scenario b.inggris 2

7/30/2019 Scenario b.inggris 2

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Scenario 1 ( setting: outpatient)

rachel (12 years old, women) get pain in her stomach. rachel and her parents decide to visit the

physician in interne policlinic of medika hospital in banjarbaru. unfortunately, they don't know

the place where the policlinic is. rachel and her parents come to the receptionist first and ask

for the direction, receptionist and security explain the direction to the interne policlinic. in this

outpatient service, rachel gets some brief assessment by nurse, and physical assessment by

physician. finally the physician decides to transfer rachel to the ward because of appendicitis

suspect.

((rachel (12 tahun, perempuan) mendapatkan rasa sakit di perutnya. rachel dan orangtuanya

memutuskan untuk mengunjungi dokter di poliklinik interne dari Medika rumah sakit di

Banjarbaru. sayangnya, mereka tidak tahu tempat di mana poli ini. rachel dan orangtuanya

datang ke resepsionis pertama dan meminta resepsionis, arah dan keamanan menjelaskan arah ke

interne poliklinik. dalam layanan rawat jalan, rachel mendapatkan beberapa penilaian singkat

oleh perawat, dan penilaian fisik oleh dokter. akhirnya dokter memutuskan untuk mentransfer

rachel ke bangsal karena tersangka usus buntu.))

Scenario 2 (setting : ward)

nurse in outpatient call the nurse in ward to explain that there is a patient, Rechal ( 12 years old,

woman), who gets the appendicitis suspect. the patient is transferred to the ward and nurse starts

to accompany patient first, gives the patient orientation of the room care, and medical team

(physician, dietitian) that is responsible in patient care. a complete patient assessment's then

delivered by nurse to complete patient and gather information of the patient thoroughly.

additionally as a procedural diagnostic test, the blood sample directly takes after the assessment

complete and radiologic photography will plan in the following day.

((perawat di rawat jalan memanggil perawat di bangsal untuk menjelaskan bahwa ada seorang

pasien, Rechal (12 tahun, perempuan), yang mendapatkan tersangka usus buntu. pasien

dipindahkan ke bangsal dan perawat mulai untuk menemani pasien pertama, memberikan

orientasi pasien dari ruang perawatan, dan tim medis (dokter, ahli gizi) yang bertanggung jawab


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dalam perawatan pasien. penilaian pasien lengkap yang kemudian disampaikan oleh perawat

untuk menyelesaikan pasien dan mengumpulkan informasi dari pasien dengan saksama.

tambahan sebagai tes diagnostik prosedural, sampel darah langsung mengambil setelah fotografi

penilaian lengkap dan radiologis akan merencanakan pada hari berikutnya.))

Scenario 3 (setting:ward)

Rachel needs the surgery due to the inflammatory in her appendices. the day before surgery

procedure, nurse come to Rachel and her parent, explains the operation prosedure as well as

disease processs. rachel seems scare; because it's her first surgery experience. nurse tries to

explain again and assure that everything will be under control. today's Rachel schedule of

surgery, nurse prepares Rachel in ward and deliver to surgery department. nurse in surgery

department checks the patient first and explain the procedure, then Rachel is delivered to

operation chamber.

((Rachel membutuhkan operasi akibat inflamasi dalam apendiks nya. hari sebelum operasi,

perawat prosedur datang ke Rachel dan orang tuanya, menjelaskan PAD operasi serta proses-

proses penyakit. rachel tampaknya ketakutan, karena pengalaman operasi pertamanya. Perawat

mencoba menjelaskan lagi dan memastikan bahwa semuanya akan berada di bawah kendali. hari

ini jadwal Rachel operasi, perawat mempersiapkan Rachel di lingkungan dan menyampaikan ke

departemen bedah. perawat dalam operasi departemen memeriksa pasien pertama dan

menjelaskan prosedur, maka Rachel dikirim ke ruang operasi.))

Scenario 4 ( setting: ward post operative)


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the appendices surgery has already finished, after the patient is conscious and delivered to ward,

nurse observes and checks the patient first such as consciousness level, vital sign, peristaltic

sound etc., nurse explains the mobilization technique in the following day of Rachel care in this

ward. five days after the surgery prosedure, Rachel in given permission to come back in her daily

activities and nurse gives the discharge planning, regarding Rachel condition.

((operasi apendiks telah selesai, setelah pasien sadar dan dikirim ke bangsal, perawat

mengamati dan memeriksa pasien pertama seperti tingkat kesadaran, tanda vital, dll suara

peristaltik, perawat menjelaskan teknik mobilisasi di hari berikutnya perawatan Rachel di

bangsal ini. lima hari setelah operasi Prosedure, Rachel dalam izin yang diberikan untuk kembali

dalam kegiatan sehari-hari dan perawat memberikan perencanaan pulang, mengenai kondisi

Rachel.))

NURSING ASSESSMENT (( pengkajian perawat))

Assessment is the first step of nursing process. nursing assessment includes two steps. the first

step involves the collection and verification of primary source (client) and secondary source (e.g.

family, health profesisional, medical record). the second step involves the analysis of all data as a

basis for developing nursing diagnoses and an individualized plan of care for the client. the

purpose of assessment is to establish a database about the client's perceived need, health problem

and responses to the problems. these problem are expressed as either actual or potential.

there are 3 components of a nursing assessment:


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1. nursing history

taking a nursing history prior to the physical examination allows nurse to establish a rapport

with the patient and family. elements of the history include:

-health status

-course of present illness including symptoms

-current management of illness

-past medical of history including family's medical history

-social history

-perception of illness

2. psychological and social examination

the psychosocial examination may include:

-client's perception (why they think they have been referred/being assessed; what they hope to

gain from the meeting)

-emotional health (mental health state, coping styles, etc)

-social health (accommodation, finances relationship, genogram, employment status, ethnic

background, support networks, etc)

-physical health (general health, illness, previous history, appetite, weight, sleep pattern,diurinal variations, alcohol, tobacco, street drugs, list any prescribed medication with

comments on effectiveness)

-spiritual health (is religion important? if yes, in what way? what/who provides a sense of

purpose?)

-intellectual health (cognitive functioning, hallucinations, delusions, concentration, interestsm

hobbies, etc)

3. physical examination

a nursing assessment includes a physical examination: the observation or measurement sign,

which can be observed or measured, or symptom such as a nausea or vertigo, which can be felt

by the patient. the techniques used may include palpitation, auscultation and percussion


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addition to the vital sign of temperature, blood pressure, pulse, respiratory rate, and further

examination of the body system, such as the cardiovascular or musculoskeletal systems.

Pengkajian adalah langkah pertama dari proses keperawatan. keperawatan penilaian meliputi

dua langkah. langkah pertama melibatkan pengumpulan dan verifikasi sumber utama (klien)

dan sumber sekunder (misalnya keluarga, kesehatan profesisional, rekam medis). langkah

kedua melibatkan analisis dari semua data sebagai dasar untuk mengembangkan diagnosa

keperawatan dan rencana perawatan individual untuk klien. tujuan penilaian adalah untuk

membangun database tentang dirasakan klien, masalah kebutuhan kesehatan dan tanggapan

terhadap masalah. Masalah ini dinyatakan sebagai baik aktual atau potensial.

ada 3 komponen penilaian keperawatan:

1. riwayat keperawatan

mengambil sejarah keperawatan sebelum pemeriksaan fisik memungkinkan perawat untuk

membangun hubungan dengan pasien dan keluarga. unsur riwayat meliputi:

-status kesehatan

-perjalanan penyakit ini termasuk gejala-saat ini manajemen penyakit

-masa lalu sejarah medis termasuk riwayat kesehatan keluarga

-sosial riwayat

-persepsi penyakit

2. pemeriksaan psikologis dan sosial

pemeriksaan psikososial dapat mencakup:-klien persepsi (mengapa mereka pikir mereka telah dirujuk / sedang dinilai, apa yang mereka

harapkan untuk memperoleh hasil dari pertemuan)

-emosional kesehatan (kondisi kesehatan mental, gaya koping, dll)

-kesehatan sosial (akomodasi, keuangan hubungan, genogram, status pekerjaan, latar belakang


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etnis, jaringan dukungan, dll)

-kesehatan fisik (kesehatan penyakit, umum, riwayat sebelumnya, nafsu makan, berat badan,

pola tidur, variasi diurinal, alkohol, tembakau, obat jalanan, daftar setiap obat resep dengan

komentar pada efektivitas)

-spiritual kesehatan (adalah agama yang penting? jika ya, dalam hal apa? apa / siapa yang

memberikan rasa tujuan?)

-intelektual kesehatan (fungsi kognitif, halusinasi, delusi, konsentrasi, interestsm hobi, dll)

3. pemeriksaan fisik

penilaian keperawatan meliputi pemeriksaan fisik: tanda pengamatan atau pengukuran, yang

dapat diamati atau diukur, atau gejala seperti mual atau vertigo, yang dapat dirasakan oleh

pasien. teknik yang digunakan mungkin termasuk palpitasi, auskultasi dan penambahan perkusi

ke tanda vital temperatur, tekanan darah, denyut nadi, laju pernapasan, dan pemeriksaan lebih

lanjut dari sistem tubuh, seperti sistem kardiovaskular atau muskuloskeletal.

polite request

patient in hospital are usually anxious and fearful. it is important that hospital and staff put

them and their ease by being polite and pleasant. the following drills teach you polite forms inenglish. be careful about the way your voice rises and falls when you say these sentences. listen

to the way the teacher say the sentence.

see the difference between command and request

sopan permintaan

pasien di rumah sakit biasanya cemas dan takut. adalah penting bahwa rumah sakit dan staf

menempatkan mereka dan kemudahan mereka dengan bersikap sopan dan menyenangkan.

latihan berikut ini mengajarkan Anda bentuk sopan dalam bahasa Inggris. berhati-hati tentang

cara suara Anda naik dan turun ketika Anda mengatakan kalimat-kalimat ini. mendengarkan cara

guru mengucapkan kalimat tersebut.

melihat perbedaan antara perintah dan permintaan


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percakapannya

in the clinic

doctor : Rachel, how do you feel now? (While looking at Rachel)

Rachel : I feel sick (crying)

rachel father's : does rachel required hospitalization doctor? (worried)

doctor : sir, rachel will stay here. This nurse will escort you to the room inpatient.

clinics nurse escort rachel and her father to Anna ward, room 9. in the room, ward nurses will

waiting rachel. Rachel is sleeping in the bed and his father was at his side.

Clinics nurse : nurses, this is Rachel.

Ward nurse : yes mom, I've studied the status of Rachel

Clinics nurse : if there is a problem tell the nurses room

Ward nurse : yes mom, thank you very much.

.;.

in the Rachels room. nurses doing assessments.

Ward nurse : hi Rachel, introduce my self. My name is Nurmala. You can call me Nurse Mala.

how are you today?

Rachel : Im sick (crying)

Ward nurse :

hours later the doctor to come

doctor : hi Rachel, how are tou feeling today? (smile)

Rachel : (be silent)

rachel father's : rachel still sick. how do doctor?

Doctor : dont worry sir. we will treat Rachel to recover.

nurse, I prescribed the drug. Please you will give to Rachel. (checking Rachel)

Ward nurse : yes Sir, I do.

Doctor : I've finished examining you. Now, I'm going, but I'll be back again.


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take the medicine so that you get better soon. (walked out of the Rachels room)

next day ward nurses :

scenario b.inggris 2

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