KASUS

Tn. V,70 tahun, saat ini mengeluh kaki kanan sulit di gerakan saat berjalan, jalan tertatih tatih dan selalu berpegangan . ini terjadi sudah 7 bulan.

NOC :

Setelah dilakukan tindakan keperawatan selama 30x24 jam pasien dapat melakukan AMBULASI: BERJALAN, dengan kriterian :

a. Berjalan dengan kecepatan sedang (4)

Berdasarkan kasus tersebut kode NOC untuk kriteria dan seluruh kriteria NOC ambulasi berjalan dengan skala

Jawaban : Dari kasus diatas Kode NOC untuk kriteria dan seluruh kriteria NOC AMBULASI BERJALAN adalah : I C 020004 [ ket; - Domain : Fuctional Health (I) ; - Class : Mobility (C) ; - Outcome : 020004 ]Kode NOCSkalaKriteria

I C 0200041. Severely Compromised

2. Substantially Compromised

3. Moderately Compromised

4. Mildly Compromised

5. Not Compromised

Bears weight

Walks with effective gait

Walks at slow pace

Walks at moderate pace

Walks at fast pace

Walks up steps

Walks down steps

Walks up inclines

Walks down inclines

Walks short distance (< 1 block )

Walks moderate distance

(>1 block< 5 blocks)

walks long distance ( 5blocks or>)

walks around room

walks around dwelling

adjusts to different surface textures

walks around obstacles

NICTERAPI AKTIVITAS : AMBULASI Definisi : membantu pasien memulai aktifitas fisik untuk memperkuat fungsi tubuh selama perawatan dan melindungi dari sakit atau cidera Bantu klien untuk menggunakan tongkat saat berjalan dan cegah terhadap cedera

Berdasarkan kasus diatas,TULISKAN kode NIC untuk aktifitas tersebut dan seluruh komponen NIC terapi aktifitas: ambulasi Jawaban : Dari kasus di atas Kode NIC adalah : 3O-4310.

KOMPONEN NICKODE NIC

Determine patient ability participate in specific actifities 3O-4310.

Collaborate with occupational ,physical,or recreational therapists in planning and monitoring an activitypogram,as appropiate

Determine patients commitment to increasing frequency and range of activty

Assist patient to explore the personal meaning of usual activity (e.g., work ) and favorite leisure activities

Assist patient to choose activities and achievement goals for activities consistent with physical ,psychological,and social capabilities

Assist patien to focus on abilities ,rather than on deficits

Assist patient to identify and obtain resources required for the desired activity

Encourage creative activities ,as appropriate

Assist patient to obtain transportation :o activities as appropriate

Assist patient to identy prefernces for activities

Assist patient to identy meaningful activities

Assist patient to schedule specific periods for activities into daily routine

Assist patient and family to identify deficits in activity level

Identify strategis to promote patient participation in desired activities

Instruct patient and family regarding the role of physical ,social,spiritual and cognitive activity in maintaining function and health

Instruct patient and family how to perfom desired or prescribed activity

Coordinate patient selection of age appropriate activities

Assist patient and fmily to adapt environment to accommodate desired activity

Provide activities to increase attention span inconsultation with occupational therapist

Facilitate activity substitution when patient has limitions in time,energy,or movement ,in consultation with occupational physical,or recreational therapists

Encourage invloment in group activities or therapies as appropriate

Refer to community centers or activity programs, as appropriate

Assist with regular phsycal activities (e.g., ambulation, transfers, turning, and personal care), as needed

Provide gross motor activities for hyperactive patient

Promote a physically active lifestyle to avoid unneeded wight gain, as appropiate

Suggest methods of increasing daily physical activity, as appropriate

Make environtment safe for continuous large muscle movement, as indicated

Provide motor activity to relieve muscle tension

Provide activities with implicit emotional memory components (e.g., specially selected religious activities) for dementia patients,as appropriate

Provide noncompetitive,structured,and active group games

Promote engagement in recreational and diversional activities aimed at reducing anxiety(e.g.,group singing;volley ball;table tenis;walking;swimming;simple,concrete tasks;simple games;routine tasks;house keeping chores;grooming;and puzzles and cards)

Employ animal-assisted activity programs,as appropriate

Provide positive reinforcement for participation in activities

Instruct family to provide positive reinforcement for participation in activities

Allow for family participation in activities appropriate

Assist patient to develop self-motivation and reinforcement

Monitor emotional,physical,and spiritual response the activity

Assist patient and family to monitor own progress toward go achievement