Askepkom Remaja

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8/3/2019 Askepkom Remaja

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SethoHadisuyatmana, Ns.

Transitional period of childhoodto adulthood

According to WHO adolescenceis ranging between 12 to 24 y.o.,married is not included.

Stage of life which is identifiedby its change in:1. Physical anatomy 2. Behavior3. Cognitive

4. Biological needs5. Emotional

Early adolescence (11-14 y.o) Change of primary puberty& its responses Middle adolescence (15-17 y.o)

Transition of orientation where those aremore dominant than others Late adolescence (18-20 y.o) Transition of adult, where they starting to

look for suitable jobs(Crockett and Peterson, 1993)

Weight

Height

female, approx. at 17-18 y.o

male, approx. at 19-20 y.o Body Proportion

Internal Organs

Sexual Organs

maximum size reached, but still yet mature up ‘till lateadolescence.

Female Male

•Breastdevelops

•Pubichairgrows

•Bodygowth

•Menarche

•Axillarhair

•Growth of testical

•Pubichair

•Bodygrowth

•Transitional of penis,prostaticglands

• First ejaculation

•Beard, mustache, hairy face

•Axillahair

1. AbstractUsing ideas and critical thinking in solving

problems

2. IdealisticIdeally think of their selves, others also their

social everyday

3. Logicanalyzing method taken after their critical thinking trial

The main differences between this community and the younger identified in its type of stimulus and its levelof quality.

Findings: anger, fear, jealousy, curiosity, sadness &happiness expression, passion and compassionexpression.

Identity vs Role

developmental task: to be independent with his/herown identity

Problems:Moody

Decision making

Identity taking

1. Adapting changes physically & psychologically.

2. Learning in socializing as men or women

3. Having their emotional independency

4. To be good and responsible citizen

5. Having their independency and certainty in economicstatus

www.education.com

1. Close friends : 2-3, same sex, same in interest

2. Small group : consist of 2 groups, possibly heterosex

3. Large group : some groups, low intersocial

interaction

4. Organized group : made by formal consideration

5. Gang : rejection by antisocial attempt group

1. First impression

2. Reputation

3. Performance suitability

4. Social behavior, which identified by cooperation,responsibility, mindful, wisdom,

5. Emotional maturity

Social interest

Educational interest

Religion and worship interest

Sexual interest

Vacation

Curiosity to new items

(drugs, sexual activity,alcoholism)

Problem sharing

Helping others

Critics Surrounding

consideration

Educational interest

Affected by means of workfields

Religion interest

Exploring religion as an emotional and intellectual

impulse

Sexual interest

As an improvement in sexual needs they start to gathermore information from sources elsewhere

Because of their interest improvement, somehow itmay brings problems, especially their wellbeing

Developmental

Nutritional Reproduction

STD & HIV/AIDS

Drugs and alcoholism

Sexual harassment, adultery, pornography, etc.

Assessing

Diagnosing

Planning

Implementing Evaluating

Education status

Social/extra campus activity

Health problem finding (past and present illness) Spare time activity

Local habit

1. Health Promotion

2. Health Prevention

3. Curative level

4. Rehabilitative level

1. Not to be in formal terms

2. Not in teaching performance

3. Give them the real evidence

Cognitive

Affective

Psychomotor

through… Structure

Process

Output/outcome

PencegahanPenanggulanganPenyalahgunaandanPeredaranGelapNarkoba

Tujuan :

Membentukmasyarakat/organisasiygkompetendalamberpartisipasimengenalikeberadaan dan dampaknapza

Komponen :

Tokohmasyarakat, pemuda (kartar), PKK, Tenagakesehatan(perawatkomunitas), LSM-LSM dan BNP.

Kegiatan :

1. DemandReduction (Preventif, Kuratif, Rehabilitatif)2. Supply Control (Pengawasan, Pemberantasan, Harm Reduction)

1. Meningkatkanpengetahuanmasyarakattentangnapzadan bahayanya.

2. Meningkatkankomitmen dan kerjasamalintas sektor.

3. Meningkatkankeamananlingkungan,pengawasanuntuktidakmemberiruanggerakbagi parapengedarnapza.

4. Membangunsistempelaporan, informasi,tentangmasalahnapza di lingkunganmasing-

masingdengantenagakesehatan danaparatpenegakhukum.

5. Meningkatkankegiatanagama dan kegiatanyangpositif dilingkunganmasing-masing.

PERAN PERAWAT

PERAN KLIEN

KOMPONEN SUMBER DATA

INDIVIDU KOMUNITAS

Observasi/Inspeksi

Semua indraOtoskop

Optalmoskop

Windshield survey

Auskultasi Stetoskop Windshield survey

Tanda-tandaVital

Termometer Tensimeter

Status kesehatan, datademografi, angka kelahiran,

angka kematian

Review Sistem

Sistem kardiovaskuler,respirasi dllHead to toe

Observasi sistem sosialpendidikan, ekonomi,

komunikasi, transportasi

Laboratorium

Tes darah, sinar X, CT scan Data sensus, data survei,kepustakaan,

pusatpenelitiankesehatandanm

asyarakat

Tingkat

IndividuNANDA

Karakteristik

Individu

Tanda /

Gejala /

Tingkat

Keluarga

tugaskeluargadibidan

gkesehatan

Tingkat

Komunitas

Deskripsi masalah,

respon/keadaanKarakteristikmasyar

(Ketidakmampuanmas

Menentukanprioritas

Menentukankriteriahasil

Menentukanrencanatindakan

Implementasi

Dokumentasi

Perencanaanpadaaskepkliendikomunitas :

empowerment , negotiationdannetworking

PERENCANAAN

Aktualisasi

Harga diri

Kasih sayang dan

rasa memiliki

Fisiologis Aktivitas yang mendukung

kehidupan

Keamanan, perlindungan

Aktualisasikom

unitas

Kebanggaankom

unitas

Pendidikan

Partisipasi

Perbandingan kebutuhan dasar individu dengan komunitas sebagai klien(Higgs&Gustafson, 1995)

HIRARKI KOMUNITAS

Prosesevaluasi :

KOGNITIF

AFEKTIF

PSIKOMOTOR

PERUBAHAN FUNGSI

KEMANDIRIAN

EMPOWERING, NETWORKING, NEGOTIATION

DATA YANG TERKUMPUL : TUJUAN DANPENCAPAIAN TUJUAN

Ancamankehidupan&kesehatan

Sumberdayadandana yang tersedia Peransertaklien

Prinsipilmiahdalampraktikkeperawatan

Hirarkhi “Maslow’s” dan “Komunitas”

PENGKAJIAN KEPERAWATANPASIEN DETEKSI DINI (SASARAN PRIORITAS)

• POLIKLINIK PUSKESMAS,• PUSTU,• PUSLING, POSYANDU,• POS KES DESA

PENYULUHAN KESEHATAN

TINDAKAN KEPERAWATAN(DIRECT CARE)

KONSELING KEPERAWATAN

PENGOBATAN

(SESUAI KEWENANGAN)

DOKUMENTASI KEPERAWATAN

RUJUKAN PASIEN/MASALAH KES

ASUHAN KEPERAWATAN PASIEN (PRIORITAS) KONTAK

PUSKESMAS

KUNJUNGAN RUMAH OLEH PERAWAT (HOME VISIT

/HOME CARE) TERENCANA PEMBINAAN KELUARGA

PENGKAJIAN KEPERAWATAN ANGGOTA KELUARGA LAIN DETEKSI DINI

KASUS/MASALAH KONTAK SERUMAH

PENDIDIKAN/ PENYULUHAN KESEHATAN/KEPERAWATAN TERENCANA DI KELUARGA

TINDAKAN KEPERAWATAN (DIRECT CARE)PENDERITA

PEMANTAUAN KETERATURAN PENGOBATAN

PENGENDALIAN INFEKSI DI KELUARGA

DOKUMENTASI KEPERAWATAN

KELUARGA RAWAN KEPRIORITAS

KONSELING KEPERAWATAN/KESEHATAN

KELUARGA

D/ KASUSTLP

Askepkom Remaja

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