tugas bu dewi - copy

8/17/2019 Tugas Bu Dewi - Copy

1/19

TUGAS :

ASUHAN KEPERAWATAN KLIEN DENGAN SKOLIOSIS

OLEH

KELAS N2

KOMANG RUDI ADNYANA

AMINARSIH HUSMIN

HIKMAWATI

RAFLIN

ADE SELVIANA

PROGRAM STUDI ILMU KEPERAWATAN

SEKOLAH TINGGI ILMU KESEHATAN

MANDALA WALUYA

KENDARI

2016


2/19

BAB I

PENDAHULUAN

1.1 LATAR BELAKANG

Skoliosis !"#s#l $#"i k#%# Y&'#'i 1 (#') !"#"%i l!')k&')#'*

+!')#'$&') #"%i ko'$isi ,#%olo)ik-V!"%!"# s!".ik#l*%o"#k#l* $#' l&+#l

+!+!'%&k kol&+'# .!"%ik#l $!')#' ,&s#% .!"%!"# !"#$# ,#$# )#"is %!')#/-

Skoliosis #$#l#/ $!o"+i%#s %&l#') !l#k#') (#') +!'))#+#"k#' $!.i#si

.!"%!"# k!#"#/ l#%!"#l $#' "o%#sio'#l- !'%&k skoliosis (#') ,#li') s!"i')

$i&+,#i #$#l#/ $!o"+i%#s %"i,#'#l $!')#' ko+,o'!' l#%!"#l*#'%!"io"

,os%!"io" $#' "o%#sio'#l-

Skoliosis $#,#% $i#)i #%#s $ (#i%& skoliosis s%"&k%&"#l $#' 'o'

s%"&k%&"#l 3,os%&"#l4- P#$# skoliosis ,os%&"#l* $!o"+i%#s !"si#% s!k&'$!" #%#&

s!#)#i ko+,!'s#si %!"/#$#, !!"#,# k!#$##' $il" %&l#') !l#k#')*

+is#l'(# $!')#' k#ki (#') ,!'$!k* #%#& k!+i"i')#' ,!l.is #ki#% ko'%"#k%&"

,i'))&l* il# ,#si!' $&$&k #%#& $#l#+ k!#$##' l!ksi +#k# k&".# %!"s!&%

+!')/il#')- P#$# skoliosis s%"&k%&"#l %!"#,#% $!o"+i%#s (#') %i$#k $#,#%

$i,!"#iki ,#$# s!)+!' %&l#') !l#k#') (#') %!"k!'#- Ko+,o'!' ,!'%i') $#"i

$!o"+i%#s i%& #$#l#/ "o%#si .!"%!"#5 ,"o!ss&s s,i'os&s +!+&%#" k!#"#/

ko'k#.i%#s k&".#-

Skoliosis s%"&%&"#l $#,#% $i#)i +!'#$i %i)# k#%!)o"i &%#+# :

ko')!'i%#l* '!&"o+&sk&l#"* $#' skoliosisi$io,#%ik- S!ki%#" 708 skoliosis

#$#l#/ i$io,#%ik* Skoliosis i$io,#%ik $!')#' k&".# l!i/ $#"i 10 $!"##%

$il#,o"k#' $!')#' ,"!.#l!'si 0*9; ,!" 100 #'#k $#' "!+##- P"!.#l!'si

$il#,o"k#' ,#$# k&".# l!i/ $#"i ;0 $!"##% (#i%& 1*9; ,!" 1000 ,!'$&$&k-

I'si$!' (#') %!"#$i ,#$# skoliosis i$io,#%ik i'#'%il !".#"i#si* '#+&'

$il#,o"k#' ,#li') #'(#k $i&+,#i $i E"o,# $#"i,#$# A+!"ik# U%#"#* $#'

l!i/ #'(#k l#kil#ki $#"i ,#$# ,!"!+,'-

1.2 RUMUSAN MASALAH

#- #)#i+#'# #'#%o+i isiolo)i %&l#') !l#k#')<

- #)#i+#'# ko's!, ,!'(#ki% $#"i skoliosis


3/19

- A,# s## (#') +!'#$i ko+,lik#si $#"i soliosis<

$- #)#i+#'# ,!'#%#l#ks#'##' +!$is $#"i soliosis<

!- #)#i+#'# #s&/#' k!,!"#=#%#' $#"i soliosis<

1.3 TUJUAN PENULISAN

#- U'%&k +!')!%#/&i #'#%o+i isiolo)i $#"i %&l#') !l#k#')

- U'%&k +!')!%#/&i ko's!, ,!'(#ki% $#"i skoliosis

- U'%&k +!')!%#/&i ko+,lik#si $#"i soliosis

$- U'%&k +!')!%#/&i ,!'#%#l#ks#'##' +!$is $#"i soliosis

!- U'%&k +!')!%#/&i #s&/#' k!,!"#=#%#' $#"i soliosis

BAB II

PEMBAHASAN

2.1 ANATOMI FISIOLOGI TULANG BELAKANG

A- Rs"s T&l#') !l#k#')


4/19

!'%&k $#"i %i#,%i#, "s %&l#') !l#k#') ,#$# &+&+'(# s#+#*

/#'(# #$# ,!"!$##''(# s!$iki% %!")#'%&') ,#$# k!"# (#') $i%#')#'i'(#-

Rs"s i'i %!"$i"i $#"i !!"#,# #)i#' :

1- #$#' "s- M!"&,#k#' #)i#' (#') %!"!s#"* !'%&k'(# %!#l $#' k%

%!"l!%#k $i s!!l#/ $!,#'-

2- L!')k&') "s- #)i#' (#') +!li')k#"i $#' +!li'$&')i l&#') "s

%&l#') !l#k#')* %!"l!%#k $i s!!l#/ !l#k#') $#' ,#$# #)i#' i'i

%!"$#,#% !!"#,# %o'ol#'* (#i%& :

#4 P"os!s&s s,i'os&s>%#& $&"i* %!"$#,#% $i %!')#/%!')#/ l!')k&')

"s* +!'o'ol k! !l#k#')-

4 P"os!s&s %"#'.!"s&+>%#& s#(#,* %!"$#,#% $i s#+,i') ki"i $#' k#'#'

l!')k&') "s-

4 P"os!s&s #"%&k&l#"is>%#& ,!'(!'$i* +!+!'%&k ,!"s!'$i#' $!')#'

"s %&l#') !l#k#')-

- F&')si "s %&l#') !l#k#') :

1- M!'#/#' k!,#l# $#' #l#%#l#% %&&/ (#') l#i'

2- M!li'$&')i #l#% /#l&s (#') #$# $i $#l#+'(# 3s&+s&+ %&l#')4

;- T!+,#% +!l!k#%'(# %&l#') i)# $#' %&l#') ,#'))&l

?- M!'!'%&k#' sik#, %&&/

@- #)i#'#)i#' $#"i "s %&l#') !l#k#') :

V!"%!"# s!".ik#lis "s- M!+,&'(#i #$#' "s k!il $#' l&#')

"s'(# !s#"- P#$# %#& s#(#,'(# %!"$#,#% l&#') %!+,#% l#l&'(# s#"#

(#') $is!&% o"#+!' %"#'s.!"s#lis- Rs ,!"%#+# %&l#') s!".ik#lis $is!&%

#%l#s (#') +!+&')ki'k#' k!,#l# +!')#'))&k- Rs k!$ $is!&% #ksis

(#') +!+&')ki'k#' k!,#l# !",&%#" k! ki"i $#' k! k#'#'- Rs k!

+!+,&'(#i %#& (#') $is!&% ,"os!s&s ,"o+i'#'-V!"%!"# %o"#k#lis %!"$i"i

$#"i 12 "s- #$#'

"s'(# !s#" $#' k%* %#& $&"i'(# ,#'#') $#' +!l!')k&')- P#$# #)i#' $#%#"#' s!'$i s!!l#/ #%#s* #=#/* ki"i $#' k#'#' +!+!'%&k

,!"s!'$i#' $!')#' %&l#') i)#- V!"%!"# l&+#lis %!"$i"i $#"i 9 "s- #$#'

"s'(# !s#"* %!#l $#' k%* %#& $&"i'(# #)#k ,i#k- #)i#' "s k!9

#)#k +!'o'ol $i s!&% ,"o+o'%o"i&+-V!"%!"# s#k"#lis %!"$i"i $#"i 9 "s-

Rs"s'(# +!'#$i s#%&* s!/i'))# +!'(!"&,#i s!/ %&l#')- Di

s#+,i') ki"i $#' k#'#' %!"$#,#% l&#')l&#') k!il 9 / (#') $is!&%

o"#+!' s#k"#lis- V!"%!"# koksi)i#lis %!"$i"i $#"i ? "s- Rs"s'(#

k!il $#' +!'#$i s!/ %&l#') (#') $is!&% &)# os koksi)i#lis-


5/19

2.2 KONSEP PENYAKIT

A- D!i'isi

Soliosis #$#l#/ k!l!')k&')#' %&l#') !l#k#') (#') #'o"+#l k! #"#/

s#+,i')* (#') $#,#% %!"#$i ,#$# s!)+!' s!".ik#l 3l!/!"4* %o"#k#l 3$#$#4

+#&,&' l&+#l 3,i'))#')4- Skolisis +!"&,#k#' ,!'(#ki% %&l#') !l#k#')

(#') +!'#$i !')kok k! s#+,i') ki"i #%#& k#'#' s!/i'))# =&&$'(#


6/19

+!"&,#k#' !')kok !'ol#' (#') $#,#% $ili/#% $!')#' !l#s $#"i #"#/

!l#k#')- P!'(#ki% i'i &)# s&li% &'%&k $ik!'#li k!li s!%!l#/ ,!'$!"i%#

+!'i')k#% +!'#$i $!=#s# 3Mio'* Ros+#=#%i* 2004-

- E%iolo)i

1- Ko')!'i%#l 3#=##'4* i#s#'(# !"/&&')#' $!')#' s%& k!l#i'#' $#l#+

,!+!'%&k#' %&l#') !l#k#') #%#& %&l#') "&s&k (#') +!'(#%&

2- N!&"o+&sk&l!"* ,!')!'$#li#' o%o% (#') &"&k #%#& k!l!+#/#' o%o% #%#&

k!l&+,&/#' #ki#% ,!'(#ki% !"ik&%:

#4 @!"!"#l ,#ls(

4 Dis%"oi o%o%

4 Polio

$4 Os%!o,o"osis &.!'il!3. I$io,#%ik* ,!'(!#'(# %i$#k $ik!%#/&i-

?- F#k%o" )!'!%i

Dil#,o"k#' #/=# #k%o" )!'!%ik +!+,&'(#i ko+,o'!' ,#$#

,!"k!+#')#' soliosis* %!"#$i ,!'i')k#%#' i'si$!' ,#$# k!l")# ,#si!'

$!')#' soliosis i$io,#%ik $i#'$i')k#' $!')#' ,#si!' (#') %i$#k

+!+,&'(#i "i=#(#% ,!'(#ki% soliosis-

9- F#k%o" /o"+o'#l-

D!isi!'si +!l#%o'i' $i#&k#' s!)#i ,!'(!# soliosis- S!k"!si

+!l#%o'i' ,#$# +#l#+ /#"i +!'(!#k#' ,!'&"&'#' ,"o)"!si.i%#s

soliosis $i#'$i')k#' $!')#' ,#si!' %#',# ,"o)"!si.i%#s- Ho"+o'

,!"%&+&/#' &)# $i$&)# +!+,&'(#i ,!"#'#' ,#$# ,!"k!+#')#'

skoliosis- K!!,#%#' ,"o)"!si.i%#s skoliosis ,#$# &+&+'(# $il#,o"k#'

,#$# ,#si!' $!')#' )"o=%/ /o"+o'!-

6- P!"k!+#')#' S,i'#l $#' T!o"i io+!k#'ik

A'o"+#li%#s $#"i +!k#'is+! ,!"%&+&/#' s,i'#l &)# +!'&'&kk#'

,!'(!# $#"i ,!"k!+#')#' $#' ,"o)"!si.i%#s skoliosis* $i+#'#

$i/&&')k#' $!')#' =#k%& k!!,#%#' ,!"%&+&/#' ,#$# "!+##-

- A'o"+#li%#s B#"i')#'-

!!"#,# %!o"i $i#&k#' s!#)#i ko+,o'!' s%"&k%&"#l ,#$# ko+,o'!'

%&l#') !l#k#') 3o%o%* %&l#')* li)#+!'%&+ $#' #%#& $is&s4 s!#)#i

,!'(!# skoliosis- !!"#,# %!o"i $i$#s#"i #%#s os!".#si ,#$# ko'$isi

s!,!"%i s('$"o+! M#"#'

@- F#%o" R!siko


7/19

S#+,#i s##% i'i !"#)#i /#sil ,!'!li%i#' ,&' +#si/ si+,#') si&"-

M!ski $!+iki#'* ,#"# #/li s!,!'$#,#% #/=# #$# #k%o"#k%o" (#') +!+%

s!s!o"#') +!+iliki "isiko l!i/ !s#" %!"k!'# skoliosis $#"i,#$# o"#') l#i'-

!"#)#i #k%o" %!"s!&% #'%#"# l#i':

1- B!'is k!l#+i'-

D#"i #'(#k k#s&s* k#&+ H#=# l!i/ #'(#k %!"s!"#') skoliosis

$#"i,#$# k#&+ A$#+- S!l#i' i%&* $!"##% l!')k&')#' ,#$# =#'i%# i#s#'(#

l!i/ ,#"#/ $i#'$i')k#' ,#$# k#&+ ,"i#- Al#s#' +!')#,# /#l i'i %!"#$i

+#si/ !l&+ $ik!%#/&i $!')#' ,#s%i-

2- Usi#-

P!'(#ki% skoliosis i'i l!i/ #'(#k +!'(!"#') "!+## ,!"!+,'k#"!'# !"/&&')#' $!')#' #k%o" )!'!%ik- L#kiCl#ki $!')#' ,"os!'%#s!

s!ki%#" ?0C60 ,!"s!' 3 K!%&%* 20064- S!'#$# $!')#' /#l %!"s!&%* ,!'(#ki%

i'i #'(#k $ik!%!+&k#' $#l#+ &si# "!+## $i+#'# s##% "!+## %!"#$i

,!"!,#%#' $#"i ,!"%&+&/#' i#s#'(# ,!'(#ki% i'i $i"#s#k#' ,#$# &+&"

s!ki%#" 10 %#/&' s#+,#i &+&" ,!"%&+&/#' %&l#') !"/!'%i 3 So!%i'i')si/*

200?4-

;- D!"##% l!')k&') %&l#')-

S!+#ki' !s#" $!"##%'(#* s!+#ki' !s#" k!+&')ki'#' !"%#+#/

,#"#/ $#' s&s#/ &'%&k $i%#')#'i

?- Lok#si-

L!k&k#' (#') %!"#$i ,#$# %&l#') ,&'))&') #)i#' #=#/ l!i/

k!il k!+&')ki'#' !"%#+#/ ,#"#/* $i#'$i')k#' $!')#' l!k&k#' ,#$#

%&l#') ,&'))&') #)i#' #%#s-

9- G#'))' %&l#') ,&'))&') #=##'-

A'#k (#') l#/i" $!')#' skoliosis 3skoliosis ko')!'i%#l4 s#')#%

!",!l') &'%&k !"%#+#/ ,#"#/ k!#$##''(#-

6- k!l#i'#' s#"#* k!%&"&'#'* $#' ,!'(#ki% i'!ksi

D- M#'i!s%#si kli'is

G!#l#'(# !"&,#:

1- T&l#') !l#k#') +!l!')k&') s!#"# #'o"+#l k! #"#/ s#+,i')

2- #/& $#'>#%#& ,i'))&l ki"i $#' k#'#' %i$#k s#+# %i'))i'(#

;- N(!"i ,&'))&')

?- K!l!l#/#' ,#$# %&l#') !l#k#') s!%!l#/ $&$&k #%#& !"$i"i l#+#

9- Skoliosis (#') !"#% 3$!')#' k!l!')k&')#' (#') l!i/ !s#" $#"i 6084

is# +!'(!#k#' )#'))' ,!"'##s#'- K!#'(#k#' ,#$# ,&'))&')

#)i#' #%#s* %&l#') !l#k#') +!+!')kok k! k#'#' $#' ,#$# ,&'))&')


8/19

#)i#' #=#/* %&l#') !l#k#') +!+!')kok k! ki"i5 s!/i'))# #/& k#'#'

l!i/ %i'))i $#"i #/& ki"i- Pi'))&l k#'#' &)# +&')ki' l!i/ %i'))i $#"i

,i'))&l ki"i-

M!'&"&% D" Sio= $#l#+ #"%ik!l (#') $i%&lis ol!/ No"l#il# H-

B#+#l&$$i' 3B#+#l&$$i'* 2004* skoliosis %i$#k +!'&'&kk#' )!#l# #=#l-

K!s#''(# /#'(# $#,#% $ili/#% #,#il# %&l#') !l#k#') +&l#i !')kok- Bik#

k!#$##' !"%#+#/ &"&k* skoliosis +!'(!#k#' %&l#') "&s&k %!"%o'ol

k!l" $#' ,!'$!"i%# +&')ki' +!')#l#+i +#s#l#/ s#ki% !l#k#') s!"%# s&k#"

!"'##s- D#l#+ k!#'(#k#' ko'$isi* skoliosis /#'(# $i!"i ,!"/#%i#' #,#il#

,!'$!"i%# +&l#i +!'i%ik !"#%k#' so#l ,!'#+,il#' $i"i- W#l#&,&' skoliosis

%i$#k +!'$#%#')k#' "#s# s#ki%* "#%#"#%# ,!'$!"i%# +!"#s# +#l& $#' "!'$#/

$i"i-

2.3 KOMPLIKASI

A- S(s%!+ ,!"'##s#'

P#$# skoliosis !"#%* $i +#'# l!')k&')#' l!i/ $#"i 0 $!"##%* i)#

#k#' +!'!k#' ,#"&,#"&* s!/i'))# +!'i+&lk#' k!s&li%#' !"'##s-

!')kok'(# %&l#') !l#k#') &)# is# +!')#ki#%k#' .ol&+! ,#"& ,#"&

#%#&,&' "o'))# $#$# #$i !"k&"#') k#"!'# s!#)i#' !')kok'(# %&l#')

+!')#+il "') #%#& %!+,#% ,#"& ,#"&- 3K!%&%* 2004-

- S(s%!+ k#"$io.#sk&l!"

P#$# l!')k&')#' (#') l!i/ !s#" $#"i 100 $!"##%* k!"&s#k#'

&k#' /#'(# ,#$# ,#"&* '#+&' &)# ,#$# #'%&')- P#$# k!#$##' $!+iki#'*

i'!ksi ,#"& %!"&%#+# "#$#') ,#"& #k#' +&$#/ %!"#$i- #'%&') &)# #k#'

+!')#l#+i k!s&k#"#' +!+o+,# $#"#/- D#l#+ k!#$##' i'i* ,!'$!"i%#

l!i/ +&$#/ +!')#l#+i ,!'(#ki% ,#"&,#"& $#' ,'!&+o'i#-@- S(s%!+ +&s&losk!l!%#l

P#$# !!"#,# ,!'!li%i#'* $is!&%k#' #/=# skoliosis $!,#'

+!'i+&lk#' "isiko k!/il#')#' $!'si%#s %&l#') 3os%!o,!'i#4- T!"&%#+#

,#$# =#'i%# (#') +!'$!"i%# skoliosis s!#k "!+## $#' "isiko +!'$!"i%#

os%!o,o"osis #k#' +!'i')k#% !"s#+##' $!')#' !"%#+#/'(# &si#- S!l#i'

,os%&" %&&/ (#') !l!k* skoliosis %i')k#% "i')#' $#' s!$#') #"&

+!'i+&lk#' k!l&/#' il# s&$#/ !"&si# $i #%#s ;9 %#/&'- K!l&/#' (#')

+!"!k# $!"i%# i#s#'(# s#ki% k"o'is $i $#!"#/ ,i'))#') (#') l!i/ $i'i


9/19

$i#'$i')k#' o"#') (#') 'o"+#l s!&si#'(#- H#l i'i #ki#% ,"os!s

$!)!'!"#si (#') l!i/ $i'i- D#!"#/ (#') +!'!"i+# !#' (#') !"l!i/#'

3$#!"#/ !k&')o'#.!4 #k#' l!i/ !,#% +!')#l#+i ,"os!s $!)!'!"#si

i'i- P#$# k!'(#%##''(# skoliosis #k#' +!'#$i ,"ol!+ (#') ,!"l&

+!'$#,#% ,!"/#%i#' $i +#s# (#') #k#' $#%#')-

D- S(s%!+ ,!'!"'##'

Sis%!+ ,!'!"'##' %!")#'))& k#"!'# "') $i ,!"&% %!"$!s#k

%&l#')* s!/i'))# k!"# ,!"is%#l%i &s&s ki#' +!'&"&'-

E- S(s%!+ '!&"o+&sk&l!"

!"$#+,#k %i$#k #ik ,#$# s%"&k%&" $is!ki%#"'(#* s#l#/ s#%&'(#

#$#l#/ +!'!k#' s#"# (#') !"s!li=!"#' $i %&l#') !l#k#')* )!#l#'(#

$#,#% !"&,# ,!)#l* k!s!+&%#'* s&li% !"'##s 3k#"!'# &')si ,#"&,#"& $#'

#'%&') %!")#'))&4* !,#% +!"#s# l!l#/* s&s#/ &'%&k ok&s* $#' l#i'

s!#)#i'(#-

2.4 PENATALAKSANAAN MEDIS

T&' $il#k&k#''(# ,!'#%#l#ks#'##' ,#$# skoliosis +!li,&%i ? /#l

,!'%i') :

#- M!'!)#/ ,"o)"!sii%#s $#' +!+,!"%#/#'k#' k!s!i+#')#'

- M!+,!"%#/#'k#' &')si "!s,i"#si

- M!')&"#')i '(!"i $#' +!+,!"#iki s%#%&s '!&"olo)is

$- Kos+!%ik

A- P!')o#%#'

T&' ,!')o#%#' :

• M!'!)#/ ,"o)"!si.i%#s skoliosis "i')#' s#+,#i s!$#')-

• M!l#k&k#' ko"!ksi $#' s%#ilis#si ,#$# skoliosis (#') l!i/ !"#% !'is

,!')o#%#' (#') $is!sik#' $!')#' ,!'(!#* o's!% %!"#$i'(#* &+&"

,!'$!"i%#* !s#"'(# k&".# $#' ,"o)"!si.i%#s skoliosis-

1- P!')o#%#' ko's!".#%i

H#+,i" s!+ skoliosis $#,#% $i%#')#'i $!')#' %!"#,i

ko's!".#%i- P!')o#%#' ko's!".#%i $i,!"%#/#'k#' s#+,#i %!"#$i

,!+#%#')#' ,!"%&+&/#' %&l#')- P"i'si, ,!')o#%#' ko's!".#%i

%!"$i"i #%#s $is%"#ksi* %"#ksi* ,!'!k#'#' lok#l #%#& s!+##+ ko+i'#si-

P!')o#%#' ko's!".#%i %!"$i"i #%#s :

#- Os!".#si


10/19

Os!".#si +!"&,#k#' s%& ,!+!"iks##' (#') %!"#%&" s!%i#,

6 &l#' &'%&k +!'il#i ,"o)"!si.i%#s $#"i s&$&% s!/i'))# $#,#%

$i,&%&sk#' %i'$#k#' (#') #k#' $il#k&k#'-

- L#%i/#'

D#,#% $il#k&k#' l#%i/#' sik#, $&$&k* !"$i"i* !"#l#'*

"!l#ks#si o%o% (#') %!)#')* l#%i/#' ,!"'##s#' s!"%# +oilis#si ,#$#

#"i')#' l&'#k (#') +!+!'$!k-

- P!+#s#')#' ,!'(#'))#

S!,!"%i ,!'(#'))# $#"i +il=#&k!! #%#& ,!'(#'))# $#"i

os%o'- P!+%#' ,!'(#'))# i'i /#"&s $il#k&k#' ol!/ o"#') (#')

+!+,&'(#i k!#/li#' k/&s&s &'%&k ,!+%#' ,!'(#'))#

skoliosis-

$- P!+#s#')#' i$#i #%#& #k!% #$#' +!'&"&% Riss!" P#$# ,"i'si,'(#

,!+#k#i#' #k!% &'%&k %"#ksi $#' ,!'!k#'#' lo#l

- T!"#,i

A$#,&' ,ili/#' %!"#,i (#') $#,#% $i,ili/* $ik!'#l s!#)#i T/!

%/"!! Os #$#l#/ :

1- Os!".#si

P!+#'%#' $il#k&k#' ik# $!"##% skoliosis %i$#k !)i%& !"#%*

(#i%& 29o ,#$# %&l#') (#') +#si/ %&+&/ #%#& 90o ,#$# %&l#') (#')

s&$#/ !"/!'%i ,!"%&+&/#''(#- R#%#"#%# %&l#') !"/!'%i %&+&/

,#$# s##" &si# 1 %#/&'- P#$# ,!+#'%#' i'i* $il#k&k#' ko'%"ol o%o

,olos %&l#') ,&'))&') ,#$# =#k%&=#k%& %!"%!'%&- Fo%o ko'%"ol

,!"%#+# $il#k&k#' ; &l#' s!%!l#/ k&'&')#' ,!"%#+# k! $ok%!"- L#l&

s!ki%#" 6 &l#' !"ik&%'(# #)i (#') $!"##% 20J20-

2- O"%/osis

O"%/osis $#l#+ /#l i'i #$#l#/ ,!+#k#i#' #l#% ,!'(#'))# (#')

$ik!'#l $!')#' '#+# "#!- i#s#'(# i'$ik#si ,!+#k#i#' #l#% i'i

#$#l#/ :

#- P#$# k&'&')#' ,!"%#+#* $i%!+&k#' $!"##% ,!+!')kok#' s!ki%#"

;0?0o

- T!"$#,#% ,"o)"!sii%#s ,!'i')k#%#' $!"##% s!#'(#k 29 $!"##%-

B!'is $#"i #l#% o"%/osis i'i #'%#"# l#i' :

#- Mil=#&k!! "#! $#' os%o' "#! : Mil=#&k!! "#!* +&l#i $#"i

l!/!" /i'))# ,i'))&l* s&$#/ #"#') $i)&'#k'* "#! $#"i

Mil=#&k!! os%o' !!k%i $#l#+ +!')!'$#lik#' ,"o)"!si.i%#s


11/19

skoliosis* %!%#,i /#"&s $i,#s#') s!l#+# 2; #+>/#"i s#+,#i +#s#

,!"%&+&/#' #'#k !"/!'%i-

- @/#"l!s%o' !'$i') "#! : @/#"l!s%o' !'$i') "#! /#'(#

$i,#k#i =#k%& +#l#+- "#! i'i ,#$# l!')k&')#' %&'))#l $i

,i'))#')

;- O,!"#si

I'$ik#si $il#k&k#''(# o,!"#si ,#$# skoliosis #$#l#/ :

#- T!"$#,#% $!"##% ,!+!')kok#' J90 $!"##% ,#$# o"#') $!=#s#

- T!"$#,#% ,"o)"!sii%#s ,!'i')k#%#' $!"##% ,!+!')kok#' J?0?9

$!"##% ,#$# #'#k (#') s!$#') %&+&/

- T!"$#,#% k!)#)#l#' s!%!l#/ $il#k&k#' ,!+#k#i#' #l#% o"%/osis

T!k'ik o,!"#si &k&, $il#k&k#' $!')#' +!'(!+!' %&l#')

!l#k#') +!l#l&i ,!'(&'%ik#' #%#& $ik!'#l $!')#' .!"%!"o,l#s%(-

@#"# i%& $#,#% +!')&"#')i "#s# s#ki% $#' ,"os!s ,!'(!+&/#''(# ,&'

%!")olo') si')k#%* s!ki%#" S!!l&+ #$# %!k'ik .!"%!"o,l#s%(* o,!"#si

%&l#') !l#k#') $il#k&k#' $!')#' #"# ,!+!$#/#' s!l!#" 1? s#+,#i

16 +ili+!%!"- D!')#' ,"os!s i%&* ,#si!' +!s%i +!'#l#'i ,"os!s

,!'(!+&/#' s!l#+# !+,#% s#+,#i li+# /#"i-

A'#k#'#k (#') %i$#k #$# "!s,o' $!')#' "#!* (#')

l!')k&')#''(# J?9 $!"##% #%#& (#') +!+,&'(#i k!l&/#' %!"+#s&k

k!l#i'#' isik* '(!"i $#' )#'))' #'%&') #%#& ,#"&* s!#ik'(#

l#')s&') $io,!"#si- U+&+'(# o,!"#si (#') $il#k&k#' #$#l#/ &si

%&l#') !l#k#') $#"i !l#k#') 3,os%!"io" s,i'#l &sio'4 $!')#'

+!'))&'#k#' i'%!"'#l +!%#l i#%io' /i'))# &si %&l#') %!"#$i- Ti$#k

s!+ skoliosis $il#k&k#' o,!"#si-

2.5 PATOFISIOLOGIK!l#i'#' !'%&k %&l#') ,&'))&') (#') $is!&% soliosis i'i !"#=#l

$#"i #$#'(# s(#"# C s(#"# (#') l!+#/ #%#& #/k#' l&+,&/ (#') +!'#"ik

"s C "s %&l#') !l#k#')- T#"ik#' i'i !"&')si &'%&k +!'#)# "s %&l#')

!l#k#') !"#$# ,#$# )#"is (#') 'o"+#l (#') !'%&k '(# s!,!"%i ,!'))#"is

#%#& l&"&s- T!%#,i k#"!'# s%& /#l* $i#'%#"#'(# k!i#s##' $&$&k (#') +i"i')*

+!+% s!#)i#' s(#"# (#') !k!"# +!'#$i l!+#/- il# i'i %!"&s !"&l#')

+!'#$i k!i#s##'* +#k# s(#"# i%& #/k#' #k#' +#%i- I'i !"#ki#% ,#$#

k!%i$#ks!i+#')#' %#"ik#' ,#$# "s %&l#') !l#k#')- Ol!/ k#"!'# i%&* %&l#')


12/19

!l#k#') (#') +!'$!"i%# skoliosis i%& !')kok #%#& s!,!"%i /&"& S #%#& ,&'

/&"& @-

Skoliosis is# %!"#$i /#'(# ,#$# $#!"#/ %&l#') s,i'#lis %!"+#s&k

"o'))# %&l#') s,i'#l- L!')k&')#' $s#,#% !"=&&$ S > @- T#%#"#' l!')k&')#'

,!'%i') % $i k!%#/&i k#"!'# /#l is# +!'!'%&k#' &+l#/ %&l#') "&s&k ()

+!')#l#+i ,!")!s!"#'- P#$# %#%#"#' "oo%#si l!')k&')#' () &k&, !s#"

+&')ki' is# +!'!k#' +!+&'&lk#' k!%!"#%#s#' ,#$# o")#' ,!'%i')

(#i%& ,#"&,#"& #'%&')-

As,!k #+#% ,!'%i') %!"#$i'(# $!o"+i%#s i#l#/ ,"o)"!si.i%#s

,!"%&+&/#' %&l#')- D)' %!"#$i'(# ,!+!')kok#' %&l#') .!"%!"# k! #"#/l#%!"#l$i s!"%#i $)' "o%#si %&l#') !l#k#')- Ki#' +#& $iik&%io $)'

,!"%&+&/#' s!k&'$!" ,#$# %&l#') .!"%!"# i)#- K#"!'# k#"!'# #$#'(#

)#'))' ,!"%&+&/#' () +!+iliki si#% ,"o)"!si* $i s#+,i') %!"#$i

,!"&#/#' ,#$# .!"%!"#* ) %!"$#,% ,!"&##/#' ,#$# %&l#') i)#- Di+#'#

!"%#+#/'(# k&".# () +!'(!#k#' $!o"+i%#si %&l#') i)# s!+#ki' !l#s-

P#$# k#'#lis s,i'#lis %!"#$i ,!'$o"o')#' ,!'(!+,i%#' k#'#lis

s,i'#lis k#"!'# k#"!'# %!"#$i'(# ,!'!#l#' ,!+!'$!k#' l#+i'# ,#$# sisi

ko'k#- K!si+#')#' l!')k&')#' ) ,!'%i') k#"!'# +!+,!')#"&/i s%#ili%#s

$#$i %&l#') !l#k#') ,!")!"#k#' ,#'))&l-

2.6 ASUHAN KEPERAWATAN

A- P!')k#i#'

P!+!"iks##' isik +!li,&%i :

#- M!')k#i sk!l!% %&&/

A$#'(# $!o"+i%#s $#' k!s!##"#'-P!"%&+&/#' %&l#') (#')

#'o"+#l #ki#% %&+o" %&l#')-P!+!'$!k#' !ks%"!+i%#s* #+,&%#si $#'

#)i#' %&&/ (#') %i$#k $#l#+ k!s!##"#' #'#%o+is-A')&l#si

#'o"+#l ,#$# %&l#') ,#'#') #%#& )!"#k#' ,#$# %i%ik s!l#i' s!'$i

i#s#'(# +!'#'$#k#' #$#'(# ,#%#/ %&l#')-

- M!')k#i %&l#') !l#k#')

Skoliosis 3$!.i#si k&".#%&"# l#%!"#l %&l#') !l#k#')4

- M!')k#i sis%!+ ,!"s!'$i#'

Ls )!"#k#' $i!.#lsi #ik #k%i +#&,&' ,#si* $!o"+i%#s*

s%#ili%#s* $#' #$#'(# !'ol#'* #$#'(# k!k#k' s!'$i

$- M!')k#i s(s%!+ o%o%


13/19

K!+#+,' +!')&#/ ,osisi* k!k%#' o%o% $#' koo"$i'#si*

$#' &k&"#' +#si')+#si') o%o%-Li')k#" !ks%"!+i%#s &'%&k +!+!'%#&

#$#'(# !$!+# #%#& #%"o,i* '(!"i o%o%-

!- M!')k#i #"# !"#l#'(#

A$#'(# )!"#k#' (#') %i$#k %!"#%&" $i#'))#, %i$#k 'o"+#l- il#

s#l#/ s#%& !ks%"!+i%#s l!i/ ,!'$!k $#"i (#') l#i'- !"#)#i ko'$isi

'!&"olo)is% (#') !"/&&')#' $!')#' #"# !"#l#' #'o"+#l

3+is-#"# !"#l#' s,#s%i /!+i,#"!sis s%"ok!* #"# !"#l#'

s!l#')k#/s!l#')k#/*,!'(#ki% lo=!" +o%o" '!&"o'* #"# !"#l#'

!")!%#" C ,!'(#ki% P#"ki'so'4-- M!')k#i k&li% $#' si"k&l#si ,!"i!"

P#l,#si k&li% $#,#% +!'&'&kk#' #$#'(# s&/& (#')l!i/ ,#'#s

#%#& l!i/ $i')i' $#"i l#i''(# $#' #$#'(#!$!+#-Si"k&l#si ,!"i!"

$i!.#lsi $!')#' +!')k#i $!'(&% ,!"i!"* =#"'#* s&/& $#' =#k%&

,!')isi#' k#,il!"-

- Di#)'os! K!,!"#=#%#'

Di#)'os! (#') $i#')k#% $#"i ,#si!' (#') +!')#l#+i soliosis

#$#l#/ :1- K!%i$#k!!k%i#' ,ol# '#,#s !"/&&')#' $!')#' ,!'!k#'#' ,#"&

2- N(!"i ,&'))&') !"/&&')#' $!')#' ,osisi %&&/ +i"i') k! l#%!"#l

;- G#'))' +oili%#s isik !"/&&')#' $!')#' ,os%&" %&&/ () %#k

s!i+#')

?- G#'))' i%"# %&&/>ko's!, $i"i () !"/&&')#' $!')#' ,os%&" %&&/

() +i"i') k!l#%!"#l

@- I'%!".!'si

Di#)'os# T&' I'%!".!'si

K!%i$#k!!k%i#

' ,ol# '#,#s

!"/&&')#'

$!')#'

,!'!k#'#' ,#"&

S!%!l#/ $il#k&k#'

%i'$#k#' k!,!"#=#%#'

s!l#+# ; 2? #+

k!%i$#k!!k%i#' ,ol#

'##s $#,#% %!"#%#si

$!')#' k"i%!"i# /#sil :

M!'$!+o's%"#sik#

Ai"=#( M#'#)!+!'%

• &k# #l#' '##s*

)&'#k#' %!k'ik /i' li%

#%#& #= %/"&s% il# ,!"l&

• Posisik#' ,#si!' &'%&k

+!+#ksi+#lk#' .!'%il#si

• L#k&k#' isio%!"#,i $#$#

ik# ,!"l&


14/19

' #%&k !!k%i $#'

s"# '##s (#')

!"si/* %i$#k #$#

si#'osis $#'

$is,'!& 3+#+,&

+!')!l"k#'

s,&%&+* +#+,&

!"'##s $!')#'

+&$#/* %i$#k #$#

,&"s!$ li,s4

M!'&'&k#' #l#'

'##s (#') ,#%!'

3kli!' %i$#k +!"#s#

%!"!kik* i"#+#

'##s* "!k&!'si

,!"'##s#' $#l#+

"!'%#') 'o"+#l*

%i$#k #$# s"#

'##s #'o"+#l4

TTV $#l#+ "!'%#')

'o"+#l 3TD* '#$i*

,!"'##s#'4

• K!l"k#' s!k"!% $!')#'

#%&k #%#& s&%io'• A&sk&l%#si s"# '##s*

#%#% #$#'(# s"#

%#+#/#'

• !"ik#' ,!l!+# &$#"#

K#ss# #s#/ N#@l

L!+#

• A%&" i'%#k! &'%&k #i"#'

+!')o,%i+#lk#'k!s!i+#')#'-

• Mo'i%o" "!s,i"#si $#'

s%#%&s O2

• !"si/k#' +&l&%* /i$&')

$#' s!"!% %"#k!#

• P!"%#/#'k#' #l#' '##s

(#') ,#%!'

• Os!".#si #$#'(# %#'$#

%#'$# /i,o.!'%il#si

• Mo'i%o" #$#'(#

k!!+#s#' ,#si!'

%!"/#$#, oksi)!'#si

• Mo'i%o" .i%#l si)'

• I'o"+#sik#' ,#$# ,#si!'

$#' k!l")# %!'%#')

%!/'ik "!l#ks#si &'%&k+!+,!"#iki ,ol# '##s-

• A#"k#' #)#i+#'# #%&k

!!k%i

• Mo'i%o" ,ol# '##s

N(!"i ,&'))&')

!"/&&')#'

$!')#' ,osisi

%&&/ +i"i') k!

S!%!l#/ $il#k&k#'

%i'$#k#' k!,!"#=#%#'

s!l#+# ; 2? #+

'(!"i ,&'))&') $#,#%

Pai Maa!"#"$

• L#k&k#' ,!')k#i#'

'(!"i s!#"#

ko+,"!/!'si %!"+#s&k


15/19

l#%!"#l %!"#%#si $!')#' k"i%!"i#

/#sil :

M#+,&

+!')o'%"ol '(!"i

3%#/& ,!'(!#

'(!"i* +#+,&

+!'))&'#k#'

%!/'ik

'o'#"+#kolo)i

&'%&k +!')&"#')i

'(!"i* +!'#"i

#'%'4

M!')o'%"ol '(!"i

3%#/& ,!'(!#

'(!"i* +#+,&

+!'))&'#k#'

%!/'ik'o'#"+#kolo)i

&'%&k +!')&"#')i

'(!"i* +!'#"i

#'%'4

M!l#,o"k#' #/=#

'(!"i !"k&"#')

$!')#'

+!'))&'#k#'

+#'#!+!' '(!"i

M#+,& +!')!'#li

'(!"i 3sk#l#*

i'%!'si%#s*

"!k&!'si $#' %#'$#

'(!"i4

M!'(#%#k#' "#s#

lok#si* k#"#k%!"is%ik*

$&"#si* "!k&!'si* kli%#s

$#' #k%o" ,"!si,i%#si

• Os!".#si "!#ksi

'o'.!"#l $#"i

k!%i$#k'(#+#'#'

• #'%& ,#si!' $#'

k!l")# &'%&k +!'#"i

$#' +!'!+&k#'

$&k&')#'• Ko'%"ol li')k&')#' (#')

$#,#% +!+,!')#"&/i

'(!"i s!,!"%i s&/&

"')#'* ,!'#/#(##'

$#' k!isi')#'

• K&"#')i #k%o" ,"!si,i%#si

'(!"i

• K#i %i,! $#' s&+!"

'(!"i &'%&k +!'!'%&k#'

i'%!".!'si

• A#"k#' %!'%#') %!k'ik

'o' #"+#kolo)i: '#,#s

$#l#* "!l#ks#si* $is%"#ksi*

ko+,"!s /#')#%> $i')i'

• !"ik#' #'#l)!%ik &'%&k

+!')&"#')i '(!"i: ---

• Ti')k#%k#' is%i"#/#%

• !"ik#' i'o"+#si

%!'%#') '(!"i s!,!"%i

,!'(!# '(!"i* !"#,#

l#+# '(!"i #k#'

!"k&"#') $#' #'%isi,#si

k!%i$#k'(#+#'#' $#"i


16/19

'(#+#' s!%!l#/

'(!"i !"k&"#')

T#'$# .i%#l $#l#+

"!'%#') 'o"+#l

Ti$#k +!')#l#+i

)#'))' %i$&"

,"os!$&"

• Mo'i%o" .i%#l si)'

s!!l&+ $#' s!s&$#/

,!+!"i#' #'#l)!sik

,!"%#+# k#li

G#'))'

+oili%#s isik

!"/&&')#'

$!')#' ,os%&"

%&&/ () %#k

s!i+#')

S!%!l#/ $il#k&k#'

%i'$#k#' k!,!"#=#%#'

s!l#+# ; 2? #+

)#'))' +oili%#s

isik $#,#% %!"#%#si

$!')#' k"i%!"i# /#sil :

Kli!' +!'i')k#%

$#l#+ #k%i.i%#s

isik

M!')!"%i %&'

$#"i ,!'i')k#%#'

+oili%#s

M!+.!"#lis#sik#'

,!"#s##' $#l#+

+!'i')k#%k#'

k!k%#' $#'

k!+#+,'

!",i'$#/ M!+,!"#)#k#'

,!'))&'##' #l#%

#'%& &'%&k

+oilis#si 3=#lk!"4

E%"&'i(" $)"&a*+ ,

a#-/a$i0

•Mo'i%o"i') .i%#l si)'

s!!l&+>s!s&$#/ l#%i/#'

$#' li/#% "!s,o' ,#si!'

s##% l#%i/#'

•Ko's&l%#sik#' $!')#' %!"#,i

isik %!'%#') "!'#'#

#+&l#si s!si $!')#'

k!&%&/#'

•#'%& kli!' &'%&k

+!'))&'#k#' %o')k#% s##%

!"#l#' $#' !)#/

%!"/#$#, !$!"#

•A#"k#' ,#si!' #%#& %!'#)#

k!s!/#%#' l#i' %!'%#')

%!k'ik #+&l#si

•K#i k!+#+,' ,#si!'

$#l#+ +oilis#si

•L#%i/ ,#si!' $#l#+

,!+!'&/#' k!&%&/#'

ADLs s!#"# +#'$i"i

s!si k!+#+,'

•D#+,i')i $#' #'%& ,#si!'

s##% +oilis#si $#' #'%&

,!'&/i k!&%&/#' ADLs


17/19

,s-

•!"ik#' #l#% #'%& ik# kli!'

+!+!"l&k#'-

•A#"k#' ,#si!' #)#i+#'#

+!"&#/ ,osisi $#'

!"ik#' #'%' ik#

$i,!"l&k#'

G#'))' i%"#

%&&/>ko's!,

$i"i () !"/&&')#'

$!')#' ,os%&"

%&&/ () +i"i')

k!l#%!"#l

S!%!l#/ $il#k&k#'

%i'$#k#' k!,!"#=#%#'

s!l#+# ; 2? #+)#'))' i%"#

%&&/>ko's!, $i"i

$#,#% %!"#%#si $!')#'

k"i%!"i# /#sil :

o$( i+#)! ,osi%i

M#+,&

+!')i$!'%iik#si

k!k%#' ,!"so'#l M!'$isk"i,sik#'

s!#"# #k%l

,!"&#/#' &')si

%&&/

M!+,!"%#/#'k#'

i'%!"#ksi sosi#l

B0+ i#a!" ")a'"#"$

•G#i s!#"# .!"#l $#' 'o'

.!"#l "!s,o' kli!'

%!"/#$#, %&&/'(#

•Mo'i%o" "!k&!'si

+!')k"i%ik $i"i'(#

•B!l#sk#' %!'%#') ,!')o#%#'*

,!"#=#%#'* k!+#' $#'

,"o)'osis ,!'(#ki%

•Do"o') kli!'

+!')&')k#,k#'

,!"#s##''(#

•I$!'%iik#si #"%i ,!')&"#')#'

+!l#l&i ,!+#k#i#' #l#%

#'%&

•F#sili%#si ko'%#k $!')#'

i'$i.i$& l#i' $#l#+

k!lo+,ok k!il


18/19

BAB III

PENUTUP

3.1 KESIMPULAN

Skoliosis #$#l#/ k!l!')k&')#' %&l#') !l#k#') (#') #'o"+#l k! #"#/

s#+,i')* (#') $#,#% %!"#$i ,#$# s!)+!' s!".ik#l 3l!/!"4* %o"#k#l 3$#$#4

+#&,&' l&+#l 3,i'))#')4- P!'(!# &+&+ $#"i skoliosis +!li,&%i

ko')!'i%#l* '!&"o+&sk&l!" $#' i$io,#%ik* Skoliosis $i#)i +!'#$i $ (#i%&

skoliosis s%"&k%&"#l $#' 'o' s%"&k%&"#l- G!#l# $#"i skoliosis !"&,#

k!l!')k&')#' #'o"+#l k! #"#/ s#+,i')* #/& $#' ,i'))&l %i$#k s#+# %i'))i*

'(!"i ,&'))&')* k!l!l#/#' ,#$# %&l#') !l#k#')* $#' )#'))' ,!"'##s#'-

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19/19

DAFTAR PUSTAKA

M&%#i'* A"i- 2009- Buku Ajar Asuhan Keperawatan Klien Trauma Sistem

Muskuloskeletal - EG@ : B#k#"%#-

"!'$#* S&Q#''!- 2002- Keperawatan Medikal Bedah vol 3- EG@: B#k#"%#-

M#"$i+#' S"i* 17- Dokumentasi Persiapan Praktek Profesional Fisioterap-

Ak#$!+i Fisio%!"#,i S&"#k#"%#* D!,-K!s- RI* 17-

G#"$!'* H-F#!-3194- Fraktur ekstrimitas- I' G#""iso'*B-S&s#'- Dasardasar

Terapi dan !eha"ilitas Fisik - B#k#"%# : Hi,o"#%!s-

S#'%oso #(&- 1?- #an$$uan Tulan$ Belakan$ - P!"$&s"i- E$isi 2- S&"##(#-

/#l-26-

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