></div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 36.0pt; tab-stops: list 144.0pt;">
Tujuan :</div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: 90.0pt; text-align: justify;">
<span lang="IN">Klien mampu melaksanakan aktivitas fisik sesuai dengan kemampuannya</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: list 170.85pt; text-align: justify;">
<span lang="IN">Kriteria hasil</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l54 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Tidak terjadi kontraktur sendi</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l54 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Bertabahnya kekuatan otot</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l54 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien menunjukkan tindakan untuk
meningkatkan mobilitas</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">INTERVENSI </span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">RASIONAL</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l23 level5 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Ubah posisi klien tiap 2 jam</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l23 level5 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Ajarkan klien untuk melakukan
latihan gerak aktif pada ekstrimitas yang tidak sakit</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l23 level5 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Lakukan gerak pasif pada
ekstrimitas yang sakit</span></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l23 level5 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Kolaborasi dengan ahli
fisioterapi untuk latihan fisik klien</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div class="MsoNormal" style="margin-left: 16.1pt; mso-list: l3 level5 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Menurunkan resiko terjadinnya
iskemia jaringan akibat sirkulasi darah yang jelek pada daerah yang tertekan </span></div>
<div class="MsoNormal" style="margin-left: 16.1pt; mso-list: l3 level5 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Gerakan aktif memberikan massa,
tonus dan kekuatan otot serta memperbaiki fungsi jantung dan pernapasan</span></div>
<div class="MsoNormal" style="margin-left: 16.1pt; mso-list: l3 level5 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN"><span style="mso-spacerun: yes;"> </span>Otot volunter akan kehilangan tonus dan
kekuatannya bila tidak dilatih untuk digerakkan</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">4. Kurangnya perawatan diri
berhubungan dengan hemiparese/hemiplegi, nyeri</span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN">Tujuan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN">Kebutuhan
perawatan diri klien terpenuhi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN">Kriteria
hasil</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien dapat melakukan aktivitas
perawatan diri sesuai dengan kemampuan klien</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien dapat mengidentifikasi
sumber pribadi/komunitas untuk memberikan bantuan sesuai kebutuhan</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">INTERVENSI </span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">RASIONAL</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l29 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Monitor kemampuan dan tingkat
kekurangan dalam melakukan perawatan diri </span></div>
<div class="MsoNormal" style="margin-left: -4.85pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l29 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Beri motivasi kepada klien untuk
tetap melakukan aktivitas dan beri bantuan dengan sikap sungguh</span></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l29 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Hindari melakukan sesuatu untuk
klien yang dapat dilakukan klien sendiri, tetapi berikan bantuan sesuai
kebutuhan</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l29 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Berikan umpan balik yang positif
untuk setiap usaha yang dilakukannya atau keberhasilannya</span></div>
<div class="MsoNormal" style="margin-left: -4.85pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l29 level2 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Kolaborasi dengan ahli
fisioterapi/okupasi </span></div>
<div class="MsoNormal" style="margin-left: -4.85pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div class="MsoNormal" style="margin-left: 24.35pt; mso-list: l48 level2 lfo6; text-align: justify; text-indent: -16.8pt;">
<span lang="IN"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Membantu dalam
mengantisipasi/merencanakan pemenuhan kebutuhan secara individual </span></div>
<div class="MsoNormal" style="margin-left: 24.35pt; mso-list: l48 level2 lfo6; text-align: justify; text-indent: -16.8pt;">
<span lang="IN"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Meningkatkan harga diri dan semangat
untuk berusaha terus-menerus</span></div>
<div class="MsoNormal" style="margin-left: 24.35pt; mso-list: l48 level2 lfo6; text-align: justify; text-indent: -16.8pt;">
<span lang="IN"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien mungkin menjadi sangat
ketakutan dan sangat tergantung dan meskipun bantuan yang diberikan
bermanfaat dalam mencegah frustasi, adalah penting bagi klien untuk melakukan
sebanyak mungkin untuk diri-sendiri untuk emepertahankan harga diri dan
meningkatkan pemulihan</span></div>
<div class="MsoNormal" style="margin-left: 24.35pt; mso-list: l48 level2 lfo6; text-align: justify; text-indent: -16.8pt;">
<span lang="IN"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Meningkatkan perasaan makna diri
dan kemandirian serta mendorong klien untuk berusaha secara kontinyu</span></div>
<div class="MsoNormal" style="margin-left: 24.35pt; mso-list: l48 level2 lfo6; text-align: justify; text-indent: -16.8pt;">
<span lang="IN"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Memberikan bantuan yang mantap
untuk mengembangkan rencana terapi dan mengidentifikasi kebutuhan alat penyokong
khusus</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">5. Gangguan eliminasi alvi
(konstipasi) berhubngan dengan imobilisasi, intake cairan yang tidak adekuat</span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN">Tujuan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: list 81.0pt; text-align: justify;">
<span lang="IN">Klien tidak mengalami kopnstipasi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN">Kriteria
hasil</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l40 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien dapat defekasi secara
spontan dan lancar tanpa menggunakan obat</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l40 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Konsistensifses lunak</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l40 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Tidak teraba masa pada kolon (
scibala )</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l40 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Bising usus normal ( 15-30 kali
permenit )</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">INTERVENSI </span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">RASIONAL</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div class="MsoNormal" style="margin-left: 22.15pt; mso-list: l38 level5 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Berikan penjelasan pada klien
dan keluarga tentang penyebab konstipasi</span></div>
<div class="MsoNormal" style="margin-left: 4.15pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.15pt; mso-list: l38 level5 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Auskultasi bising usus </span></div>
<div class="MsoNormal" style="margin-left: 4.15pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.15pt; mso-list: l38 level5 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Anjurkan pada klien untuk makan
maknanan yang mengandung serat</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.15pt; mso-list: l38 level5 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Berikan intake cairan yang cukup
(2 liter perhari) jika tidak ada kontraindikasi </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.15pt; mso-list: l38 level5 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Lakukan mobilisasi sesuai dengan
keadaan klien </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 22.15pt; mso-list: l38 level5 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Kolaborasi dengan tim dokter
dalam pemberian pelunak feses (laxatif, suppositoria, enema)</span></div>
<div class="MsoNormal" style="margin-left: -4.85pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div class="MsoNormal" style="margin-left: 23.45pt; mso-list: l28 level1 lfo37; text-align: justify; text-indent: -24.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien dan keluarga akan mengerti
tentang penyebab obstipasi </span></div>
<div class="MsoNormal" style="margin-left: 23.45pt; mso-list: l28 level1 lfo37; text-align: justify; text-indent: -24.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Bising usu menandakan sifat
aktivitas peristaltik</span></div>
<div class="MsoNormal" style="margin-left: 23.45pt; mso-list: l28 level1 lfo37; text-align: justify; text-indent: -24.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Diit seimbang tinggi kandungan
serat merangsang peristaltik dan eliminasi reguler</span></div>
<div class="MsoNormal" style="margin-left: 23.45pt; mso-list: l28 level1 lfo37; text-align: justify; text-indent: -24.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Masukan cairan adekuat membantu
mempertahankan konsistensi feses yang sesuai pada usus dan membantu eliminasi
reguler</span></div>
<div class="MsoNormal" style="margin-left: 23.45pt; mso-list: l28 level1 lfo37; text-align: justify; text-indent: -24.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Aktivitas fisik reguler membantu
eliminasi dengan memperbaiki tonus oto abdomen dan merangsang nafsu makan dan
peristaltik</span></div>
<div class="MsoNormal" style="margin-left: 23.45pt; mso-list: l28 level1 lfo37; text-align: justify; text-indent: -24.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Pelunak feses meningkatkan
efisiensi pembasahan air usus, yang melunakkan massa feses dan membantu
eliminasi</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 81.0pt 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">6. Resiko gangguan integritas
kulit berhubungan dengan tirah baring lama</span></i></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: 81.0pt; text-align: justify;">
<span lang="IN">Tujuan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: list 63.0pt left 81.0pt; text-align: justify; text-indent: -5.4pt;">
<span lang="IN"><span style="mso-spacerun: yes;"> </span>Klien mampu mempertahankan keutuhan kulit</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: 81.0pt; text-align: justify;">
<span lang="IN">Kriteria hasil</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien mau berpartisipasi terhadap
pencegahan luka</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Klien mengetahui penyebab dan cara
pencegahan luka</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l1 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Tidak ada tanda-tanda kemerahan
atau luka</span></div>
<div class="MsoNormal" style="tab-stops: list 63.0pt left 81.0pt; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">INTERVENSI </span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">RASIONAL</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 8.0cm;" valign="top" width="302">
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l30 level1 lfo35; text-align: justify; text-indent: -12.75pt;">
<span lang="IN"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Anjurkan untuk melakukan latihan
ROM (range of motion) dan mobilisasi jika mungkin</span></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l30 level1 lfo35; text-align: justify; text-indent: -12.75pt;">
<span lang="IN"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Rubah posisi tiap 2 jam </span></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l30 level1 lfo35; text-align: justify; text-indent: -12.75pt;">
<span lang="IN"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Gunakan bantal air atau
pengganjal yang lunak di bawah daerah-daerah yang menonjol</span></div>
<div class="MsoNormal" style="margin-left: .4pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l30 level1 lfo35; text-align: justify; text-indent: -12.75pt;">
<span lang="IN"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN">Lakukan massage pada daerah yang menonjol yang baru mengalami tekanan
pada waktu berubah posisi </span></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l30 level1 lfo35; text-align: justify; text-indent: -12.75pt;">
<span lang="IN"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Observasi terhadap eritema dan
kepucatan dan palpasi area sekitar terhadap kehangatan dan pelunakan jaringan
tiap merubah posisi<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 13.15pt; mso-list: l30 level1 lfo35; text-align: justify; text-indent: -12.75pt;">
<span lang="IN"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Jaga kebersihan kulit dan
seminimal mungkin hindari trauma, panas terhadap kulit</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.55pt;" valign="top" width="243">
<div class="MsoNormal" style="margin-left: 18.45pt; mso-list: l45 level1 lfo36; tab-stops: list 18.45pt 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Meningkatkan aliran darah
kesemua daerah </span></div>
<div class="MsoNormal" style="margin-left: .45pt; tab-stops: list 63.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.45pt; mso-list: l45 level1 lfo36; tab-stops: list 18.45pt 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Menghindari tekanan dan
meningkatkan aliran darah</span></div>
<div class="MsoNormal" style="margin-left: 18.45pt; mso-list: l45 level1 lfo36; tab-stops: list 18.45pt 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Menghindari tekanan yang
berlebih pada daerah yang menonjol</span></div>
<div class="MsoNormal" style="margin-left: 18.45pt; mso-list: l45 level1 lfo36; tab-stops: list 18.45pt 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Menghindari kerusakan-kerusakan
kapiler-kapiler</span></div>
<div class="MsoNormal" style="margin-left: .45pt; tab-stops: list 63.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.45pt; mso-list: l45 level1 lfo36; tab-stops: list 18.45pt 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Hangat dan pelunakan adalah
tanda kerusakan jaringan</span></div>
<div class="MsoNormal" style="tab-stops: list 63.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="tab-stops: list 63.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.45pt; mso-list: l45 level1 lfo36; tab-stops: list 18.45pt 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN">Mempertahankan keutuhan kulit</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="tab-stops: list 63.0pt left 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">C. Pelaksanaan</span></b></div>
<div class="MsoNormal" style="margin-left: 39.6pt; text-align: justify;">
<span lang="IN"><span style="mso-spacerun: yes;"> </span>Pelaksanaan asuhan keperawatan ini
merupakan realisasi dari rencana tindakan keperawatan yang diberikan pada
klien.</span></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">D. Evaluasi</span></b></div>
<div class="MsoNormal" style="margin-left: 39.6pt; text-align: justify;">
<span lang="IN"><span style="mso-spacerun: yes;"> </span>Evaluasi merupakan langkah akhir dalam
proses keperawatan. Evaluasi adalah kegiatan yang di sengaja dan terus-menerus
dengan melibatkan klien, perawat, dan anggota tim kesehatan lainnya. Dalam hal
ini diperlukan pengetahuan tentang kesehatan, patofisiologi, dan strategi
evaluasi. Tujuan evaluasi adalah untuk menilai apakah tujuan dalam rencana
keperawatan tercapai atau tidak dan untuk melakukan pengkajian ulang.
(Lismidar, 1990)</span></div>
<h1 style="line-height: normal; margin-left: 0cm; mso-list: none; tab-stops: 36.0pt; text-indent: 0cm;">
</h1>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span></b>
<h1 align="center" style="line-height: normal; margin-left: 0cm; mso-list: none; tab-stops: 36.0pt; text-align: center; text-indent: 0cm;">
DAFTAR PUSTAKA</h1>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: normal;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Carpenito, Lynda Juall, 2000, <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosa Keperawatan</i>, Edisi 8, EGC, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Doenges, M.E.,Moorhouse M.F.,Geissler A.C., 2000, <i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan</i>, Edisi 3,
EGC, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Engram, Barbara, 1998, <i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan Medikal Bedah</i>, Volume 3, EGC, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Harsono, 1996, <i style="mso-bidi-font-style: normal;">Buku
Ajar Neurologi Klinis</i>, Edisi 1, Gadjah Mada University Press, Yogyakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Harsono, 2000, <i style="mso-bidi-font-style: normal;">Kapita
Selekta Neurologi</i>, Gadjah Mada University Press, Yogyakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Hudak C.M.,Gallo B.M.,1996, <i style="mso-bidi-font-style: normal;">Keperawatan Kritis, Pendekatan Holistik</i>, Edisi VI, Volume II, EGC,
Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Ignatavicius D.D., Bayne M.V., 1991, <i style="mso-bidi-font-style: normal;">Medical Surgical Nursing, A Nursing Process Approach</i>, An HBJ
International Edition, W.B. Saunders Company, Philadelphia.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Juwono, T., 1996, <i style="mso-bidi-font-style: normal;">Pemeriksaan
Klinik Neurologik Dalam Praktek</i>, EGC, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Mardjono M., Sidharta P., 1981, <i style="mso-bidi-font-style: normal;">Neurologi Klinis Dasar</i>, PT Dian Rakyat, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="IN">Satyanegara, 1998, <i style="mso-bidi-font-style: normal;">Ilmu
Bedah Saraf</i>, Edisi Ketiga, Gramedia Pustaka Utama, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span lang="IN">ASUHAN KEPERAWATAN</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN">PADA
KLIEN Ny. R DENGAN GANGGUAN SISTEM NEUROLOGI </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN">HERNIA
NUKLEUS PULPOSUS (HNP) </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN">DI
RUANG SYARAF A<span style="mso-spacerun: yes;"> </span>RUMAH SAKIT Dr. SOETOMO
SURABAYA</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l59 level2 lfo41; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">PENGKAJIAN (12 Maret
2002)</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l59 level3 lfo41; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Identitas</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Nama <span style="mso-tab-count: 2;"> </span>: Ny. R</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Umur <span style="mso-tab-count: 2;"> </span>: 65<span style="mso-spacerun: yes;"> </span>tahun</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Jenis kelamin <span style="mso-tab-count: 1;"> </span>: perempuan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Agama <span style="mso-tab-count: 1;"> </span>: Islam</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Pekerjaan <span style="mso-tab-count: 1;"> </span>: -</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Status <span style="mso-tab-count: 2;"> </span>: Ibu rumah tangga</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Alamat <span style="mso-tab-count: 1;"> </span>: SBY</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">MRS <span style="mso-tab-count: 2;"> </span>: 18-02-2002 </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">DM <span style="mso-tab-count: 2;"> </span>: Post Op Laminectomy dengan DM HNP</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l59 level3 lfo41; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Keluhan utama</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Nyeri otot</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Paliatif</span></i><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">, Nyeri otot, geringgingan </span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Kualitatif dan kuantitatif, </span></i><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">nyeri otot </span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Region</span></i><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">, nyeri dirasakan pada paha, dan bertambah nyeri bila
digerakkan atau diangkat sampai menjalar ke pinggang kiri</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Severity,</span></i><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";"> kondisi seperti ini menyebabkan lebih banyak terlentang,
miring kanan dan kiri, terlentang duduk masi dibantu dan tahan < 10 menit,
berdiri belum kuat/mampu dan perlu bantuan bila berjalan hanya kuat 3 meter,
dalam memenuhi aktiivitas sehari-hari sebagian masih dibantu atau
ketergantungan pada orang lain seperti BAB dan BAK, kebutuhan istirahat
terpenuhi. </span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Time</span></i><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">, Nyeri otot dan gringgian dirasakan apabila digerakkan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l59 level3 lfo41; text-align: justify; text-indent: -18.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Riwayat keperawatan :</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l50 level2 lfo40; tab-stops: list 54.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Riwayat penyakit sebelumnya</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Tahun 1995 pernah jatuh
karena terpeleset dan tidak bisa bergerak seperti yang dirasakan saat ini
teteapi tidak perlu dioperasi karena bisa disembuhkan dengan perawatan dan
istirahat, mendapat paerawatan di syaraf A RSDS.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Tahun 1998 dengan penyebab
dan sakit yang sama, sembuh tanpa operasi dan menjalani perawatan di syaraf A
RSDS.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Tahun 2002 sakitnya yang
sekarang ini<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l50 level2 lfo40; tab-stops: list 54.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Riwayat penyakit sekarang</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Tanggal 18 -02-2002 jatung
dari tangga tidak bisa bergerak dan nyeri sepanjang kaki kiri samapai pinggang</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">tanggal 6 Maret 2002, telah
dilakukan operasi untuk diperbaiki kelainan sarafnya yang kejepit</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Sekarang masih terasa nyeri
pada otot paha dan bertambah bila dibuat gerak samapai pmenjalar ke pinggang
kiri.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l50 level2 lfo40; tab-stops: list 54.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="IN"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Riwayat keluarga</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Tidak ada riwayat keluarganya
yang menderita penyakit seperti yang diderita klien.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 1.0cm;">
D. Pola
fungsi kesehatan</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span>Pola persepsi dan tatalaksana terhadap sehat</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Klien masih
merakan kecemasan terhadap kondisi <span style="mso-spacerun: yes;"> </span>penyakitnya dan proses penyembuhan ,
perkembangannya yang sudah dicapai, hanya mengikuti apa yang diperlukan
(tindakan dan pengobatan)</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Personil
higyine klien cukup rapi, rambut disisr</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Diri
klien merasa bahwa sudah lama dirawat, tentunya kangen dengan kondisi rumahnya,
tetapi tetap sabar dan merasa dirinya tergantungan tidak bisa berbuat banyak
dalam memenuhi kebutuhan diri sendiri.</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span>pola nutrisi dan metabolisme</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Makan
NS , lauk, sayur kacang hijau (NS TKTP). Klien tidak ada pantangan dalam
makanannnya.</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span>pola aktivitas</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Selama
ini setelah dioperasi , tidur terlentang, miring kanan dan kiri, jarang duduk karena
masih terasa sakit/nyeri pada beka soperasi oto paha dan pinggang apalagi
dibuat gerak. Untuk berdiri masih dibantu dan jalan hanya bisa dengan jarak 3
meter itu masih perlu dituntun. Untuk memenuhi kebutuhan sehari-hari dibantu.</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span>pola eliminasi</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
BAK
spontan , warna kuning bening, frekuensi 3-4 kali/hari, setiap kali kencing
kurang lebih ½-1 gelas perhari.</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span>pola istirahat/tidur</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Tidur
tidak tentu waktunya, pokoknya merasa lelah, dengan sendirinya tertidur, dengan
sakitnya kadang masih terasa terganggu.</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span>pola sensoris<span style="mso-spacerun: yes;">
</span>dan kognitif</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Tingkat
pengetahuan klien dan pendidikan baik dna menunjang proses pembelajaran,
konsentrasi baik.</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span>pola hubungan dan peran</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Status
klien dalam keluarga sebagai ibu rumah tangga dengan 4 anaknya dan suami. Pola
komunikasi , menggunakan bahasa jawa,dan indonesia, Interaksi,<span style="mso-spacerun: yes;"> </span>lacar, komonikatif<span style="mso-spacerun: yes;"> </span>(kooperatif),terbuka, dukungan keluarga
(untuk perawatan dan pengobatan memenuhi. Perilaku,<span style="mso-spacerun: yes;"> </span>terkontrol, sabar, kesadaran baik</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span>reproduksi dan seksual</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
Klien
termasuk menopause dengan umur 65 tahun, KB (-), Haid teratur dengan sikulus 30
hari.</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span>penganggulangan stress</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
dalam
mengatasi masalahnya yan berhubungan dnegan kesehatan dialkukan dengan cara
terbuka dan musyarah mufakat bersama suaminya dan anak-anaknya.</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt; mso-list: l29 level6 lfo5; text-indent: -18.0pt;">
<span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span>pola
tata nilai dan kepercayaan</div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 54.0pt;">
<span style="mso-fareast-font-family: "Arial Unicode MS";">Klien selalu berdoa sesuai
dengan agama dan kepercayaannya serta bertawakkal dengan harapan tetap dalam
lindungannya dan diberi ketabahan dan kesembuhan sehingga dapat mandiri dan
bisa beibadat seperti sebelumnya.</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 32.25pt; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="margin-left: 27.0pt;">
<span style="mso-fareast-font-family: "Arial Unicode MS";">E. Observasi dan pemeriksaan fisik</span></div>
<div class="MsoNormal" style="margin-left: 30.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">1. Keadaan umum</span></div>
<div class="MsoNormal" style="margin-left: 42.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Status gizi cukup, kesadaran
komposmentis, GCS 456, Penampilan tidur terlentang dengan kepala ditinggikan 2
bantal.</span></div>
<div class="MsoNormal" style="margin-left: 42.0pt; text-align: justify;">
<span lang="IN">Antopometri<span style="mso-tab-count: 1;"> </span>: TB<span style="mso-tab-count: 1;"> </span>
: 160<span style="mso-tab-count: 1;"> </span>cm<span style="mso-tab-count: 1;"> </span>BB<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>:
56 Kg</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 42.55pt;">
Tanda vital<span style="mso-tab-count: 1;"> </span>: T = 120/70 mmHg, N = 88 x/mnt,<span style="mso-spacerun: yes;"> </span>S = 37 <sup>o</sup>C, RR = 20 x/mnt<span style="mso-fareast-font-family: "Arial Unicode MS";"></span></div>
<div class="MsoNormal" style="margin-left: 30.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">2. Review of system</span></div>
<div class="MsoNormal" style="margin-left: 42.0pt; mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">a. Sistem
pernafasan,</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Pernafasan spontan,
Vesikuler, bentuk dada simetris, Retraksi -/-, Rh -/-, Wh -/-, RR 20
kali/menit, reguler</span></div>
<div class="MsoNormal" style="margin-left: 42.0pt; mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">b. system
vaskuler</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Tensi 120/70 mmHg, Nadi 88
kali/menit, suhu akral hangat, S1S2 tunggal normal, nyeri dada (-)</span></div>
<div class="MsoNormal" style="margin-left: 42.0pt; mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">c. system
persyarafan</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Kesadaran komposmentis,
orientasi baik, GCS 456</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; mso-list: l56 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span lang="IN" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Kepala dan leher</span></div>
<div class="MsoNormal" style="margin-left: 92.15pt; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Sklera putih, tidak anemis, </span></div>
<div class="MsoNormal" style="margin-left: 92.15pt; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Conjunctiva tidak pucat</span></div>
<div class="MsoNormal" style="margin-left: 92.15pt; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Pupil isokor</span></div>
<div class="MsoNormal" style="margin-left: 92.15pt; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Leher kaku kuduk (-), tidak ada pembesaran getah bening</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 70.9pt; mso-list: l56 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span lang="IN" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Persepsi sensoris</span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Pendengaran</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Dalam batas normal</span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Penciuman</span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Pilek (-), epitaksis (-)</span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Pengecapan</span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">citan rasa ((+) , sulit
menelan (-)</span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Penglihatan</span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Dalam batas normal</span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; mso-list: l56 level2 lfo46; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Perabaan </span></div>
<div class="MsoNormal" style="margin-left: 3.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Dapat merasakan perbedaan
stimulasi terhadap panas, dingin dan tekan, kaki dan tangan tersa geringgiangan</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">d. system perkemihan</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">BAK Lancar spontan produksi
urine 3-4 kali. ½-1 gelas setiap kali kencing warna kuning bening</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">e. system pencernaan</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">BU (+) Normal, dapat
mengunyah dan menelan, BAB 2 hari sekali liat, kuning</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">f. system muskoloskletal dan
integument</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Kemampuan pergerakan sendi
bebas, kekuatan otot ekstremitas atas (5/5) extremitas bawah 5/5, kulit (turgor
baik), akral (hangat) , terasa nyeri pada otot paha, bertambah bil adegerakan
dan<span style="mso-spacerun: yes;"> </span>nyerinya menjalar pada pinggang kirinya.</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">g. system endokrin</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Riwayat pertumbuhan dan perkembangan
sesuai dengan usia ( tahun)</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">h. Sistem reproduksi</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">perempuan (tidak kelainan
pada genetelatia eksternenya)</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">i. Sistem hematopoetik</span></div>
<div class="MsoNormal" style="margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Limfadenopati (-)</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">3. Pemeriksaan penunjang</span></div>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">1. laboratorium </span></i></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 50.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168">
<div align="center" class="MsoNormal" style="mso-outline-level: 1; text-align: center;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Yang Diperiksa</span></i></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 144.0pt;" valign="top" width="192">
<div align="center" class="MsoNormal" style="mso-outline-level: 1; text-align: center;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">18-2-2002</span></i></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="mso-outline-level: 1; text-align: center;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">20-02-2002</span></i></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168">
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Hb</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">LED</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Leukosit</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Diff count</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Ht</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Tromb.</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Sakar darah puasa</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Sakar 2 jpp</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Cholesterol</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Kreatinin</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">BUN</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Bil total</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Bil indireck</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">SGOT</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">SGPT</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Protein</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Alb</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">As. Urat</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Na</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">K</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">PTT</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">APTT</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">FH</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 144.0pt;" valign="top" width="192">
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">15 gr/dl</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">40 mm/jam</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">17.200 x 10 9/L</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">-/-/-/90/10/-</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">48 %</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">215 x 109/L</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">114 mg/dl</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">-</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">147 mg/dl</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">1,03 mg/dl</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">15,7 mg/dl</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">0,83 mg/dl</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">0,12 mg/dl</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">23,2,</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">13,5</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">2,91 </span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">3,33</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">3,34</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">39</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">3,7</span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.0pt;" valign="top" width="180">
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">11,2<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">38,8 </span></div>
<div class="MsoNormal" style="mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">N</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 30.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l50 level1 lfo40; mso-outline-level: 1; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Radiologi</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Hasil tampak
adanya HNP pada lumbal 5- Sakrum 1</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l50 level1 lfo40; mso-outline-level: 1; tab-stops: list 36.0pt; text-align: justify;"><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Konsul cardiologi</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Inkoplet
RBBB</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-outline-level: 1; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">cardiac
arest indeks calss I</span></div>
<div class="MsoNormal" style="margin-left: 42.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-align: justify;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">j. Penatalaksanaan</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l36 level3 lfo38; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Perawatan luka</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l36 level3 lfo38; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">mobilisasi bertahap</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l36 level3 lfo38; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Diit NS TKTP</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l36 level3 lfo38; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Obs VT</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l36 level3 lfo38; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Injeksi Novalgin 3x1
ampul</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l36 level3 lfo38; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Clobazam 2 x10 mg</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l36 level3 lfo38; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Rob 1 x 1 amp</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l36 level3 lfo38; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">Rencana aff jahitan
hati ke VII</span></div>
<div class="MsoNormal" style="margin-left: 99.0pt;">
<br /></div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Arial Unicode MS"; mso-fareast-language: IN;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="margin-left: 35.45pt;">
<span lang="IN" style="mso-fareast-font-family: "Arial Unicode MS";">4.<span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">Analisa data</b></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 35.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">TGL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 150.4pt;" valign="top" width="201">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">DATA</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 156.95pt;" valign="top" width="209">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">ETIOLOGI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 67.05pt;" valign="top" width="89">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">MASALAH</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">12-</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">03-</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">2002</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 150.4pt;" valign="top" width="201">
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Data
Subyejtif</span></i></b></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
mengatakan setalah operasi dirasakan lebih nyaman dan tidak sakit seperti
sebelum operasi</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
mengatakan rasa nyeri masih dirasakan pada otot paha, dan terasa lebih sakit
bila dilakukan gerakan (miring kanan, kaki diangkat) bahkan menjalasr ke
pinggang kirinya.</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
mengatakan dengan duduk masih bisa dengan bantuan atapi tidak tahan samapai
10 menit</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Data
Obyektif </span></i></b></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
tampak menyeringan bila dilakukan pemeriksaan kaki kirnya dengan diangkat
dengan ketinggian 45 <sup>o</sup></span></div>
<div class="MsoNormal" style="margin-left: 1.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Kemampuan
pergerakan sendi bebas, kekuatan otot ekstremitas atas (5/5) extremitas bawah
5/5, kulit (turgor baik), akral (hangat) , terasa nyeri pada otot paha,
bertambah bil adegerakan dan<span style="mso-spacerun: yes;"> </span>nyerinya
menjalar pada pinggang kirinya.</span></div>
<div class="MsoNormal" style="margin-left: 1.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Pemeriksaan
fisik :</span></div>
<div class="MsoNormal" style="margin-left: 1.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Refleks
fisiologis :</span></div>
<div class="MsoNormal" style="margin-left: 1.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Ekstremitas
atas +2/+2</span></div>
<div class="MsoNormal" style="margin-left: 1.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Ekstremitas
bawah +2/+2</span></div>
<div class="MsoNormal" style="margin-left: 1.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Refleks
patologis (-)</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Data
Subyejtif</span></i></b></div>
<div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 0cm;">
<span lang="IN" style="font-size: 11.0pt; mso-ansi-language: IN;">Selama ini setelah
dioperasi , tidur terlentang, miring kanan dan kiri, jarang duduk karena
masih terasa sakit/nyeri pada bekas operasi otot paha dan pinggang apalagi
dibuat gerak. </span><span style="font-size: 11.0pt;">Untuk berdiri masih
dibantu dan jalan hanya bisa dengan jarak 3 meter itu masih perlu dituntun.
Untuk memenuhi kebutuhan sehari-hari dibantu.</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Data
Obyektif </span></i></b></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
sedang dalam posisi berbaring dengan kepala ditinggikan 45 <sup>o</sup>, </span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Pada
waktu sendiri dengan posisi tidur dengan nasi ditempatkan pada kursi
sambil<span style="mso-spacerun: yes;"> </span>makan.</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Paska
operasi laminectomy hari ke 6</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Data
Subyejtif</span></i></b></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
mengatakan bagaiamana dengan penyakitnya apakah bisa disembuhkan dengan baik
sehingga dapa tmelakukan aktivitas seperti biasanya.</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">kLien
mengatakan sudah 6 hari ini masih dirasakan nyeri dan perlu suntikan dan
mengurangi rasa sakit</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
menceritakan tentang apa yang dirasakan, dan harapan dari usaha yang telah
dilakukannya.</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Data
Obyektif </span></i></b></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
tampak termenung</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Klien
masih bisa konsentrasi dan menerima proses pemebelajaran</span></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">.</span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"></span></i></b></div>
<div class="MsoNormal" style="margin-left: .55pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 156.95pt;" valign="top" width="209">
<div class="MsoNormal">
<span style="height: 15px; margin-left: 31px; margin-top: 37px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251660288;"><img height="15" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="12" /></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Post operasi</span></div>
<div class="MsoNormal">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">laminectomy</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Diskontinuitas</span></div>
<div class="MsoNormal">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"><span style="mso-spacerun: yes;"> </span>Jaringan</span></div>
<div class="MsoNormal">
<span style="height: 75px; margin-left: 23px; margin-top: 12px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251661312;"><img height="75" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="12" /></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Bekas </span></div>
<div class="MsoNormal">
<br /></div>
<div align="right" class="MsoNormal" style="text-align: right;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Gejala
sisa isi nukleus</span></div>
<div align="right" class="MsoNormal" style="text-align: right;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251663360;"><span style="height: 27px; left: 0px; left: 131px; position: absolute; top: -3px; width: 12px;"><img height="27" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="12" /></span></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="right" class="MsoNormal" style="text-align: right;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Nueron
kejepit</span></div>
<div class="MsoNormal">
<span style="mso-ignore: vglayout; position: relative; z-index: 251664384;"><span style="height: 54px; left: 95px; position: absolute; top: -1px; width: 43px;"><img height="54" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="43" /></span></span><span style="height: 43px; margin-left: 28px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 65px; z-index: 251662336;"><img height="43" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="65" /></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Peradangan</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Gangguan
sirkulasi/</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">penekanan
pada saraf</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 83px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251665408;"><img height="27" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="12" /></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">tempat operasi/cedera</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Reaksi
zat kimia/bioaktif</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">(serotonin
, bradikin dan prostaglandin)</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="6" width="83"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="27" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">respetor
spesifik</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">(aksi
potensial)</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251667456;"><span style="height: 39px; left: 0px; left: 95px; position: absolute; top: -2px; width: 12px;"><img height="39" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="12" /></span></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">nyeri</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Resptor
spesifik</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 39px; left: 0px; margin-left: 95px; margin-top: 7px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251653120;"><img height="39" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="12" /></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">(aksi potensial)</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">ganglion
melalui kornu posterior</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="95"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="27" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">medulla
spinalis</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="9" width="95"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="27" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">saraf
parasimpatis </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="6" width="95"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="27" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">otot
motorik eksteremitas</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="4" width="95"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="27" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Nyeri
gerak</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="1" width="95"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="27" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Imobilisasi,
intoleransi gerak</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251659264;"><span style="height: 39px; left: 0px; left: 95px; position: absolute; top: -1px; width: 12px;"><img height="39" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Defisit
perawatan diri</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 51px; left: 0px; margin-left: 95px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251651072;"><img height="51" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="12" /></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Sakit</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 39px; left: 0px; margin-left: 95px; margin-top: 27px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251652096;"><img height="39" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="12" /></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Pengalam dan epengetahuan kurang</span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Stressor</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="3" width="95"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="51" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 39px; left: 0px; margin-left: 95px; margin-top: 12px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251649024;"><img height="39" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" width="12" /></span><span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Peningkatan katekolamin</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Kortisol
meingkat</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="4" width="95"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="39" src="file:///C:/Users/Endro/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="12" /></td>
</tr>
</tbody></table>
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";"> </span><br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">cemas</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 67.05pt;" valign="top" width="89">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Nyeri</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Defisit perawatan diri</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt; mso-fareast-font-family: "Arial Unicode MS";">Cemas ringan</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span style="mso-ansi-language: EN-US;">5. Diagnosa Keperawatan</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l34 level1 lfo48; tab-stops: list 36.0pt; text-align: justify;"><i style="mso-bidi-font-style: normal;"><span lang="IN">Perubahan rasa nyaman (nyeri) berhubungan dengan diskontinuitas
jaringan sekunder terhadap operasi laminectomy, sindroma sisa</span></i></li>
<li class="MsoNormal" style="mso-list: l34 level1 lfo48; tab-stops: list 36.0pt; text-align: justify;"><i style="mso-bidi-font-style: normal;"><span lang="IN">Cemas berhubungan dengan prognosis,<span style="mso-spacerun: yes;"> </span>hilangnya fungsi,</span></i><span lang="IN">.</span></li>
<li class="MsoNormal" style="mso-list: l34 level1 lfo48; tab-stops: list 36.0pt; text-align: justify;"><i style="mso-bidi-font-style: normal;"><span lang="IN">Defisit perawatan diri berhubungan dengan keterbatasan gerak,
nyeri sekunder terhadap paska laminectomy.</span></i></li>
</ol>
</div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section2">
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: -27.0pt;">
<span lang="IN">B. Asuhan Keperawatan </span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; mso-outline-level: 1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 23.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.15pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">TGL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">DX</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.85pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">TUJUAN/KRITERIA</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">RASIONAL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">JAM</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 198.0pt;" valign="top" width="264">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">IMPLEMENTASI</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.15pt;" valign="top" width="48">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">12-02-2002</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.85pt;" valign="top" width="180">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Nyeri berkurang atau rasa nyaman terpenuhi setelah 7 hari paska
operasi </span></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt;">Kriteria :</span></i></b><span lang="IN" style="font-size: 11.0pt;"></span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l46 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="font-size: 11.0pt;">Klien
mengatakan tidak terasa nyeri. </span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l46 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="font-size: 11.0pt;">lokasi
nyeri minimal</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l46 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="font-size: 11.0pt;">keparahan
nyeri berskala 0</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l46 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="font-size: 11.0pt;">Indikator
nyeri verbal dan noverbal<span style="mso-spacerun: yes;"> </span>(tidak
menyeringai)</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l34 level2 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Identifikasi klien dalam membantu
menghilangkan rasa nyerinya </span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l34 level2 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Berikan informasi tentang penyebab dan cara
mengatasinya</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l34 level2 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Tindakan penghilangan rasa nyeri noninvasif
dan nonfarmakologis (posisi, balutan (24-48 jam), distraksi dan relaksasi</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l34 level2 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Terapi</span></div>
<div class="MsoNormal" style="margin-left: 39.6pt; mso-list: l34 level5 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="font-size: 11.0pt;">clabozam
2 x 10 mg</span></div>
<div class="MsoNormal" style="margin-left: 39.6pt; mso-list: l34 level5 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="IN" style="font-size: 11.0pt;">Injeksi
Novalgin 3 x 1 ampul</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l59 level4 lfo41; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Pengetahuan yang mendalam tentang nyeri dan
kefektifan tindakan penghilangan nyeri. </span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l59 level4 lfo41; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Informasi mengurangi ansietas yang
berhubungan dengan sesuatu yang diperkirakan.</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l59 level4 lfo41; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Tindakan ini memungkinkan klien untuk
mendapatkan rasa kontrol terhadap nyeri.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l59 level4 lfo41; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Terapi farmakologi diperlukan untuk
memberikan<span style="mso-spacerun: yes;"> </span>peredam nyeri.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">07.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">08.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">09.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">10.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">12.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">13.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">14.00</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 198.0pt;" valign="top" width="264">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Melakukan perkenalan dan kontrak dengan klien dankeluarga dalam
membantu perawatan dan permasalah yang dapat dipecahkan bersama.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Mengidentifikasi tingkat nyeri yang dirasakan klien (lokasi, sifat,
frekuensi, lama dan cara penanganan yan telah dilakukan klien)</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Mengobservasi tanda=tanda vital 120/80, nadi 88 x/mnt</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Melakukan perawatan luka seapseptik dan antiseptik </span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Mengatur posisi sehingga klien merasa lebih enak dan<span style="mso-spacerun: yes;"> </span>nyaman</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Menginjeksi novalgin 1 ampul IV</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Mengklarifikasi kepada klien tentang obat minum clabosam 10 mg sudah
diminumkan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memonitor perkembangan tingkat nyeri</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Mengajarakan klien latihan relaksasi dengan nafs dalam dan panjang
berulang-ulang 5-6 kali dengan frekeunsi 3 kali/hari</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Mengobservasi tanda-tanda vital (tensi 120/70 mmHg, nadi 88 x/mnt)</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memonitor keadaan klien (klien sedang istirahat.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 23.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.15pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">TGL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">DX</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.85pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">TUJUAN/KRITERIA</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">RASIONAL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">JAM</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 198.0pt;" valign="top" width="264">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">IMPLEMENTASI</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.15pt;" valign="top" width="48">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">12-02-2002</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.85pt;" valign="top" width="180">
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-size: 11.0pt;">Tujuan
:<span style="mso-spacerun: yes;"> </span></span></i><span lang="IN" style="font-size: 11.0pt;">Rasa cemas klien akan berkurang/hilang setealh
diberikan pendidikan kesehatan (penyakit, prognosis)</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Krite<i style="mso-bidi-font-style: normal;">ria hasil
:</i></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Klien mampu mengungkapkan ketakutan/kekuatirannya.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Respon klien tampak tersenyum</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l46 level3 lfo53; text-align: justify; text-indent: -17.25pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Diskusikan mengenai kemungkinan kemajuan
dari fungsi gerak untuk mempertahankan harapan klien dalam memenuhi kebutuhan
sehari-hari </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l46 level3 lfo53; text-align: justify; text-indent: -17.25pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Berikan informasi mengenai klien yang juga
pernah mengalami gangguan seperti yang dialami klien </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l46 level3 lfo53; text-align: justify; text-indent: -17.25pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Berikan informasi mengenai sumber-sumber dan
alat-lat yang tersedia yang dapat membantu klien <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l46 level3 lfo53; text-align: justify; text-indent: -17.25pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Berikan support sistem (perawat, keluarga
atau teman dekat dan pendekatan spiritual)</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l46 level3 lfo53; text-align: justify; text-indent: -17.25pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Reinforcement terhadap potensi dan sumber
yang dimiliki berhubungan dengan penyakit, perawatan dan tindakan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.45pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l10 level1 lfo55; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Menunjukkan kepada klien bahwa dia dapat
berkomunikasi dengan efektif tanpa menggunakan alat khusus, sehingga dapat
mengurangi rasa cemasnya. </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.45pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l10 level1 lfo55; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Harapan-harapan yang tidak realistik tiak
dapat mengurangi kecemasan,<span style="mso-spacerun: yes;"> </span>justru
malah menimbulkan ketidak percayaan klien terhadap perawat. </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.45pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l10 level1 lfo55; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Memungkinkan klien untuk memilih metode
komunikasi yang paling tepat untuk kehidupannya sehari-hari disesuaikan
dnegan tingkat keterampilannya sehingga dapat mengurangi rasa cemas dan
frustasinya. </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.45pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l10 level1 lfo55; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Dukungan dari bebarapa orang yang memiliki
pengalaman yang sama akan sangat membantu klien. </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.45pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l10 level1 lfo55; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Agar klien menyadari sumber-sumber apa saja
yang ada disekitarnya yang dapat mendukung dia untuk berkomunikasi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">07.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">08.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">09.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">10.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">11.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">12.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 198.0pt;" valign="top" width="264">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Mengidentifikasi tingkat pengentahuan klien tetntang perkembangan
yang dirasakan setelah operasi dan sebelum operasi</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memberi penejelasakan tentang nyeri, faktor-faktor yang mempengaruhi
timbulnya neyeri, damapak yang mungkin timbul dan alternatif pemcehaan yang
dapat dilakukan untuk mengurangi nyerinya.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memberi kesemapatan klien untuk ungkapklan perasaannya dan
harapan-harapannya.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memberi gambaran tentang klien yang pernah menjalani penyakit dan
oeprasi yang seperti klien alami.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memberikan support sistem pada klien dengan harapan dan semangat
untuk mencapai kesembuhan yang optimal, bertahap.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memberi petunjuk bahwa klien sudah banyak perubahan dan perbaikan
yang baik dari pada penyakit lainnya disekitar klien di syaraf A</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memberikan reinforcement terhadap tanggapan klien yang mengatakan
perlu kesabaran dan ketelatenaan serta doa untuk memohon kesembuhan yang
terbaik baginya sesuai agama. </span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 23.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.15pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">TGL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">DX</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.85pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">TUJUAN/KRITERIA</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">RASIONAL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">JAM</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 198.0pt;" valign="top" width="264">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">IMPLEMENTASI</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.15pt;" valign="top" width="48">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">12-02-2002</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.85pt;" valign="top" width="180">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Kebutuhan perawatan diri klien terpenuhi setelah post operasi hari ke
VII</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Kriteria hasil</span></div>
<div class="MsoNormal" style="margin-left: 12.45pt; mso-list: l6 level1 lfo60; text-align: justify; text-indent: -14.15pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Klien dapat melakukan aktivitas perawatan
diri sesuai dengan kemampuan klien (makan, minum dan BAB dan BAK sendiri) </span></div>
<div class="MsoNormal" style="margin-left: 12.45pt; mso-list: l6 level1 lfo60; text-align: justify; text-indent: -14.15pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Klien dapat mengidentifikasi sumber
kemampuannya <span style="mso-spacerun: yes;"> </span>untuk mandiri dan meminta
bantuan sesuai kebutuhan</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level1 lfo57; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Monitor kemampuan dan tingkat kekurangan
dalam melakukan perawatan diri </span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level1 lfo57; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Beri motivasi kepada klien untuk tetap
melakukan aktivitas dan beri bantuan dengan sikap sungguh</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level1 lfo57; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Hindari melakukan sesuatu untuk klien yang
dapat dilakukan klien sendiri, tetapi berikan bantuan sesuai kebutuhan</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level1 lfo57; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Berikan umpan balik yang positif untuk
setiap usaha yang dilakukannya atau keberhasilannya</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level1 lfo57; tab-stops: list 21.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Kolaborasi dengan ahli fisioterapi/okupasi </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level2 lfo57; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Membantu dalam mengantisipasi/merencana-kan
pemenuhan kebutuhan secara individual </span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level2 lfo57; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Meningkatkan harga diri dan semangat untuk
berusaha terus-menerus</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level2 lfo57; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Klien mungkin menjadi sangat ketakutan dan
sangat tergantung dan meskipun bantuan yang diberikan bermanfaat dalam
mencegah frustasi, adalah penting bagi klien untuk melakukan sebanyak mungkin
untuk diri-sendiri untuk emepertahankan harga diri dan meningkatkan pemulihan</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level2 lfo57; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Meningkatkan perasaan makna diri dan
kemandirian serta mendorong klien untuk berusaha secara kontinyu</span></div>
<div class="MsoNormal" style="margin-left: 21.45pt; mso-list: l26 level2 lfo57; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-size: 11.0pt;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-size: 11.0pt;">Memberikan bantuan yang mantap untuk
mengembangkan rencana terapi dan mengidentifikasi kebutuhan alat penyokong
khusus</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.0pt;" valign="top" width="60">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">07.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">08.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">10.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">13.00</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 198.0pt;" valign="top" width="264">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Mengidentifikasi tingkat kemampuan klien dalam memenuhi kebutuhan
sehari-hari (aktif dilakukan sendiri, dengan bantuan)</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memberi kesempatan pada klein utnuk mandiri sesuai dengan kemampuan
sebatas yang dianjurkan, tidak mengangkat berat, tidak mendorong barang yang
berat dan sifatnya ringan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Menganjurkan kepada kelaurganya untuk membantu klien dalam defekasi
dan BAK</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Menganjurkan pada klein untuk melakukan mobilisasi atau aktivitas
secara bertahap mulai dari duduk dengan makan, berdiri dan berjalan (mandiri
tau bantuan)</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Memberi reinforcement terhadap kemamapuan yang telah dicapai dan
kesanggupannya untuk teteap mempertahankan melakukan gerak duduk, berdiri dan
berjalan secara bertahap.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
</div>
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span></i>
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></i>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">C. Evaluasi</span></i></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.4pt;" valign="top" width="67">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">TGL</span></i></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.0pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">DX/JAM</span></i></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 357.75pt;" valign="top" width="477">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">EVALUASI</span></i></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.4pt;" valign="top" width="67">
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">12-02-2002</span></i></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.0pt;" valign="top" width="72">
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Dx 1</span></i></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Jam 12.00</span></i></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Dx 2</span></i></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Jam 12.00</span></i></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Dx 3</span></i></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Jam 12.00</span></i></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 357.75pt;" valign="top" width="477">
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">S. </span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Klien mengatakan tidak terasa nyeri., lokasi
nyeri pada oto paha dan menjalar ke pinggang kiri bila digerakkkan, kebuthan
isitrahat terpenuhi</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">O</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">keparahan nyeri berskala 2</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Indikator nyeri verbal dan noverbal<span style="mso-spacerun: yes;"> </span>(tidak menyeringai)</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Ketika klien dilakukna manipulasi pad akaki
kirinya nampak nyeri dan menyeringai</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">A</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Masalah teratasi sebagian</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">P</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Lanjutkan intervensi</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">S</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Klien mampu mengungkapkan ketcemasannya/kekuatirannya
tentang penyembuhan penyakitnya</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Klien mengatakan untuk mencapai kesembuhan
diperlukan kesabaran dan ketelatenan unutk berlatih dan berdoa</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Berapa lama waktu yang perlukan untuk mencapai
kesembuhan optimal</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">O</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Respon klien tampak tersenyum</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Konsentrasi klien baik, Nadi 88 kal/menit,
tampak tenang</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">A</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Masalah teratasi</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">P</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Intervensi<span style="mso-spacerun: yes;">
</span>dipertahankan</span></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 3.45pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">S</span></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Klien mengatakan untuk keperluan BAK jam
12.00 dibantu oleh keluarganya dengan menggunakan pispot yang dimilikinya
sendiri</span></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">O </span></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Klien dapat mengidentifikasi sumber
kemampuannya <span style="mso-spacerun: yes;"> </span>untuk mandiri dan meminta
bantuan sesuai kebutuhan</span></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">A</span></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Masalah teratsi sebagian</span></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">I</span></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<span lang="IN" style="font-size: 11.0pt;">Lanjutkan</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<br /></div>
<i style="mso-bidi-font-style: normal;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br clear="all" style="page-break-before: always;" />
</span></i>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Catatan Perkembangan</span></i></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.3pt;" valign="top" width="66">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">TGL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">DX/JAM</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 355.35pt;" valign="top" width="474">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">CATATAN PERKEMBANGAN</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.3pt;" valign="top" width="66">
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">13-03-2002</span></i></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.5pt;" valign="top" width="77">
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Dx 1</span></i></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 355.35pt;" valign="top" width="474">
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.3pt;" valign="top" width="66">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">TGL</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.5pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">DX/JAM</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 355.35pt;" valign="top" width="474">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN">CATATAN PERKEMBANGAN</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.3pt;" valign="top" width="66">
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">14-03-2002</span></i></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.5pt;" valign="top" width="77">
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="IN">Dx 1</span></i></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 355.35pt;" valign="top" width="474">
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: -1.7pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>MR NURSEhttp://www.blogger.com/profile/12384241174298171466noreply@blogger.com0