1. Askep Respon Kehilangan
April 1, 2019 | Author: Fitri Rahmadani | Category: N/A
Short Description
ASUHAN KEPERAWATAN...
Description
ASUHAN KEPERAWA KEPERAWATAN TAN DENGAN DENGAN RESPONS KEHILANGAN KEHILANGAN BERDUKA DISFUNGSIONAL “DISFUNCTIONAL GRIFT”
Nama Klien
:
Diagnoa !e"i
:
Ruang
:
No CM
:
Prinsip Tindakan Ten#$%an en#$%an %on"ii %on"ii %lien e$ai "engan "engan &ae 'e(i%$# 1. Fase Denial Denial (Pengingka (Pengingkaran) ran) !em'e(i %eem+a#an %ien
Intervensi
Rasionalisasi In#e()eni *ang e&e%#i& "a+a# "i$$n "engan menge#a,$i &ae %e,ilangan
$n#
%$meng$ng%a+%an +e(aaann*a
O'e()ai +e(ila%$ %lien Gali Gali +i%i(a +i%i(an n "an +e(aa +e(aaan 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)ai %lien $n#
%$
meng$ng%a+%an +e(aaan 'e("$%an*a Ting Ting%a %a#% #%an an %ea %ea"a "a(a (an n %lie %lien n e-a e-a(a (a
elal$
'e(i& 'e(i&a# a#
+e(aa +e(aaan an
emen# emen#a(a a(a
+a"a +a"a
$n#$ $n#$% %
%en*a# %en*a#aan aan
*ang *ang
+(oe +(oe 'e("$% 'e("$%a a
meng meng$( $(an angi gi
"am+ "am+a% a%
emoional
'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 (aa
a+a'ila $"a, ia+ e-a(a emoional 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(aaan e-a(a 'e'a
a%an a%an
0a1a' +e(#an*aan %lien "engan 'a,aa *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()ai "engan -e(ma# (e+on %lien Si%a+
elama 'e('i-a(a Ting%a#%an %ea"a(an
+e(#an*aan %lien #en#ang a%i#/ +engo'a#an "an %ema#ian
%lien
$n#
%$
meng$ng%a+%an (aa 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
(aa
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 Tawarmenawar !em'an#$ %lien mengi"en#i&i%ai (aa 'e(ala,
0ela%an
'i.a%ana
mem'e(i%an in&o(mai +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 (aa #a%$#
%e+a"a me(e%a I3in%an $n#$% menangi !o#i)ai %lien $n#$% mem'i-a(a%an (aa
mam+$
menn-ega,
%e,ilangan
Denga(#%an $ng%a+an %lien "engan +en$,
Klien e(ing men$n.$%%an +e(aaan 'e(ala,
+e(,a#ian
*ang #i"a% (eali#i%
"an
mo#i)ai
%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% ae(#i&
mem'i-a(a%an (aa 'e(ala, "an (aa
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 alaan 'e(ala, "an #a%$#n*a
!. Fase Depresi !engi"en#i&i%ai #ing%a# "e+(ei "an (ei%o
+e(ila%$ %e%e(aan
!em'an#$ %lien meng$(angi (aa 'e(ala,
O'e()ai "an 'e(ama %lien mem'a,a
Dengan menge#a,$i #ing%a# "e+(ei "an (ei%o
+e(aaann*a Ting%a#%an ,a(ga "i(i %lien Cega, #in"a%an +e(ila%$ %e%e(aan Ha(gai +e(aaan %lien Ban#$ %lien mengi"en#i&i%ai "$%$ngan
+e(ila%$ %e%e(aan/ ma%a in#e()eni "a+a# "i$$n "engan #e+a# O(ang *ang "alam %ea"aan 'e("$%a e(ing
mem+e(#a,a%an (aa 'e(ala,n*a #e(,a"a+ +oi#i& *ang #e(%ai# "engan %en*a#aan o(ang *ang meninggal a#a$ +e(gi Be(i %eem+a#an %lien $n#$% menangi
"an meng$ng%a+%an +e(aaann*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 Kea"a(an e-a(a #e(a#$( Ben#$ %el$a(ga 'e('agi (aa/ %a(ena #ia+
%e,ilangan "engan me(aa%an "amai "a+a#
anggo#a %el$a(ga #i"a% 'e(a"a +a"a &ae
*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, maa 'e(%a'$ng "ilal$i Be(i in&o(mai *ang a%$(a#
*ang #i"a% 'ia "i,in"a(in*a
%e'$#$,an %el$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' PRA*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
Diagnoa !e"i
:
No C!
:
Intervensi H$'$ngan #e(a+e$#i%
Rasionalisasi Daa( ,$'$ngan *ang men"$%$ng %lien "alam
Denga(%an +em'i-a(aan %lien
menga#ai %e,ilangan
Be(i %eem+a#an %lien $n#$% meng$ng%a+%an +e(aaann*a
!engi"en#i&i%ai %em$ng%inan &a%#o(
*ang meng,am'a# +(oe 'e("$%a
a#a$
,ilang%an
T$n.$%%an i%a+ mene(ima "an em+a#i Be(ama %lien men"i%$i%an ,$'$ngan Aga(
+eng,am'a# +(oe 'e("$%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%ai%an
-a(a Sema%in %e-il &a%#o( +eng,am'a# ema%in 'ea(
menga#ai +e(aaan 'e("$%a "imaa lal$
&a%#o( +en"$%$ng/ ma%in m$"a, %lien melal$i
!enilai -a(a *ang e&e%#i& "an -a(a *ang #i"a%
+(oe '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%ai "an meng,a(gai oial/ '$"a*a/ agama/ e(#a %e+e(-a*aan *ang "ian$# %lien
!em'e(i "$%$ngan #e(,a"a+ (e+on %e,ilangan %lien
"alam menga#ai +e(aaan 'e("$%a 0ela%an +a"a %el$a(ga 'a,1a
i%a+
menging%a(i/ ma(a,/ #a1a(2mena1a(/ "e+(ei "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(aaan *ang 'ia "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(aaan
'e(a(#i
'e(ama anggo#a %el$a(ga lain
+e(aaan 'e("$%a
%lien
$n#
%$mem+e(l$a
%ea"a(an
Do(ong %el$a(ga $n#$% aling menge)al$ai +e(aaann*a "an men"$%$ng a#$ ama lain
anga#
mem'an#$
"alam
menga#ai
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