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LAPORAN PENDAHULUAN
ENSEFALITIS
Disusun Oleh:
Kelompok 2
1. Di No!i"# S
2. D$#h %h&is"$#n#
'. El(# )#$*io+. En((#& )#$nin(
,. Es"i Ri"# D
-. Fiin He&*i#n#
/. F&i0k# )ul$#ni
. He!i P#&sen"ik#
. I*# 3#h$unin(sih
14. Ismi 5
11. Kh#&ism# I"##ni12. Lis# A&i
1'. ).F#6ih
1+. )onik# D$#h
1,. ).Hu*#
PRODI DIII KEPERA3ATAN
SEKOLAH TIN77I IL)U KESEHATAN KUSU)A HUSADA
SURAKARTA
241,
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LAPORAN PENDAHULUAN
ENSEFALITIS
I. Konsep Pen$#ki"
A. Deinisi
Ense#li"is #*#l#h ineksi 8#&in(#n pe&enkim o"#k oleh 9e&9#(#i m##m
mik&oo&(#nisme. P#*# eneph#li"is "e&8#*i pe*#n(#n 8#&in(#n o"#k $#n( *#p#"
men(en#i sel#pu" pem9un(kus o"#k s#mp#i *en(#n me*ul# spin#lis ;Smel"0e&<
2442=.
Eneph#li"is #*#l#h ineksi $#n( men(en#i %NS $#n( *ise9#9k#n oleh!i&us #"#u mik&oo&(#nisme l#in $#n( men$e9#9k#n inlil"si limosi"ik $#n( ku#"
p#*# 8#&in(# o"#k *#n lep"omenin(en men$e9#9k#n e*em# se&e9l< *e(en#si sel
(#n(lion o"#k *#n keh#nun sel s# *iusi ;An#ni#< 244=.
Eneph#li"is #*#l#h *#n( 8#&in(#n o"#k $#n( *#p#" *ise9#9k#n oleh
9#k"e&i #in(< p&o"o0o#< 8#mu&< &ike"si# #"#u !i&us ;)#ns8oe&< 2444=
>. E"iolo(i
)ik&oo&(#nisme pen$e9#9 "e&8#*in$# ense#li"is menu&u" An#ni# ;244= *#n
Smel"0e& ;2442= #*#l#h se9#(i 9e&iku" :
1. )ik&oo&(#nisme : 9#k"e&i< p&o"o0o#< #in(< 8#mu&< spi&ok#e"# *#n !i&us.
)##m?m##m Eneph#li"is !i&us:
#. Ineksi !i&us $#n( 9e&si#" epi*e&mik :
1= 7olon(#n en"e&o!i&us @ Poliom$eli"is< !i&us os#kie< !i&us E%HO.
2= 7olon(#n #&9o!i&us @ 3es"e&n e6ui&e eneph#li"is< S". louis eneph#li"is<
E#s"e&n e6ui&e eneph#li"is< B#p#nese >. eneph#li"is< )u&$ !#lle$
eneph#li"is. 9. Ineksi !i&us $#n( 9e&si#" spo*ik : ies< he&pes simplek< he&pes 0os"e&<
limo(nulom#< mumps< limpho"i< ho&iomenin(i"is *#n 8enis l#in $#n(
*i#n((#p *ise9#9k#n oleh !i&us "e"#pi 9elum 8el#s.
. Eneph#li"is p#s# ineksio< p#s# mo&9ili< p#s# !#&isel#< p#s# &u9ell#< p#s#
!#ksini#< p#s# mononuleosis< ineksious *#n 8enis?8enis $#n( men(iku"i
ineksi "k"us &espi"o&ius $#n( "i*#k spesiik.
2. Re#ksin "oin sepe&"i p#*# "h$poi* e!e&< #mp#k< hiken po.
'. Keun#n : #&senik< %O.
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%. T#n*# *#n 7e8#l#
)eskipun pen$e9#9n$# 9e&9e*#?9e*#< (e8#l# klinis ense#li"is le9ih kun( s#m#
*#n kh#s< sehin((# *#p#" *i(un#k#n se9#(#i k&i"e&i# *i#(nosis. Se# umum<
(e8#l# 9e&up# T&i#s Ense#li"is $#n( "e&*i&i *#&i *em#m< ke8#n( *#n kes#*#n
menu&un. ;)#ns8oe&< 2444=. A*#pun "#n*# *#n (e8#l# ense#li"is se9#(#i 9e&iku" :
1. Suhu $#n( men*#*#k n#ik< se&in(k#li *i"emuk#n hipe&pi&eksi#
2. Kes#*#n *en(#n ep#" menu&un
'. )un"#h
+. Ke8#n(?ke8#n(< $#n( *#p#" 9e&si#" umum< ok#l #"#u "i"hin( s#8# ;ke8#n(?
ke8#n( *i muk#=
,. 7e8#l#?(e8#l# se&e9&um l#in< $#n( *#p#" "im9ul sen*i&i?sen*i&i #"#u 9e&s#m#?
s#m#< mis#l p#&esis #"#u p#lisis< ##si#< *#n se9#(#in$#.
D. P#"oisiolo(i
Ense#li"is menn(en#i p#&enkim o"#k. )ik&oo&(#nisme $#n men(ineksi s#l#h
s#"un$# #*#l#h !i&us.Ci&us m#suk "u9uh p#sien mel#lui kuli"< s#lun n##s *#n
s#lun e&n# *#n men((#n*#k#n *i&in$# *i&i p#*# 9#(i#n ineksi ##l< se"el#h
m#suk ke *#l#m "u9uh
men$e9#& ke o&(#n *#n 9e&kem9#n( 9i#k *i o&(#n "e&se9u".
2. Pen$e9#n mel#lui s#?s# : !i&us 9e&kem9#n( 9i#k *i pe&muk##n sel#pu"
len*i& *#n men$e9#& mel#lui sis"em s#.
)#s# P&o*&om#l 9e&l#n(sun( 1?+ h#&i *i"#n*#i *en(#n *em#m< s#ki" kep#l#<
pusin(< mun"#h< n$e&i "en((o&ok#n< m#l#ise< n$e&i eks"&emin"#s *#n pu#" .7e8#l#
l#in 9e&up# (elis#h< i&i"#9el< pe&u9#h#n pe&il#ku< (#n((u#n kes#*#n< ke8#n(.K#*#n(?k#*#n( *ise&"#i "#n*# Neu&olo(is "ok#l 9e&up# A#si#< Hemi#&esis<
Hemiple(i#< A"#ksi#< P#lisis s$# o"#k ;Smel"0e&< 2442=
http://nursingbegin.com/penyakit-rabies-serta-penatalaksanaannya/http://nursingbegin.com/gangguan-pengaturan-suhu-tubuh/http://nursingbegin.com/tingkat-kesadaran/http://nursingbegin.com/gangguan-pengaturan-suhu-tubuh/http://nursingbegin.com/tingkat-kesadaran/http://nursingbegin.com/penyakit-rabies-serta-penatalaksanaannya/
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E. P#"h#$
;E&#n*i< 2442=.
F. Komplik#si
1. Aku" :
#. E*em# o"#k.
9. SIADH.
. S"#"us kon!ulsi.
2. K&onik :
#. %e&e9l p#ls$. 9. Epileps$.
. 7#n((u#n !isus *#n pen*en(#n.
7. Peme&iks##n Penun8#n(
1. >i#k#n *#&i *#h : !i&emi# 9e&l#n(sun( h#n$# se9en"#& s#8# sehin((# suk#&
un"uk men*#p#"k#n h#sil $#n( posi"i. >i#k#n *#&i likuo& se&e9&ospin#lis #"#u
8#&in(#n o"#k ;h#sil nek&opsi=< #k#n *i*#p#" (#m9#n 8enis kum#n *#n
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sensi"i!i"#s "e&h#*#p #n"i9io"ik#. >i#k#n *#&i eses< un"uk 8enis en"e&o!i&us
se&in( *i*#p#" h#sil $#n( posi"i.
2. Peme&iks##n se&olo(is : u8i iks#si komplemen< u8i inhi9isi hem#(lu"in#si *#n
u8i neu"lis#si. P#*# peme&iks##n se&olo(is *#p#" *ike"#hui &e#ksi #n"i9o*i
"u9uh. I() *#p#" *i8ump#i p#*# ##l (e8#l# pen$#ki" "im9ul.
'. Peme&iks##n *#h : "e&8#*i penin(k#"#n #n(k# leukosi".
+. Punksi lum9#l Likuo& se&e9ospin#lis se&in( *#l#m 9#"#s no&m#l< k#*#n(?
k#*#n( *i"emuk#n se*iki" penin(k#"#n 8uml#h sel< k#*#& p&o"ein #"#u (lukos#.
,. EE7 Ele"&oeneph#lo(ph$ EE7 se&in( menun8ukk#n #k"ii"#s lis"&ik $#n(
me&en*#h sesu#i *en(#n kes#*#n $#n( menu&un. A*#n$# ke8#n(< kom#<
"umo&< ineksi sis"em s#< 9eku#n *#h< #9ses< 8#&in(#n p#&u" o"#k< *#p#"
men$e9#9k#n #k"i!i"#s lis"&ik 9e&9e*# *#&i pol# no&m#l im# *#n keep#"#n.
;Smel"0e&< 2442=
-. %T s#n Peme&iks##n %T s#n o"#k se&in(k#li *i*#p#" h#sil no&m#l< "e"#pi 9is#
pul# *i*#p#" h#sil e*em# *iuse< *#n p#*# k#sus khusus
sepe&"i Ense#li"is he&pes simple< #*# ke&us#k#n selek"i p#*# lo9us
ine&ome*i#l "empol *#n lo9us &on"#l ;An#ni#< 2442=.
H. Pen#"#l#ks#n##n )e*is1. Isol#si : Isol#si 9e&"u8u#n men(un(i s"imulin(s#n(#n *#&i lu#& *#n se9#(#i
"in*#k#n pene(#h#n.
2. Tepi #n"imik&o9#< sesu#i h#sil kul"u& O9#" $#n( mun(kin *i#n8u&k#n oleh
*ok"e& :
#. Ampiillin : 244 m(k(>>2+ 8#m< *i9#(i + *osis
9. Kemie"in : 144 m(k(>>2+ 8#m< *i9#(i + *osis
. >il# eneph#li"is *ise9#9k#n oleh !i&us< #(en #n"i!il #$lo!i& se#
si(niik#n *#p#" menu&unk#n mo&"#li"#s *#n mo&9i*i"#s eneph#li"is.
A$lo!i& *i9e&ik#n se# in"!en# *en(#n *osis '4 m(k(>> pe& h#&i
*#n *il#n8u"k#n sel#m# 14?1+ h#&i un"uk mene(#h kek#m9uh#n.
*. Un"uk kemun(kin#n ineksi sekun*e& *i9e&ik#n #n"i9io"ik# se#
poli(m#si.
'. )en(un(i menin(k#"n$# "ek#n#n in"ni#l< m#n#8emen e*em# o"#k
#. )empe&"#h#nk#n hi*si< moni"o& 9#l#ne #in 8enis *#n 8uml#h #in
$#n( *i9e&ik#n "e&(#n"un( ke#*##n #n#k.
9. 7lukos# 24< 14 ml in"!en# 9e9ep# k#li seh#&i *isun"ikk#n un"uk
men(hil#n(k#n e*em# o"#k.
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. Ko&"ikos"e&oi* in"musul#& #"#u in"!en# *#p#" 8u(# *i(un#k#n un"uk
men(hil#n(k#n e*em# o"#k.
+. )en(on"&ol ke8#n( O9#" #n"ikon!ulsi *i9e&ik#n se(e un"uk mem9en"#s
ke8#n(. O9#" $#n( *i9e&ik#n i#l#h !#lium *#n #"#u lumin#l.
#. C#lium *#p#" *i9e&ik#n *en(#n *osis 4
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se9elumn$#. >i#s#n$# p#*# m#s# p&o*&om#l 9e&l#n(sun( #n"# 1?+ h#&i
*i"#n*#i *en(#n *em#m>LR< G
#p(#& so&e.
5. Ri#$#" pen$#ki" $#n( l#lu.
Kon"#k #"#u hu9un(#n *en(#n k#sus?k#sus menin(i"is #k#n menin(k#"k#n
kemun(kin#n "e&8*in$# pe*#n(#n #"#u ineksi p#*# 8#&in(#n o"#k. Imunis#si
pe&lu *ik#8i un"uk men(e"#hui 9#(#im#n# keke9#l#n "u9uh #n#k. Ale&(i p#*#
#n#k pe&lu *ike"#hui un"uk *ihin*#&k#n k#&en# *#p#" mempe&9u&uk ke#*##n.
6. Ri#$#" keseh#"#n kelu#&(#.
)e&up#k#n (#m9#n keseh#"#n kelu#&(#< #p#k#h #*# k#i"#nn$# *en(#n
pen$#ki" $#n( *i*e&i"#n$#. P#*# ke#*##n ini s"#"us keseh#"#n kelu#&(# pe&lu
*ike"#hui< #p#k#h #*# #n((o"# kelu#&(# $#n( men*e&i"# pen$#ki" menul#& $#n(
#*# hu9un(#nn$# *en(#n pen$#ki" $#n( *i#l#mi oleh klien ;Soem#&no m#&m<
1'=.
7. Ri#$#" sosi#l.
Lin(kun(#n *#n kelu#&(# #n#k s#n(#" men*ukun( "e&h*#p pe&"um9uh#n *#n
pe&kem9#n(#n #n#k. Pe&8#l#n#n klinik *#&i pen$#ki" sehin((# men((#n((u
s"#"us men"#l< pe&il#ku *#n kep&i9#*i#n. Pe#" *i"un"u" men(k#8i s"#"us klien
#"#ukelu#&(# #(#& *#p#" memp&io&i"#sk#n m#sl##h kepe#"nn$#.
. Ke9u"uh#n *#s#& ;#k"ii"#s seh#&i?h#&i=.
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P#*# pen*e&i"# ensep#li"is se&in( "e&8#*i (#n((u#n p#*# ke9i#s##n seh#&i?h#&i
#n"# l#in: (#n((u#n pemenu#h#n ke9u"uh#n nu"&isi k#&en# mu#l mun"#h<
hipe&me"#9olik #ki9#" p&oses ineksi *#n penin(k#"#n "ek#n#n in"kni#l. Pol#
is"ih#" p#*# pen*e&i"# se&in( ke8#n(< h#l ini s#n(#" mempen(#&uhi pen*e&i"#.
Pol# ke9e&sih#n *i&i h#&us *il#kuk#n *i #"#s "emp#" "i*u& k#&en# pen*e&i"#
lem#h #"#u "i*#k s#*#& *#n en*e&un( "e&(#n"un( p#*# on( l#in pe&il#ku
9e&m#in pe&lu *ike"#hui 8ik# #*# pe&u9#h#n un"uk men(e"#hui #ki9#"
hospi"#lis#si p#*# #n#k.
. Peme&iks##n isik.
P#*# klien enseph#lis"is peme&iks##n isik le9ih *iokusk#n p#* #peme&iks##nneu&olo(is. Ru#n( lin(kup pen(k#8i#n isik kepe#"#n se# umum melipu"i
:
#. Ke#*##n umum.
Pen*e&i"# 9i#s#n$# ke#*##n umumn$# lem#h k#&en# men(#l#mi pe&u9#h#n
#"#u penu&un#n "in(k#" kes#*#n. 7#n((u#n "in(k#" kes#*#n *#p#"
*ise9#9k#n oleh (#n((u#n me"#9olisme *#n *iusi se&e9l $#n( 9e&k#i"#n
*en(#n ke(#(#l#n neul #ki9#" p&osses pe*#n(#n o"#k.
9. 7#n((u#n s$s"em pe&n##s#n.
. Pe&u9#h#n?pe&u9#h#n #ki9#" penin(k#"#n "ek#n#n in" ni#l
men$e9#9#k#n komp&esi p#*# 9#"#n( o"#k $#n( men$e9#9k#n pe&n##s#n
"i*#k "e"u&. Ap#9il# "ek#n#n in"kni#l s#mp#i p#*# 9#"#s #"#l #k#n
"e&8#*i p#lis# o"o" pe&n##s#n.
*. 7#n((u#n s$s"em k#&*io!#skule&.
A*#n$# komp&esi p#*# pus#" !#somo"o& men$e9#9k#n "e&8#*i iskemik p#*#
*#eh "e&se9u"< h#l ini #k#n men(s##n( !#sokons"&ik"o& *#n
men$e9#9k#n "ek#n#n *#h menin(k#". Tek#n#n p#*# pus#" !#somo"o&
men$e9#9k#n menin(k#"n$# "nsmi""e& n(s#n( p#simp#"is ke 8#n"un(.
e. 7#n((u#n s$s"em (#s"&oin"es"in#l.
Pen*e&i"# #k#n mes# mu#l *#n mun"#h k#&en# penin(k#"#n "ek#n#n
in"kni#l $#n( mens"imul#si hipo"#l#mus #n"e&io& *#n ne&!us !#(us
sehin((# menin(k#"k#n sek&esi #s#m l#m9un(. D#p#" pul# "e&8* *i#&e #ki9#"
"e&8#*i pe*#n(#n sehin((# "e&8#*i hipe&me"#9olisme.
. Pe&"um9uh#n *#n pe&kem9#n(#n.
P#*# se"i#p #n#k $#n( men(#l#mi pen$#ki" $#n( si#"n$# k&onis #"#u
men(#l#mi hospi"#lis#si $#n( l#m#< kemun(kin#n "e&8#*in$# (#n((u#n
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pe&"um9uh#n *#n pe&kem9#n(#n s#n(#" 9es#&. H#l ini *ise9#9k#n p#*#
ke#*##n s#ki" un(si "u9uh menu&un "e&m#suk un(si soi#l #n#k. T#hun?
"#hun pe&"#m# p#*# #n#k me&up#k#n "#hun em#s un"uk kehi*up#nn$#.
7#n((u#n #"#u ke"e&l#m9#"#n $#n( "e&8#*i s##" ini h#&us *i#"#si un"uk
men#p#i "u(#s J"u(#s pe&"um9uh#n sel#n8u"n$#. Pen(k#8i#n pe&"um9uhn#
*#n pe&kem9#n(#n #n#k ini men8#*i pen"in( se9#(#i l#n(k#h ##l
pen#n(#n#n *#n #n"isip#si. Pen(k#8i#n *#p#" *il#kuk#n *en(#n
men((un#k#n o&m#" DDST.
B. Di#(nos# Kepe#"#n
1. Hipe&"e&mi 9.*. pen$#ki": ineksi.2. )u#l 9.*. penin(k#"#n "ek#n#n in"kni#l< pe*#n(#n o"#k
'. 7#n((u#n senso&i pe&sepsi ;"ipe: pen(lih#"#n< pen*en(#n< kines"e"ik<
"#k"il< ol#k"o&i= 9.*. ke"i*#kseim9#n(#n 9iokimi#.
+. Resiko "um# 9.*. penu&un#n koo&*in#si o"o".
K. Pe&en#n##n kepe#"#n
Di#(nos# Tu8u#n In"e&!ensi
Hipe&"e&mi 9.*.
pen$#ki": ineksi
Se"el#h *il#kuk#n "in*#k#n
kepe#"#nsel#m# '2+ 8#m p#sien menun8ukk#nsuhu
"u9uh *#l#m 9#"#s no&m#l
*en(#n k&ei"e&i# h#sil:
In*ik#"o&:
1. Suhu '- J '/%
2. N#*i *#n RR *#l#m
&en"#n( no&m#l
'. Ti*#k #*# pe&u9#h#n
#&n# kuli" *#n "i*#k #*#
pusin(< mes# n$#m#n
)oni"o& suhu sese&in(
mun(kinR: mene(#h "e&8#*in$#
hipe&pi&eksi#
)oni"o& #&n# *#n suhu
kuli"
R: kuli" $n meh *#n h#n(#"
menun8ukk#n ken#ik#n suhu
"u9uh.
)oni"o& "ek#n#n *#h< n#*i
*#n RR
R: men(e"#hui &espon
isiolo(is *#&i ken#ik#n suhu
"u9uh
)oni"o& 3>%< H9< *#n H"
R 3>% $( "in((i
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menun8ukk#n hipe&"e&mi k&n
ineksi< H9 *#n H%T $#n(&en*#h menun8ukk#n
hipe&"e&mi k#&en# kehil#n(#n
#in.
)oni"o& in"#ke *#n ou"pu"
#in
R: "e&k#i" *en(#n ken#ik#n
suhu #ki9#" kekun(#n
#in.
>e&ik#n #n"i pi&e"ik
R: menu&unk#n suhu "u9uh
se# #&m#kolo(is.
>e&ik#n #n"i9io"ik $#n(
sesu#i
R: hipe&"e&mi k#&en# ineksi
*#p#" hil#n( 8ik# ineksi
hil#n(.
Selimu"i p#sien
R: l#kuk#n 8ik# p#sien
men((i(il.
>e&ik#n #in in"!en#
R: mene(#h kekun(#n
#in #ki9#" p#n#s "u9uh $(
"in((i.
Komp&es p#sien p#*# lip#"
p#h# *#n #ksil#
R: memiu !#so*il#"#si
pem9uluh *#h 9es#& sh(
suhu pe&ie& men8#*i *in(in.
Tin(k#"k#n si&kul#si u*#
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Tin(k#"k#n in"#ke #in *#n
nu"&isi %#"#" #*#n$# luk"u#si
"ek#n#n *#h
)oni"o& hi*si sepe&"i "u&(o&
kuli"< kelem9#9#n mem9n
mukos#=
)u#l 9.*.
penin(k#"#n
"ek#n#n
in"kni#l<
pe*#n(#n o"#k
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kepe#"#n sel#m# '2+
8#m< mu#l p#sien "e"#si
*en(#n k&i"e&i# h#sil:
In*ik#"o&:
1. )el#po&k#n 9e9#s *#&i
mu#l
2. )en(i*en"iik#si h#l?
h#l $#n( men(un(i
mu#l
'. Nu"&isi #*eku#"+. S"#"us hi*si: hi*si
kuli" mem9n mukos#
9#ik< "i*#k #*# s#
h#us $#n( #9no&m#l<
p#n#s< u&in ou"pu"
no&m#l< TD< H%T
no&m#l
Pen#"#"#n in"#ke ou"pu"
se# #ku"
R: un"uk menen"uk#n
"#m9#h#n #in 8ik# "e&8#*i
*ehi*si.
)oni"o& s"#"us nu"&isi
R:mempe&"#h#nk#n ene&(i
klien.
)oni"o& s"#"us hi*si
;Kelem9#9#n mem9n
mukos#< !i"#l si(n #*eku#"=
R: mem#n#"#u #*#n$#
*ehi*si
An8u&k#n un"uk m#k#n
pel#n?pel#n
R: m#k#n pelen?pel#n #k#n
mene(#h p#sien
memun"#hk#n m#k#n#n.
>#"#si minum 1 8#m
se9elum< 1 8#m sesu*#h *#n
sel#m# m#k#n.
R: mene(#h s# penuh *i
pe&u" $#n( memiu mun"#h.
>e&ik#n "epi IC k#l#u
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pe&lu
R: "epi IC un"uk men((#n"i#in $#n( hil#n( #ki9#"
mun"#h.
Kol#9osi pem9e&i#n #n"i
eme"ik
R: men(hen"ik#n s# mul#
se# #&m#kolo(is.
7#n((u#n senso&i
pe&sepsi ;"ipe:
pen(lih#"#n<
pen*en(#n<
kines"e"ik< "#k"il<
ol#k"o&i= 9.*.
ke"i*#kseim9#n(#n
9iokimi#
Se"el#h *il#kuk#n "in*#k#n
kepe#"#n sel#m# '2+ 8#m
(#n((u#n senso&i pe&sepsi
"e"#si< *en(#n k&i"e&i# h#sil:
In*ik#"o&:
1. komunik#si 8el#s *#n
p#n"#s se# usi# *#n
kem#mpu#n
2. Pe&h#"i#n
'. Konsen"si
+. pen(lih#"#n *#n
pen*en(#n
,.koo&*in#si mo"o&ik
E!#lu#si *#n p#n"#u se#
"e"u& pe&u9#h#n o&ien"#si<
kem#mpu#n 9e&9i#<
#ek"i< senso&ik *#n p&oses
iki&.
R: pe&u9#h#n mo"o&ik <
pe&sepsi ko(ni"i *#n
kep&i9#*i#n *#p#" 9e&si#"
mene"#p *#n "e&us mene&us.
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sep&"i sen"uh#nm p#n#s
*in(in< 9en*# "#8#m"umpul.
R: ino&m#si pen"in( un"uk
ke#m#n#n p#sien< 8ik# p#sien
mes#k#n p#n#s *#n *in(in
m#k# #k#n "e&hin*#& *#&i
9#h#$# k#&en# "u9uh #k#n
men(hin*#&..
%#"#" #*#n$# pe&u9#h#n
$#n( spesiik sepe&"i
me&sus#"k#n ke*u# m#"#<
#"#u men(#"#k#n ins"&uksi
$#"i*#k.
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R: mem9#n"u menen"uk#n
*#eh lok#lis#si $#n(men(#l#mi ineksi.
Hil#n(k#n s"imulus $#n(
9e&le9ih#n sesu#i *en(#n
ke9u"uh#n.
R: menu&unk#n #nsie"#s<
&espon emosi $#n(
9e&hu9un(#n *en(#n sens#si
$( 9e&le9ih#n.
Resiko "um# 9.*.
penu&un#n
koo&*in#si o"o"
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kepe#"#n sel#m# '2+ 8#m
klien "i*#k men(#l#mi "um#
*en(#n k&i"e&i# h#sil:
In*ik#"o&:
1. P#sien "e&9e9#s *#&i"um# isik
2. Kelu#&(# m#mpu
men(on"&ol &esiko
"um# $#n( mun(kin
"e&8#*i
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#m#n un"uk p#sien
R: mene(#h i*e *#&i
eks"e&n#l s##" "e&8#*i ke8#n(.
I*en"iik#si ke9u"uh#n
ke#m#n#n p#sien< sesu#i
*en(#n kon*isi isik *#n
un(si ko(ni"i p#sien *#n
&i#$#" pen$#ki" "e&*#hulu
p#sien
R: men$e*i#k#n lin(kun(#n
$( n$#m#n sesu#i ke9u"uh#n
p#sien.
)em#s#n( si*e il "emp#"
"i*u&
R: mene(#h p#sien 8#"uh
*#&i "emp#" "i*u&.
)em9#"#si pen(un8un(
)em9e&ik#n penen(#n
$#n( ukup
R: p#*# p#sien ense#li"is
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men(#l#m#i o"oo9i#< sh(
penen(#n h#&us le9ih&e*up.
)en(#n8u&k#n kelu#&(#
un"uk menem#ni p#sien.
R: kelu#&(# *#p#" mene(#h
p#sien *#&i i*e.
)en(on"&ol lin(kun(#n *#&i
ke9isin(#n
)emin*#hk#n 9#n(?
9#n( $#n( *#p#"
mem9#h#$#k#n
>e&ik#n pen8el#s#n p#*#
p#sien *#n kelu#&(# #"#u
pen(un8un( #*#n$#
pe&u9#h#n s"#"us keseh#"#n
*#n pen$e9#9 pen$#ki".
R: #(#& kelu#&(# p#sien
mem#h#mi ke#*##n p#sien
$#n( men(#l#mi penu&un#n
kes#*#n *#n *isun(si p#*#
o"#kn$# se"i*#kn$# hin((#
ineksi p#*# o"#k "e"#si.
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DAFTAR PUSTAKA
An#ni#< e" #ll. 244. Nu&sin(: Memahami Berbagai Macam Penyakit . B#k#&"#: In*eks.
)#ns8oe&< A. 2444. Kapita Selekta Kedokteran, Ed. III, jilid 2. 8#k#&"#: )e*i#
Aeseol#pius.
)%loske$ *#n >ulehek 2444. “!r"ing inter#ention" cla""i$ication %I&'(. Uni"e*
S"#"es o Ame&i#: )os9$.
)ei*e#n< B). 2444. !r"ing )!tcome" &la""i$ication %)&'(. Uni"e* S"#"es o
Ame&i#: )os9$.
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NANDA In"e&n#sion#l. 2414. *iagno"a Kepera+atan: *e$ini"i dan Kla"i$ika"i.
B#k#&"#: E7%.
Smel"0e& *#n >#&e. 2442. B!k! jar Kepera+atan medikal bedah. E*isi . B#k#&"#:
E7%