Motivasi

Saat ingin melakukan hal yang baik, berarti dan bermanfaat maka lakukanlah, jangan menunggu keraguan atau kesempatanmu menghilang. by priyono

Motivasi

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Motivasi

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Motivasi

Jangan membalas mereka yg membencimu. Tersenyum dan berbahagialah di depan mereka, tak ada yg lebih menyakiti mereka daripada itu. by priyono

Motivasi

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FORMAT PENGKAJIAN PADA ANAK

Asuhan Keperawatan
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A. Identitas Mahasiswa
Nama          : ..............................
Ruangan     : ..............................
B. Identitas Pasien
Nama                                  : ..............................
TTL                                    : ..............................   
Usia                                    : ..............................
Nama Ayah/Ibu                  : ..............................
Pekerjaan Ayah/Ibu            : ..............................
Alamat                                : ..............................
                                             ..............................
Agama                                : ..............................
Suku bangsa                       : ..............................
Pendidikan Ayah/Ibu         : ..............................
C. Riwayat kesehatan
1. Keluhan utama
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2. Riwayat kehamilan dan kelahiran
a. Prenatal :
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b. Intranatal: ................................................................................................................................................................................................................................................................................
c. Postnatal
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3. Riwayat kesehatan masa lalu
a.       Penyakit waktu kecil                 : ............................................................................
 ............................................................................
b.      Pernah dirawat RS                    : ............................................................................
 ............................................................................
c.       Obat-obatan yang digunakan    : ............................................................................
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d.      Tindakan (operasi)                     : ............................................................................
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e.       Alergi                                         : ............................................................................
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f.       Kecelakaan                                : ............................................................................
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g.      Imunisasi                                   : ............................................................................
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4. Riwayat penyakit keluarga
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Genogram :










5. Riwayat Sosial
a.    Yang mengasuh                                : ............................................................................
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b.    Hubungan dengan anggota keluarga            : ............................................................................
........................................................................................................................................
c.    Hubungan dengan teman sebaya      : ............................................................................
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d.   Pembawaan secara umum                 : ............................................................................
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e.    Lingkungan rumah                            : ............................................................................
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D. Kebutuhan dasar
1. Makanan
·      Yang disukai/tidak disukai   : ........................................................................................
........................................................................................
·      Alat makan yang dipakai      : ........................................................................................
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·      Pola makan/jam                     : ........................................................................................
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2. Pola tidur
·      Kebiasaan sebelum tidur       : ........................................................................................
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·      Tidur siang                            : ........................................................................................
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·      Tidur malam                          : ........................................................................................
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3. Mandi                                         : ........................................................................................
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4. Aktivitas bermain                       : ........................................................................................
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5. Eliminasi                                    
·      BAB                                     : ........................................................................................
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·      BAK                                     : ........................................................................................
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E. Keadaan kesehatan sekarang
1.        Diagnosa medis             : .......................................................................................
2.        Tindakan operasi            : ........................................................................................
3.        Status nutrisi                  : ........................................................................................
 ........................................................................................
4.        Status cairan                  : ........................................................................................
 ........................................................................................
5.        Obat-obatan                   : ........................................................................................
6.        Aktifitas                         : ........................................................................................
  ........................................................................................
7.        Tindakan keperawatan   : ........................................................................................
 ........................................................................................
8.        Hasil laboratorium         : Dilampirkan
9.        Hasil Rontgen                : Kesan, ............................................................................
  ........................................................................................
  ........................................................................................
10.    Data Tambahan              : ........................................................................................

F. Pemeriksaan Fisik
1.    Keadaan umum         :
2.    Tanda-tanda vital      :  
  TD:                       RR:                    S:                N:
3.    TB/BB                      :  BB: .....Kg   TB: ......Cm
4.    Lingkar kepala          : .......Cm
5.    Mata                          : ....................................................................................................
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6.    Hidung                      : ....................................................................................................
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7.    Mulut                                    : ....................................................................................................
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8.    Telinga                      : ....................................................................................................
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9.    Leher                         : ....................................................................................................
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10.    Dada                       : ....................................................................................................
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11.    Paru-paru                : ....................................................................................................
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12.    Jantung                   : ....................................................................................................
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13.    Punggung               : ....................................................................................................
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14.    Genitalia                 : ....................................................................................................
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15.    Kulit                       : ....................................................................................................
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16.    Nyeri                       : ....................................................................................................
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17. Pemeriksaan tingkat perkembangan
a.    Kemandirian dan sosialisasi       : ............................................................................
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b.    Motorik halus                             : ............................................................................
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c.    Kognitif dan bahasa                  : ............................................................................
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d.   Motorik kasar                             : ............................................................................
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Informasi lain                             : ............................................................................




G. Analisa Data

PENYAKIT STROKE

A.      Pengertian
Penyakit Stroke adalah gangguan fungsi saraf yang terjadi mendadak akibat pasokan darah ke suatu bagian otak sehingga peredaran darah ke otak terganggu. kurangnya aliran darah dan oksigen menyebabkan serangkaian reaksi biokimia, yang dapat merusakkan atau mematikan sel-sel saraf di otak sehingga menyebabkan kelumpuhan anggota gerak, gangguan bicara, penurunan kesadaran.
Stroke adalah kerusakan jaringan otak yang dikarenakan berkurangnya atau terhentinya suplai darah secara tiba-tiba. Jaringan otak yang mengalami hal ini akan mati dan tidak dapat berfungsi lagi. Kadang pula stroke disebut CVA (cerbrovascular accident).

B.     Penyebab Penyakit Stroke
Ada dua faktor yang merupakanpenyebab strokeyaitu :
1.      Faktor Resiko Medis
Yang menyebabkan atau memperparah stroke antara lain hipertensi (penyakit tekanan darah tinggi), kolesterol, arteriosklerosis (pengerasan pembuluh darah), gangguan jantung, diabetes, riwayat stroke dalam keluarga (faktor keturnan) dan migren (sakit kepela sebelah)
2.      Faktor Resiko Perilaku
Disebakan oleh gaya hidup dan pola makan yang tidak sehat seperti kebiasaan merokok, menkonsumsi minuman bersoda dan beralkohol gemar mengkonsumsi makanan cepat saji  (fast food dan junk food).
Faktor resiko perilaku lainnya adalah kurangnya aktifitas gerak / olah raga dan obesitas. Salah satu pemicunya juga adalah susasana hati yang tidak nyaman seperti sering marah tanpa alasan yang jelas.

C.    Tanda dan Gejala  Penyakit Stroke

Serangan kecil atau serangan awal stroke biasanya diawali dengan daya ingat menurun dan sering kebingungan secara tiba-tiba dan kemudian menghilang dalam waktu 24 jam selain itu tanda dangejala strokedapat diamati dari beberapa hal :

1.      Adanya serangan neurologis fokal berupa kelemahan atau kelumpuhan lengan, tungkai atau salah satu sisi tubuh

2.      Melemahnya otot (hemiplegia), kaku dan menurunnya fungsi sensorik

3.      Hilangnya rasa atau adanya sensasi abnormal pada lengan atau tungkai atau salah satu sisi tubuh seperti baal, mati rasa sebelah badan, terasa kesemutan, perih bahakan seperti rasa terbakar dibagian bawah kulit

4.      Gangguan penglihatan seperti hanya dapat melihat secara parsial ataupun tidak dapat melihat keseluruhan karena penglihatan gelap dan pandangan ganda sesaat

5.      Menurunnya kemampuan mencium bau dan mengecap

6.      Berjalan menjadi sulit dan langkahnya tertatih-tatih bahkan terkadang mengalami kelumpuhan total.

7.      Hilangnya kendali terhadap kandung kemih sehingga sering kencing tanpa disadari

8.      Kehilangan keseimbangan, gerakan tubuh tidak terkoordinasi  dengan baik

9.      Tidak memahami pembicaraan orang lain, tidak mampu membaca, menulis dan berhitung dengan baik

10.  Adanya gangguan dan kesulitan dalam menelan makanan ataupun minuman (cenderung keselek).

11.  Adanya gangguan bicara dan sulit berbahasa yang ditunjukkan dengan bicara tidak jelas (rero), sengau, pelo, gagap dan berbicara haya sepatah kata bahkan sulit memikirkan atau mengucapkan kata-kata yang tepat

12.  Menjadi Pelupa (Dimensia) dan tidak mampu mengenali bagian tubuh

13.  Vertigo (pusing, puyeng) atau perasaan berputar yang menetap saat tidak beraktifitas

14.  Kelopak mata sulit dibuka

15.  Menjadi lebih sensitif, mudah menangis ataupun tertawa

16.  Banyak tidur dan selalu ingin tidur.

17.  Gangguan kesadaran, pingsan sampai tak sadarkan diri


Demikianlah shere dari kami semoga ada manfaatnya.