1. Askep Respon Kehilangan

April 1, 2019 | Author: Fitri Rahmadani | Category: N/A
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ASUHAN KEPERAWATAN...

Description

 ASUHAN KEPERAWA KEPERAWATAN TAN DENGAN DENGAN RESPONS KEHILANGAN KEHILANGAN BERDUKA DISFUNGSIONAL “DISFUNCTIONAL GRIFT”

Nama Klien

:

Diagnoa !e"i

:

Ruang

:

No CM

:

Prinsip Tindakan Ten#$%an en#$%an %on"ii %on"ii %lien e$ai "engan "engan &ae 'e(i%$# 1. Fase Denial Denial (Pengingka (Pengingkaran) ran) !em'e(i %eem+a#an %ien

Intervensi

Rasionalisasi In#e()eni *ang e&e%#i& "a+a# "i$$n "engan menge#a,$i &ae %e,ilangan

$n#

%$meng$ng%a+%an +e(aaann*a

O'e()ai +e(ila%$ %lien Gali Gali +i%i(a +i%i(an n "an +e(aa +e(aaan an %lien %lien *ang *ang

Peng$n Peng$ng%a g%a+an +an



'e(m 'e(man an&a &aa# a#



elal$ #im'$l "alam "i(in*a !o#i)ai %lien $n#

%$

meng$ng%a+%an +e(aaan 'e("$%an*a Ting Ting%a %a#% #%an an %ea %ea"a "a(a (an n %lie %lien n e-a e-a(a (a



elal$

'e(i& 'e(i&a# a#

+e(aa +e(aaan an

emen# emen#a(a a(a

+a"a +a"a

$n#$ $n#$% %

%en*a# %en*a#aan aan

*ang *ang

+(oe +(oe 'e("$% 'e("$%a a

meng meng$( $(an angi gi

"am+ "am+a% a%

emoional

'e(#a,a+ 'e(#a,a+ #en#ang #en#ang %en*a#aan %en*a#aan %e,ilangan %e,ilangan !en$n. !en$n.$%% $%%an an i%a+ i%a+ mene(i mene(ima/ ma/ i%,la i%,la "an



men"o(ong %lien 'e('agi (aa

a+a'ila $"a, ia+ e-a(a emoional Denga(%an "engan +en$, +e(,a#ian a+a *ang *ang



"i% "i%a#a% a#a%an an

ole ole,

%lie %lien n

mene mene(i (ima ma

men"o(ong ong #an #an+a men"o(

meng,$%$m a#a$ meng,a%imi 0ela% 0ela%an an +a"a +a"a %lien %lien 'a,1a 'a,1a i%a+n i%a+n*a *a #e(e'$# #e(e'$# 1a.a( #e(.a"i #e(.a"i +a"a o(ang *ang mengalami %e,ilangan

Si%a Si%a+ +

%lien %lien

+en$ +en$, ,

+e(, +e(,a# a#ia ian n

'e(ani 'e(ani

meng$n meng$ng%a g%a+%a +%an n

+e(aaan e-a(a 'e'a

a%an a%an



0a1a' +e(#an*aan %lien "engan 'a,aa *ang e"e(,ana/ m$"a, "imenge(#i/ .ela

!em'e(i

.a1a'an

*ang

.$.$(

#e(,a"a+



"an #i"a% 'e('eli#2'eli# O'e()ai "engan -e(ma# (e+on %lien Si%a+



elama 'e('i-a(a Ting%a#%an %ea"a(an

+e(#an*aan %lien #en#ang a%i#/ +engo'a#an "an %ema#ian

%lien

$n#

%$

meng$ng%a+%an (aa ma(a,n*a e-a(a )e('al

"an

.$.$(

"alam

*ang "i,a"a+i %e+a"a

%el$a(ga

'a,1a

Ung%a+%an

(aa

ma(a,

+en#ing

%a(ena

e'ena(n*a %ema(a,an #i"a% "i#$.$%an me($+a%an $a,a %lien $n#$% mengen"ali%an

#an+a mela1an "engan %ema(a,ann*a  

 

3. Fase Tawarmenawar  !em'an#$ %lien mengi"en#i&i%ai (aa 'e(ala,

0ela%an

'i.a%ana

mem'e(i%an in&o(mai +a"a %lien a%an e-a(a mem'an#$ %lien $n#$% mema,ami %en*a#aan

'e(#a,a+ 2. Fase marah (Anger) !engi3in%an "an men"o(ong

*ang



"an (aa #a%$#

%e+a"a me(e%a I3in%an $n#$% menangi !o#i)ai %lien $n#$% mem'i-a(a%an (aa

mam+$

menn-ega,

%e,ilangan

Denga(#%an $ng%a+an %lien "engan +en$,

Klien e(ing men$n.$%%an +e(aaan 'e(ala,

+e(,a#ian

*ang #i"a% (eali#i%

"an

mo#i)ai

%lien

$n#

%$#a%$#n*a Bila %lien elal$ meng$ng%a+%an :%ala$”/ ma%a



#i"a%

ma(a,n*a Ban#$ %lien $n#$% meng$a#%an i#em  A.a(%an #e%ni% ae(#i& 

mem'i-a(a%an (aa 'e(ala, "an (aa 

ling%$ngann*a

'e(i

#a,$

%lien

,an*a

"a+a#

mela%$%an e$a#$ *ang n*a#a Be(ama %lien mem'a,a alaan 'e(ala, "an #a%$#n*a

!. Fase Depresi !engi"en#i&i%ai #ing%a# "e+(ei "an (ei%o



+e(ila%$ %e%e(aan  

!em'an#$ %lien meng$(angi (aa 'e(ala,

 

O'e()ai "an 'e(ama %lien mem'a,a

Dengan menge#a,$i #ing%a# "e+(ei "an (ei%o

+e(aaann*a Ting%a#%an ,a(ga "i(i %lien Cega, #in"a%an +e(ila%$ %e%e(aan Ha(gai +e(aaan %lien Ban#$ %lien mengi"en#i&i%ai "$%$ngan

+e(ila%$ %e%e(aan/ ma%a in#e()eni "a+a# "i$$n "engan #e+a# O(ang *ang "alam %ea"aan 'e("$%a e(ing



mem+e(#a,a%an (aa 'e(ala,n*a #e(,a"a+ +oi#i& *ang #e(%ai# "engan %en*a#aan o(ang *ang meninggal a#a$ +e(gi Be(i %eem+a#an %lien $n#$% menangi



"an meng$ng%a+%an +e(aaann*a Be(ama %lien $n#$% mem'a,a +i%i(an *ang elal$ #im'$l

". Fase penerimaan (A##eptan#e) !em'an#$ %lien $n#$% mene(ima %e,ilangan



Se"ia%an 1a%#$ $n#$% meng$n.$ngi %lien Kea"a(an e-a(a #e(a#$(  Ben#$ %el$a(ga 'e('agi (aa/ %a(ena #ia+

%e,ilangan "engan me(aa%an "amai "a+a#



anggo#a %el$a(ga #i"a% 'e(a"a +a"a &ae

*ang +e(gi4meninggal/ %lien "a+a# mem$lai i%a#an 'a($ *ang le'i, 'e(,a(ga



*ang ama +a"a aa# 'e(amaan Di%$i%an (en-ana *ang a%an "ila%$%an



e#ela, maa 'e(%a'$ng "ilal$i Be(i in&o(mai *ang a%$(a#

*ang #i"a% 'ia "i,in"a(in*a

%e'$#$,an %el$a(ga "an %lien

e$ai

"an

mene(ima

%en*a#aan

mem$#$%an #ali i%a#an "engan o'.e%4o(ang

A$%&A' PRA*ATA' D'+A' R$P,'$ &I-A'+A' RD%A DI$F%'+$I,'A- /DI$F%'0TI,'A- +RIFT

Nama Klien R$ang

: :

Prinsip Tindakan !em'ina ,$'$ngan aling +e(-a*a

Diagnoa !e"i

:

No C!

:



Intervensi H$'$ngan #e(a+e$#i%

Rasionalisasi Daa( ,$'$ngan *ang men"$%$ng %lien "alam



Denga(%an +em'i-a(aan %lien

menga#ai %e,ilangan



Be(i %eem+a#an %lien $n#$% meng$ng%a+%an +e(aaann*a





!engi"en#i&i%ai %em$ng%inan &a%#o( 



*ang meng,am'a# +(oe 'e("$%a

a#a$

,ilang%an

T$n.$%%an i%a+ mene(ima "an em+a#i Be(ama %lien men"i%$i%an ,$'$ngan  Aga(



+eng,am'a# +(oe 'e("$%a 

"a+a#

mem'an#$

meng$(angi4meng,ilang%an

"engan o(ang4o'.e% *ang ,ilang 

!eng$(angi

0a1a' +e(#an*aan %lien e-a(a lang$ng

&a%#o(

%lien +eng,am'a#

!enggali +ola ,$'$ngan %lien "engan o(ang #e(e'$# *ang 'e(a(#i Be(ama %lien

mengi"en#i&i%ai%an

-a(a Sema%in %e-il &a%#o( +eng,am'a# ema%in 'ea( 

menga#ai +e(aaan 'e("$%a "imaa lal$

&a%#o( +en"$%$ng/ ma%in m$"a, %lien melal$i

!enilai -a(a *ang e&e%#i& "an -a(a *ang #i"a%

+(oe 'e("$%a

e&e%#i&  

Pe(%$a# "$%$ngan e(#a %e%$a#an *ang "imili%i %lien "an %el$a(ga



I"en#i&i%ai "an meng,a(gai oial/ '$"a*a/ agama/ e(#a %e+e(-a*aan *ang "ian$# %lien

!em'e(i "$%$ngan #e(,a"a+ (e+on %e,ilangan %lien



"alam menga#ai +e(aaan 'e("$%a 0ela%an +a"a %el$a(ga 'a,1a

i%a+

menging%a(i/ ma(a,/ #a1a(2mena1a(/ "e+(ei "an mene(ima a"ala, 1a.a( "alam meng,a"a+i

Klien e(ing #a%$#/ %,a1a#i( #e(,a"a+ (ea%in*a "alam meng,a"a+i %e,ilangan

%e,ilangan 

Be(i gam'a(an #en#ang -a(a meng$ng%a+%an +e(aaan *ang 'ia "i#e(ima



Ban#$

!ening%a#%an %e'e(amaan ana#a(a



"i(in*a K$a#%an "$%$ngan %el$a(ga a#a$ o(ang 'e(a(#i

D$%$ngan "a(i anggo#a %eli$a(ga a#a$ o(ang

anggo#a %eli$a(ga



Doo(ng %lien aga( ma$ menggali +e(aaan

'e(a(#i

'e(ama anggo#a %el$a(ga lain

+e(aaan 'e("$%a



%lien

$n#

%$mem+e(l$a

%ea"a(an

Do(ong %el$a(ga $n#$% aling menge)al$ai +e(aaann*a "an men"$%$ng a#$ ama lain

anga#

mem'an#$

"alam

menga#ai

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