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SethoHadisuyatmana, Ns.
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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
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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)
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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.
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Female Male
•Breastdevelops
•Pubichairgrows
•Bodygowth
•Menarche
•Axillarhair
•Growth of testical
•Pubichair
•Bodygrowth
•Transitional of penis,prostaticglands
• First ejaculation
•Beard, mustache, hairy face
•Axillahair
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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
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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.
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Identity vs Role
developmental task: to be independent with his/herown identity
Problems:Moody
Decision making
Identity taking
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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
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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
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1. First impression
2. Reputation
3. Performance suitability
4. Social behavior, which identified by cooperation,responsibility, mindful, wisdom,
5. Emotional maturity
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Social interest
Educational interest
Religion and worship interest
Sexual interest
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Vacation
Party
Curiosity to new items
(drugs, sexual activity,alcoholism)
Problem sharing
Helping others
Critics Surrounding
consideration
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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
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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.
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Assessing
Diagnosing
Planning
Implementing Evaluating
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Age
Education status
Social/extra campus activity
Health problem finding (past and present illness) Spare time activity
Local habit
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1. Health Promotion
2. Health Prevention
3. Curative level
4. Rehabilitative level
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1. Not to be in formal terms
2. Not in teaching performance
3. Give them the real evidence
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Cognitive
Affective
Psychomotor
through… Structure
Process
Output/outcome
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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)
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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.
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PERAN PERAWAT
PERAN KLIEN
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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
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P E S
Tingkat
IndividuNANDA
Karakteristik
Individu
Tanda /
Gejala /
Data
Tingkat
Keluarga
5
tugaskeluargadibidan
gkesehatan
Tingkat
Komunitas
Deskripsi masalah,
respon/keadaanKarakteristikmasyar
akat
(Ketidakmampuanmas
y…)
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Menentukanprioritas
Menentukankriteriahasil
Menentukanrencanatindakan
Implementasi
Dokumentasi
Perencanaanpadaaskepkliendikomunitas :
empowerment , negotiationdannetworking
PERENCANAAN
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28
Aktualisasi
diri
Harga diri
Kasih sayang dan
rasa memiliki
Aman
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
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Prosesevaluasi :
KOGNITIF
AFEKTIF
PSIKOMOTOR
PERUBAHAN FUNGSI
KEMANDIRIAN
EMPOWERING, NETWORKING, NEGOTIATION
DATA YANG TERKUMPUL : TUJUAN DANPENCAPAIAN TUJUAN
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Ancamankehidupan&kesehatan
Sumberdayadandana yang tersedia Peransertaklien
Prinsipilmiahdalampraktikkeperawatan
Hirarkhi “Maslow’s” dan “Komunitas”
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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
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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