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{\phpg\posx1987\pvpg\posy1899\absw3272\absh498 \b \f20 \fs21 \cf0 \fi734 \b \f20
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{\phpg\posx1987\pvpg\posy2455\absw1485\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 D
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{\phpg\posx3522\pvpg\posy2455\absw812\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 se
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{\phpg\posx4553\pvpg\posy2455\absw521\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ya
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MA
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{\phpg\posx9074\pvpg\posy786\absw7232\absh1240 \f10 \fs32 \cf0 \f10 \fs32 \cf0 N
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{\phpg\posx5364\pvpg\posy2455\absw11306\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
tidak
...... x24 jam pasien dapat mengontrol nyeri
Definisi : me
ngurangi nyeri dan menurunkan tingkat \par
}
{\phpg\posx4688\pvpg\posy2734\absw3167\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 p
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{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \f20 \fs21 \cf0 \f20 \fs21 \cf0
emosional yang muncul secara aktual
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u potensial, kerusakan jaringan atau
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ggambarkan adanya kerusakan..
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62 {\b Batasan}{\b karakteristik} :
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451 verbal

\par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-273 \f20 \fs21 \cf0 \fi

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{\phpg\posx4371\pvpg\posy6600\absw481\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 la
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{\phpg\posx5032\pvpg\posy6600\absw895\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ak
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{\phpg\posx6525\pvpg\posy3006\absw4328\absh1234 \f10 \fs21 \cf0 \f10 \fs21 \cf0
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Menggunakan}{\f20
metode}{\f20
nonanalgetik }
\par}{\phpg\posx6525\pvpg\posy3006\absw4328\absh1234 \sl-274 \f10 \fs21 \cf0 \fi
374 {\f20 untuk}{\f20 mengurangi}{\f20 nyeri }\par
}
{\phpg\posx6525\pvpg\posy4389\absw1794\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Menggunakan }
\par}{\phpg\posx6525\pvpg\posy4389\absw1794\absh487 \sl-273 \f10 \fs21 \cf0 \fi3
74 {\f20 kebutuhan }\par
}
{\phpg\posx8747\pvpg\posy4391\absw975\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 an
algetik \par
}
{\phpg\posx10104\pvpg\posy4391\absw688\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 s
esuai \par
}
{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \f20 \fs21 \cf0 \f20 \fs21 \cf0
nyeri yang dirasakan pasien.
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 In
tervensi :

\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \f

i263 {\f10 {\f63 \u61607\'3f}}
lakukan pengkajian nyeri secara komprehen
sif
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \f
i638 termasuk lokasi, karakteristik, durasi, frekuensi,
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \f
i638 kualitas dan faktor presipitasi
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-274 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
observasi
reaksi
non
verbal
dari
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \f
i638 ketidaknyamanan
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
gunakan teknik komunikasi terapeutik
untuk
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \f
i638 mengetahui pengalaman nyeri pasien
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
kaji kultur yang mempengaruhi respon nyeri
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
evaluasi pengalaman nyeri masa lampau
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
evaluasi bersama pasien dan tim kesehata
n lain
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \f
i638 tentang
ketidakefektifan
kontrol
nyeri
masa
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \f
i638 lampau
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
bantu pasien dan keluarga untuk mencari
dan
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \f
i638 menemukan dukungan
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
kontrol lingkungan yang dapat mempengaru
hi
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \f
i638 nyeri seperti suhu ruangan, pencahayaan dan
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-279 \f20 \fs21 \cf0 \f
i638 kebisingan
\par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
kurangi faktor presipitasi \par
}
{\phpg\posx11177\pvpg\posy8254\absw4275\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
pilih}{\f20
dan}{\f20
lakukan}{\f20
penanganan }\par
}
{\phpg\posx11552\pvpg\posy8530\absw1395\absh490 \f20 \fs21 \cf0 \f20 \fs21 \cf0
(farmakologi,
\par}{\phpg\posx11552\pvpg\posy8530\absw1395\absh490 \sl-278 \f20 \fs21 \cf0 per
sonal) \par
}
{\phpg\posx13134\pvpg\posy8530\absw428\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 n
on \par
}
{\phpg\posx13767\pvpg\posy8530\absw1245\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
farmakologi \par
}
{\phpg\posx15206\pvpg\posy8530\absw393\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 d
an \par

}
{\phpg\posx15778\pvpg\posy8256\absw582\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 n
yeri
\par}{\phpg\posx15778\pvpg\posy8256\absw582\absh485 \sl-273 \f20 \fs21 \cf0 \fi5
1 inter \par
}
{\phpg\posx6525\pvpg\posy4941\absw3830\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Mencari}{\f20 bantuan}{\f20 tenaga}{\f20 kesehata
n }\par
}
{\phpg\posx6525\pvpg\posy5215\absw1614\absh491 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Melaporkan }
\par}{\phpg\posx6525\pvpg\posy5215\absw1614\absh491 \sl-278 \f10 \fs21 \cf0 \fi3
74 {\f20 kesehatan }\par
}
{\phpg\posx8381\pvpg\posy5217\absw655\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ge
jala \par
}
{\phpg\posx9283\pvpg\posy5217\absw504\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 pa
da \par
}
{\phpg\posx10065\pvpg\posy5217\absw705\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 t
enaga \par
}
{\phpg\posx6525\pvpg\posy5767\absw4316\absh737 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Menggunakan}{\f20
sumber-sumber}{\f20
yang }
\par}{\phpg\posx6525\pvpg\posy5767\absw4316\absh737 \sl-278 \f10 \fs21 \cf0 \fi3
74 {\f20 tersedia }
\par}{\phpg\posx6525\pvpg\posy5767\absw4316\absh737 \sl-273 \f10 \fs21 \cf0 {\f6
3 \u61607\'3f}{\f20
Mengenali}{\f20 gejala-gejala}{\f20 nyeri }\par
}
{\phpg\posx6525\pvpg\posy6598\absw1574\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Mencatat }
\par}{\phpg\posx6525\pvpg\posy6598\absw1574\absh487 \sl-273 \f10 \fs21 \cf0 \fi3
74 {\f20 sebelumnya }\par
}
{\phpg\posx8420\pvpg\posy6600\absw1185\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 p
engalaman \par
}
{\phpg\posx10200\pvpg\posy6600\absw580\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 n
yeri \par
}
{\phpg\posx4617\pvpg\posy7152\absw1320\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 (
diaphoresis, \par
}
{\phpg\posx6525\pvpg\posy7150\absw3917\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Melaporkan}{\f20 nyeri}{\f20 sudah}{\f20 terkontr
ol }\par
}
{\phpg\posx3969\pvpg\posy7425\absw828\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 te
kanan \par
}
{\phpg\posx5254\pvpg\posy7425\absw655\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 da
rah, \par
}
{\phpg\posx2064\pvpg\posy7704\absw8826\absh735 \f20 \fs21 \cf0 \fi374 \f20 \fs21
\cf0 perubahan pola nafas, nadi dan
Setelah dilakukan tindakan keper
awatan selama
\par}{\phpg\posx2064\pvpg\posy7704\absw8826\absh735 \sl-273 \f20 \fs21 \cf0 \fi3
74 dilatasi pupil)

\par}{\phpg\posx2064\pvpg\posy7704\absw8826\absh735 \sl-278 \f20 \fs21 \cf0 {\f1

0 {\f63 \u61607\'3f}}
Tingkah laku ekspresif (gelisah,
nyeri denga
n indikator: \par
}
{\phpg\posx6074\pvpg\posy7978\absw4775\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 .
..... x24 jam pasien dapat mengetahui tingkatan \par
}
{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \f20 \fs21 \cf0 \fi374 \f20 \fs2
1 \cf0 marah,
menangis,
merintih,
\par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-278 \f20 \fs21 \cf0 \fi
374 waspada, napas panjang, iritabel)
\par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-273 \f20 \fs21 \cf0 {\f
10 {\f63 \u61607\'3f}}
Berfokus pada diri sendiri
\par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-278 \f20 \fs21 \cf0 {\f
10 {\f63 \u61607\'3f}}
Muka topeng
\par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-273 \f20 \fs21 \cf0 {\f
10 {\f63 \u61607\'3f}}
Fokus
menyempit
(penurunan
\par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-278 \f20 \fs21 \cf0 \fi
374 persepsi pada waktu, kerusakan
\par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-273 \f20 \fs21 \cf0 \fi
374 proses berfikir, penurunan interaksi
\par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-278 \f20 \fs21 \cf0 \fi
374 dengan orang dan lingkungan) \par
}
{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
melaporkan}{\f20 adanya}{\f20 nyeri }
\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
luas}{\f20 bagian}{\f20 tubuh}{\f20 yang}{\f20 terpe
ngaruh }
\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
frekuensi}{\f20 nyeri }
\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
panjangnya}{\f20 episode}{\f20 nyeri }
\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
pernyataan}{\f20 nyeri }
\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
ekspresi}{\f20 nyeri}{\f20 pada}{\f20 wajah }
\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
posisi}{\f20 tubuh}{\f20 protektif }
\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
kurangnya}{\f20 istirahat }\par
}
{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
kaji}{\f20 tipe}{\f20 dan}{\f20 sumber}{\f20
nyeri}{\f20 untuk}{\f20 menentukan }
\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-278 \f10 \fs21 \cf0 \f
i374 {\f20 intervensi }
\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-273 \f10 \fs21 \cf0 {\
f63 \u61607\'3f}{\f20
ajarkan}{\f20 tentang}{\f20 teknik}{\f20 non}{\f20
farmakologi }
\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-278 \f10 \fs21 \cf0 {\
f63 \u61607\'3f}{\f20
berikan}{\f20 analgetik}{\f20 untuk}{\f20 menguran
gi}{\f20 nyeri }
\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-273 \f10 \fs21 \cf0 {\
f63 \u61607\'3f}{\f20
evaluasi}{\f20 keefektifan}{\f20 kontrol}{\f20 nye
ri }
\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-278 \f10 \fs21 \cf0 {\
f63 \u61607\'3f}{\f20
tingkatkan}{\f20 istirahat }
\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-225 \par\f10 \fs21 \cf
0 \fi4978 {\f20 1 }\par

}
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}}\par}{\phpg\posx2064\pvpg\posy1618\absw1449\absh487 \f10 \fs21 \cf0 \f10 \fs21
\cf0 {\f63 \u61607\'3f}{\f20
Perubahan }
\par}{\phpg\posx2064\pvpg\posy1618\absw1449\absh487 \sl-273 \f10 \fs21 \cf0 \fi3
74 {\f20 minum }\par
}
{\phpg\posx3748\pvpg\posy1620\absw597\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 na
fsu \par
}
{\phpg\posx4563\pvpg\posy1620\absw713\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ma
kan \par
}
{\phpg\posx5498\pvpg\posy1620\absw393\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 da
n \par
}
{\phpg\posx1987\pvpg\posy2172\absw4040\absh485 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 Faktor yang berhubungan{\b0 : }
\par}{\phpg\posx1987\pvpg\posy2172\absw4040\absh485 \sl-273 \b \f20 \fs21 \cf0 {
\b0 Agen}{\b0 injury}{\b0 (fisik,}{\b0 biologis,}{\b0 psikologis) }\par
}
{\phpg\posx6525\pvpg\posy1618\absw3980\absh1731 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
ketegangan}{\f20 otot }
\par}{\phpg\posx6525\pvpg\posy1618\absw3980\absh1731 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
perubahan}{\f20 pada}{\f20 frekuensi}{\f20 pernafasan
}
\par}{\phpg\posx6525\pvpg\posy1618\absw3980\absh1731 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
perubahan}{\f20 nadi }
\par}{\phpg\posx6525\pvpg\posy1618\absw3980\absh1731 \sl-273 \f10 \fs21 \cf0 {\f

63 \u61607\'3f}{\f20
perubahan}{\f20 tekanan}{\f20 darah }
\par}{\phpg\posx6525\pvpg\posy1618\absw3980\absh1731 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
perubahan}{\f20 ukuran}{\f20 pupil }
\par}{\phpg\posx6525\pvpg\posy1618\absw3980\absh1731 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
keringat}{\f20 berlebih }
\par}{\phpg\posx6525\pvpg\posy1618\absw3980\absh1731 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
kehilangan}{\f20 selera}{\f20 makan }\par
}
{\phpg\posx9074\pvpg\posy786\absw7367\absh990 \f10 \fs32 \cf0 \f10 \fs32 \cf0 NA
NDA NIC NOC PSIK FIKES UMM{\b 2011 }
\par}{\phpg\posx9074\pvpg\posy786\absw7367\absh990 \sl-353 \par\f10 \fs32 \cf0 \
fi2103 {\fs21 {\f63 \u61607\'3f}}{\f20 \fs21
kolaborasikan}{\f20 \fs21 de
ngan}{\f20 \fs21 dokter}{\f20 \fs21 jika}{\f20 \fs21 keluhan}{\f20 \fs21
dan }\par
}
{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \f20 \fs21 \cf0 \fi638 \f20 \fs
21 \cf0 tindakan nyeri tidak berhasil
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \par\f20 \fs21 \cf
0 {\b ANALGETIC}{\b ADMINISTRATION }
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 De
finisi
:
penggunaan
agen
farmakologi
untuk
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 me
nghentikan atau mengurangi nyeri
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 In
tervensi :
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
tentukan lokasi, karakteristik, kualita
s, dan
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i825 derajat nyeri sebelum pemberian obat
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-274 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
cek instruksi dokter tentang jenis obat,
dosis
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i825 dan frekuensi
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
cek riwayat alergi
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
pilih analgetik yang diperlukan atau kombinas
i
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f
i825 dari analgetik ketika pemberian lebih dari satu
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
tentukan pilihan analgetik tergantung tipe
dan
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f
i825 beratnya nyeri
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
tentukan analgetik pilihan, rute pemberian da
n
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f
i825 dosis optimal
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
pilih rute pemberian secara IV, IM
untuk
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f
i825 pengobatan nyeri secara teratur
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
monitor
vital
sign
sebelum
dan
sesudah

\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f

i825 pemberian analgetik pertama kali
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
berikan analgetik tepat waktu terutama
saat
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f
i825 nyeri hebat
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-278 \f20 \fs21 \cf0 \f
i451 {\f10 {\f63 \u61607\'3f}}
evaluasi efektifitas analgetik, tanda dan ge
jala
\par}{\phpg\posx10913\pvpg\posy1894\absw5649\absh6202 \sl-273 \f20 \fs21 \cf0 \f
i825 (efek samping) \par
}
{\phpg\posx1430\pvpg\posy9082\absw165\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 2
\par
}
{\phpg\posx1987\pvpg\posy9087\absw2012\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 RESIKO INFEKSI \par
}
{\phpg\posx6074\pvpg\posy9082\absw7279\absh243 \f20 \fs21 \cf0 \f20 \fs21 \cf0 S
etelah dilakukan tindakan keperawatan selama{\b
KONTROL}{\b INFEKSI }\par
}
{\phpg\posx1987\pvpg\posy9361\absw14553\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
Definisi : peningkatan resiko masuknya
.....x24 jam status kekebalan pasi
en meningkat
Definisi:
meminimalkan
mendapatkan
infeksi
dan \par
}
{\phpg\posx1987\pvpg\posy9634\absw3960\absh986 \f20 \fs21 \cf0 \f20 \fs21 \cf0 o
rgaanisme patogen.
\par}{\phpg\posx1987\pvpg\posy9634\absw3960\absh986 \sl-283 \f20 \fs21 \cf0 {\b
Faktor}{\b resiko}{\b : }
\par}{\phpg\posx1987\pvpg\posy9634\absw3960\absh986 \sl-268 \f20 \fs21 \cf0 \fi7
6 {\f10 {\f63 \u61607\'3f}}
prosedur infasif
\par}{\phpg\posx1987\pvpg\posy9634\absw3960\absh986 \sl-278 \f20 \fs21 \cf0 \fi7
6 {\f10 {\f63 \u61607\'3f}}
ketidakcukupan pengetahuan untuk \par
}
{\phpg\posx6074\pvpg\posy9634\absw4507\absh986 \f20 \fs21 \cf0 \f20 \fs21 \cf0 d
engan indilaktor:
\par}{\phpg\posx6074\pvpg\posy9634\absw4507\absh986 \sl-278 \f20 \fs21 \cf0 \fi3
60 {\f10 {\f63 \u61607\'3f}}
tidak didapatkan infeksi berulang
\par}{\phpg\posx6074\pvpg\posy9634\absw4507\absh986 \sl-273 \f20 \fs21 \cf0 \fi3
60 {\f10 {\f63 \u61607\'3f}}
tidak didapatkan tumor
\par}{\phpg\posx6074\pvpg\posy9634\absw4507\absh986 \sl-278 \f20 \fs21 \cf0 \fi3
60 {\f10 {\f63 \u61607\'3f}}
status rspirasi sesuai yang diharapkan \par
}
{\phpg\posx10913\pvpg\posy9634\absw5535\absh1393 \f20 \fs21 \cf0 \f20 \fs21 \cf0
transmisi agen infeksi
\par}{\phpg\posx10913\pvpg\posy9634\absw5535\absh1393 \sl-278 \f20 \fs21 \cf0 In
tervensi :
\par}{\phpg\posx10913\pvpg\posy9634\absw5535\absh1393 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
Bersihkan lingkungan setelah dipakai
pasien
\par}{\phpg\posx10913\pvpg\posy9634\absw5535\absh1393 \sl-278 \f20 \fs21 \cf0 \f
i720 lain
\par}{\phpg\posx10913\pvpg\posy9634\absw5535\absh1393 \sl-225 \par\f20 \fs21 \cf
0 \fi5242 2 \par
}
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}
{\phpg\posx9225\pvpg\posy1620\absw1508\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 s
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kerusakan
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}
{\phpg\posx5499\pvpg\posy2172\absw393\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 da
n \par
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{\phpg\posx6434\pvpg\posy1618\absw1870\absh737 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
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{\phpg\posx8247\pvpg\posy1620\absw630\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ba
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lingkungan
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imunosupresi
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kerja
silia,
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tubuh
statis,
perubahan
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ran }
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WBC}{\f20 absolut}{\f20 dbn }
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{\phpg\posx6496\pvpg\posy6036\absw4333\absh738 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {

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Gunakan}{\f20
universal}{\f20
precaution
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dan}{\f20
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i360 {\f63 \u61607\'3f}{\f20

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20
mencegah}{\f20
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ke
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}}\par}{\phpg\posx1430\pvpg\posy3838\absw165\absh239 \f20 \fs21 \cf0 \f20 \fs21
\cf0 3 \par
}
{\phpg\posx1987\pvpg\posy3843\absw3719\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 KERUSAKAN MOBILITAS FISIK \par
}
{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \f10 \fs32 \cf0 \fi3000 \f10 \fs
32 \cf0 NANDA NIC NOC PSIK FIKES UMM{\b 2011 }
\par}{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \sl-353 \par\f10 \fs32 \cf0
\fi4839 {\f20 \fs21 yang}{\f20 \fs21 beresiko }
\par}{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \sl-273 \f10 \fs32 \cf0 \fi
4839 {\f20 \fs21 Intervensi}{\f20 \fs21 : }
\par}{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \sl-278 \f10 \fs32 \cf0 \fi
5199 {\fs21 {\f63 \u61607\'3f}}{\f20 \fs21
Monitor}{\f20 \fs21 tanda}{\f20
\fs21 dan}{\f20 \fs21 gejala}{\f20 \fs21 infeksi }
\par}{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \sl-273 \f10 \fs32 \cf0 \fi
5199 {\fs21 {\f63 \u61607\'3f}}{\f20 \fs21
Monitor}{\f20 \fs21 hitung}{\f2
0 \fs21 granulosit,}{\f20 \fs21 WBC }
\par}{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \sl-278 \f10 \fs32 \cf0 \fi
5199 {\fs21 {\f63 \u61607\'3f}}{\f20 \fs21
Monitor}{\f20 \fs21 kerentanan}
{\f20 \fs21 terhadap}{\f20 \fs21 infeksi }
\par}{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \sl-273 \f10 \fs32 \cf0 \fi
5199 {\fs21 {\f63 \u61607\'3f}}{\f20 \fs21
Batasi}{\f20 \fs21 pengunjung }
\par}{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \sl-278 \f10 \fs32 \cf0 \fi
5199 {\fs21 {\f63 \u61607\'3f}}{\f20 \fs21
Saring}{\f20 \fs21 pengunjung}{
\f20 \fs21 terhadap}{\f20 \fs21 penyakit}{\f20 \fs21 menular }
\par}{\phpg\posx6074\pvpg\posy786\absw10233\absh2990 \sl-280 \par\f10 \fs32 \cf0
{\f20 \fs21 Setelah}{\f20 \fs21 dilakukan}{\f20 \fs21 tindakan}{\f20 \fs21 k
eperawatan}{\f20 \fs21 selama}{\b \f20 \fs21
TERAPI}{\b \f20 \fs21 AKTIVIT
AS:}{\b \f20 \fs21 AMBULASI }\par

}
{\phpg\posx1987\pvpg\posy4112\absw14553\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
Definisi : keterbatasan dalam kebebasan
......x24 jam pasien dapat melaku
kan ambulasi
Definisi : membantu pasien memulai aktivitas fisik \par
}
{\phpg\posx1987\pvpg\posy4391\absw6860\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 u
ntuk pergerakan fisik tertentu pada
berjalan dengan indikator: \par
}
{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \f20 \fs21 \cf0 \f20 \fs21 \cf0
bagian
tubuh
atau
satu
atau
lebih
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-278 \f20 \fs21 \cf0 eks
tremitas
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-273 \f20 \fs21 \cf0 {\b
Batasan}{\b karakteristik} :
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-278 \f20 \fs21 \cf0 \fi
422 {\f10 {\f63 \u61607\'3f}}
Postur tubuh yang tidak stabil
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-273 \f20 \fs21 \cf0 \fi
422 {\f10 {\f63 \u61607\'3f}}
Keterbatasan
kemampuan
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-278 \f20 \fs21 \cf0 \fi
782 untuk melakukan ketrampilan
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-273 \f20 \fs21 \cf0 \fi
782 motorik kasar
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-278 \f20 \fs21 \cf0 \fi
422 {\f10 {\f63 \u61607\'3f}}
Keterbatasan
kemampuan
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-273 \f20 \fs21 \cf0 \fi
782 untuk melakukan ketrampilan
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-278 \f20 \fs21 \cf0 \fi
782 motorik halus
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-273 \f20 \fs21 \cf0 \fi
422 {\f10 {\f63 \u61607\'3f}}
Tidak ada koordinasi gerakan
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-279 \f20 \fs21 \cf0 \fi
422 {\f10 {\f63 \u61607\'3f}}
Keterbatasan ROM
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-273 \f20 \fs21 \cf0 \fi
422 {\f10 {\f63 \u61607\'3f}}
Kesulitan berbalik
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-278 \f20 \fs21 \cf0 \fi
422 {\f10 {\f63 \u61607\'3f}}
Perubahn
gaya
berjalan
\par}{\phpg\posx1987\pvpg\posy4664\absw3985\absh3717 \sl-273 \f20 \fs21 \cf0 \fi
782 (penurunan kecepatan berjalan, \par
}
{\phpg\posx2770\pvpg\posy8809\absw975\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ke
sulitan
\par}{\phpg\posx2770\pvpg\posy8809\absw975\absh485 \sl-273 \f20 \fs21 \cf0 langk
ah \par
}
{\phpg\posx3782\pvpg\posy8809\absw1170\absh485 \f20 \fs21 \cf0 \fi124 \f20 \fs21
\cf0 memulai
\par}{\phpg\posx3782\pvpg\posy8809\absw1170\absh485 \sl-273 \f20 \fs21 \cf0 semp
it,kaki \par
}
{\phpg\posx6434\pvpg\posy4663\absw4191\absh1982 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
mempertahankan}{\f20 berat}{\f20 badan }
\par}{\phpg\posx6434\pvpg\posy4663\absw4191\absh1982 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
melangkah }
\par}{\phpg\posx6434\pvpg\posy4663\absw4191\absh1982 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
berjalan}{\f20 lambat }
\par}{\phpg\posx6434\pvpg\posy4663\absw4191\absh1982 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
berjalan}{\f20 dengan}{\f20 kecepatan}{\f20 sedang
}
\par}{\phpg\posx6434\pvpg\posy4663\absw4191\absh1982 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
berjalan}{\f20 dengan}{\f20 kecepatan}{\f20 lebih}{

\f20 cepat }
\par}{\phpg\posx6434\pvpg\posy4663\absw4191\absh1982 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
berjalan}{\f20 naik}{\f20 tangga }
\par}{\phpg\posx6434\pvpg\posy4663\absw4191\absh1982 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
berjalan}{\f20 menuruni}{\f20 tangga }
\par}{\phpg\posx6434\pvpg\posy4663\absw4191\absh1982 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
berjalan}{\f20 mendaki }\par
}
{\phpg\posx6434\pvpg\posy6871\absw2879\absh491 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
berjalan}{\f20
dengan}{\f20
jarak }
\par}{\phpg\posx6434\pvpg\posy6871\absw2879\absh491 \sl-278 \f10 \fs21 \cf0 \fi3
60 {\f20 (keliling}{\f20 kamar) }\par
}
{\phpg\posx9472\pvpg\posy6873\absw1249\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 y
ang
dekat \par
}
{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \f20 \fs21 \cf0 \f20 \fs21 \cf0
untuk memperkuat fungsi tubuh selama perawatan dan
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 me
lindungi dari sakit atau cedera
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-278 \f20 \fs21 \cf0 In
tervensi :
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
monitoring vital sign sebelum dan s
esudah
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-278 \f20 \fs21 \cf0 \f
i720 latihan dan lihat respon pasien saat latihan
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
konsultasikan
dengan
fisioterapis
tentang
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-278 \f20 \fs21 \cf0 \f
i720 rencana ambulasi sesuai dengan kebutuhan
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
bantu klien untuk menggunakan tongkat sa
at
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-278 \f20 \fs21 \cf0 \f
i720 berjalan dan cegah terhadap cedera
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
ajarkan
pasien
atau
tenaga
keseha
tan
lain
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-278 \f20 \fs21 \cf0 \f
i720 tentang teknik ambulasi
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
kaji kemampuan pasien dalam mobilisasi
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-279 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
latih pasien dalam pemenuhan kebutuhan ADL
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 \f
i720 secara mandiri sesuai kemampuan
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-278 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
dampingi dan bantu pasien saat mobilisas
i dan
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 \f
i720 bantu pemenuhan kabutuhan ADL
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-278 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
berikan alat bantu bila pasien memerlukan
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
ajarkan bagaimana merubah posisi dan beri
kan
\par}{\phpg\posx10913\pvpg\posy4391\absw5585\absh4711 \sl-278 \f20 \fs21 \cf0 \f
i720 bantuan jika diperlukan \par

}
{\phpg\posx6434\pvpg\posy7423\absw4398\absh988 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
berjalan}{\f20
dengan}{\f20
jarak}{\f20
yan
g}{\f20
sedang}{\f20
( }
\par}{\phpg\posx6434\pvpg\posy7423\absw4398\absh988 \sl-279 \f10 \fs21 \cf0 \fi3
60 {\f20 keluar}{\f20 kamar) }
\par}{\phpg\posx6434\pvpg\posy7423\absw4398\absh988 \sl-273 \f10 \fs21 \cf0 {\f6
3 \u61607\'3f}{\f20
berjalan}{\f20 dengan}{\f20 jarak}{\f20 yang}{\f2
0 lebih}{\f20 jauh }
\par}{\phpg\posx6434\pvpg\posy7423\absw4398\absh988 \sl-278 \f10 \fs21 \cf0 \fi3
60 {\f20 (mengitari}{\f20 bangsal) }\par
}
{\phpg\posx5019\pvpg\posy8809\absw5954\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 b
erjalan,
Setelah dilakukan tindakan keperawatan selama
\par}{\phpg\posx5019\pvpg\posy8809\absw5954\absh485 \sl-273 \f20 \fs21 \cf0 \fi1
31 diseret,
......x24 jam tingkat mobilitas pasien meningkat \par
}
{\phpg\posx2770\pvpg\posy9361\absw5125\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 g
oyangan yang berlebihan pada
dengan indikator: \par
}
{\phpg\posx2410\pvpg\posy9634\absw3574\absh986 \f20 \fs21 \cf0 \fi360 \f20 \fs21
\cf0 posisi lateral)
\par}{\phpg\posx2410\pvpg\posy9634\absw3574\absh986 \sl-278 \f20 \fs21 \cf0 {\f1
0 {\f63 \u61607\'3f}}
Penurunan waktu reaksi
\par}{\phpg\posx2410\pvpg\posy9634\absw3574\absh986 \sl-273 \f20 \fs21 \cf0 {\f1
0 {\f63 \u61607\'3f}}
Bergerak menyebabkan nafas
\par}{\phpg\posx2410\pvpg\posy9634\absw3574\absh986 \sl-278 \f20 \fs21 \cf0 \fi3
60 menjadi pendek \par
}
{\phpg\posx6434\pvpg\posy9632\absw2422\absh988 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
keseimbangan}{\f20 tubuh }
\par}{\phpg\posx6434\pvpg\posy9632\absw2422\absh988 \sl-278 \f10 \fs21 \cf0 {\f6
3 \u61607\'3f}{\f20
posisi}{\f20 tubuh }
\par}{\phpg\posx6434\pvpg\posy9632\absw2422\absh988 \sl-273 \f10 \fs21 \cf0 {\f6
3 \u61607\'3f}{\f20
gerakan}{\f20 otot }
\par}{\phpg\posx6434\pvpg\posy9632\absw2422\absh988 \sl-278 \f10 \fs21 \cf0 {\f6
3 \u61607\'3f}{\f20
gerakan}{\f20 sendi }\par
}
{\phpg\posx10913\pvpg\posy10470\absw4968\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs2
1 \cf0 EXERCISE THERAPY: JOINT MOVEMENT \par
}
{\phpg\posx16156\pvpg\posy10916\absw165\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
4 \par
}
\sect\sectd\pard\plain
\pgwsxn16838\pghsxn11908
{\phpg\posx0\pvpg\posy0\absw16840\absh11900 \overlay
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45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
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d9
}}\par}{\phpg\posx3912\pvpg\posy786\absw12704\absh994 \f10 \fs32 \cf0 \fi5161 \f
10 \fs32 \cf0 NANDA NIC NOC PSIK FIKES UMM{\b 2011 }
\par}{\phpg\posx3912\pvpg\posy786\absw12704\absh994 \sl-355 \par\f10 \fs32 \cf0
{\b \f20 \fs21 PENGETAHUAN:}{\f20 \fs21
Setelah}{\f20 \fs21 dilakukan}{\f20
\fs21 tindakan}{\f20 \fs21 keperawatan}{\f20 \fs21 selama}{\b \f20 \fs21
TEACHING:}{\b \f20 \fs21
PENGETAHUAN}{\b \f20 \fs21
PROSE
S }\par
}
{\phpg\posx1430\pvpg\posy1620\absw165\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 4
\par
}
{\phpg\posx1987\pvpg\posy1625\absw1197\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 KURANG \par
}
{\phpg\posx1987\pvpg\posy1899\absw2883\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 PROSES; PENGOBATAN \par
}
{\phpg\posx6074\pvpg\posy1894\absw6312\absh243 \f20 \fs21 \cf0 \f20 \fs21 \cf0 .
....x24 jam psien mengetahui tentang proses{\b
PENYAKIT }\par
}
{\phpg\posx1987\pvpg\posy2172\absw8231\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 D
efinisi: tidak adanya atau kurangnya
penyakit dengan indikator pasien dap
at : \par
}
{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \f20 \fs21 \cf0 \f20 \fs21 \cf0
informasi kognitif tentang hal yang
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-278 \f20 \fs21 \cf0 spe
sifik.
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-273 \f20 \fs21 \cf0 {\b
Batasan}{\b karakteristik}:
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-278 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
Mengungkapkan masalah
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-273 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
Tidak tepat mengikuti perintah
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-278 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
Tingkah laku yang berlebihan
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-274 \f20 \fs21 \cf0 \fi
720 (histeris,
apatis,
sikap
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-278 \f20 \fs21 \cf0 \fi

720 bermusuhan, agitasi)

\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-273 \f20 \fs21 \cf0 {\b
Faktor}{\b yang}{\b berhubungan} :
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-278 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
Kurang paparan
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-273 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
Mudah lupa
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-278 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
Misintepretasi informasi
\par}{\phpg\posx1987\pvpg\posy2446\absw4014\absh3221 \sl-273 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
Keterbatasan kognitif \par
}
{\phpg\posx2347\pvpg\posy6036\absw2561\absh984 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Kurang}{\f20
keinginan }
\par}{\phpg\posx2347\pvpg\posy6036\absw2561\absh984 \sl-273 \f10 \fs21 \cf0 \fi3
60 {\f20 mencari}{\f20 informasi }
\par}{\phpg\posx2347\pvpg\posy6036\absw2561\absh984 \sl-278 \f10 \fs21 \cf0 {\f6
3 \u61607\'3f}{\f20
Tidak}{\f20
mengenal }
\par}{\phpg\posx2347\pvpg\posy6036\absw2561\absh984 \sl-273 \f10 \fs21 \cf0 \fi3
60 {\f20 informasi }\par
}
{\phpg\posx5144\pvpg\posy6038\absw819\absh736 \f20 \fs21 \cf0 \fi154 \f20 \fs21
\cf0 untuk
\par}{\phpg\posx5144\pvpg\posy6038\absw819\absh736 \sl-276 \par\f20 \fs21 \cf0 s
umber \par
}
{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
Familiar}{\f20 dengan}{\f20 nama}{\f20 penyakit
}
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20 proses}{\f20 penyakit }
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20 faktor}{\f20 penyebab }
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20 faktor}{\f20 resiko }
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Mendeskripsikan}{\f20 efek}{\f20 penyakit }
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20 tanda}{\f20 dan}{\f20 gejala
}
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-274 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20 perjalanan}{\f20 penyakit }
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20
tindakan}{\f20
u
ntuk }
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360 {\f20 menurunkan}{\f20 progresifitas}{\f20 penyakit }
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20 komplikasi }
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20 tanda}{\f20 dan}{\f20 geja
la}{\f20 dari }
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-278 \f10 \fs21 \cf0 \fi
360 {\f20 komplikasi }
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mendeskripsikan}{\f20
tindakan}{\f20
pencegahan
}
\par}{\phpg\posx6434\pvpg\posy2444\absw4422\absh3473 \sl-278 \f10 \fs21 \cf0 \fi
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}

{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \f20 \fs21 \cf0 \f20 \fs21 \cf0

Definisi : membantu pasien memahami informasi yang
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-273 \f20 \fs21 \cf0 be
rhubungan dengan penyakit yang spesifik
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-278 \f20 \fs21 \cf0 In
tervensi
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-273 \f20 \fs21 \cf0 \f
i422 {\f10 {\f63 \u61607\'3f}}
Berikan penilaian tentang tingkat pengeta
huan
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-278 \f20 \fs21 \cf0 \f
i782 pasien tentang proses penyakit yang spesifik
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-273 \f20 \fs21 \cf0 \f
i422 {\f10 {\f63 \u61607\'3f}}
Jelaskan
patofisiologi
dari
penyaki
t
dan
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-278 \f20 \fs21 \cf0 \f
i782 bagaiman hal ini berhubungan dengan anatomi
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-274 \f20 \fs21 \cf0 \f
i782 dan fisiologi
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-278 \f20 \fs21 \cf0 \f
i422 {\f10 {\f63 \u61607\'3f}}
Gambarkan
tanda
dan
gejala
yang
biasa
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-273 \f20 \fs21 \cf0 \f
i782 muncul pada penyakit
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-278 \f20 \fs21 \cf0 \f
i422 {\f10 {\f63 \u61607\'3f}}
Gambarkan proses penyakit
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-273 \f20 \fs21 \cf0 \f
i422 {\f10 {\f63 \u61607\'3f}}
Identifikasi kemungkinan penyebab denga
n
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-278 \f20 \fs21 \cf0 \f
i782 cara yang tepat
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-273 \f20 \fs21 \cf0 \f
i422 {\f10 {\f63 \u61607\'3f}}
Sediakan informasi tentang kondisi pasien
\par}{\phpg\posx10913\pvpg\posy2172\absw5618\absh4215 \sl-278 \f20 \fs21 \cf0 \f
i422 {\f10 {\f63 \u61607\'3f}}
Sediakan bagi keluarga atau SO info
rmasi
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i782 tentang kemajuan pasien
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i422 {\f10 {\f63 \u61607\'3f}}
Sediakan pengukuran diagnostik yang tersedia
\par
}
{\phpg\posx11336\pvpg\posy6862\absw1510\absh491 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
Diskusikan }
\par}{\phpg\posx11336\pvpg\posy6862\absw1510\absh491 \sl-278 \f10 \fs21 \cf0 \fi
360 {\f20 mungkin }\par
}
{\phpg\posx12938\pvpg\posy6864\absw1177\absh489 \f20 \fs21 \cf0 \fi90 \f20 \fs21
\cf0 perubahan
\par}{\phpg\posx12938\pvpg\posy6864\absw1177\absh489 \sl-278 \f20 \fs21 \cf0 dip
erlukan \par
}
{\phpg\posx14285\pvpg\posy6864\absw686\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 g
aya
\par}{\phpg\posx14285\pvpg\posy6864\absw686\absh489 \sl-278 \f20 \fs21 \cf0 \fi7
2 untuk \par
}
{\phpg\posx15004\pvpg\posy6864\absw613\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 h
idup \par
}
{\phpg\posx15810\pvpg\posy6864\absw521\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 y

ang \par
}
{\phpg\posx15303\pvpg\posy7142\absw1095\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
mencegah \par
}
{\phpg\posx1430\pvpg\posy10465\absw165\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 5
\par
}
{\phpg\posx1987\pvpg\posy10470\absw1169\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 PERFUSI \par
}
{\phpg\posx3403\pvpg\posy10470\absw1401\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 JARINGAN \par
}
{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \f20 \fs21 \cf0 \fi6632 \f20 \f
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i6632 proses pengontrolan penyakit
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-273 \f20 \fs21 \cf0 \f
i6272 {\f10 {\f63 \u61607\'3f}}
Diskusikan pilihan terapi
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-278 \f20 \fs21 \cf0 \f
i6272 {\f10 {\f63 \u61607\'3f}}
Gambarkan rasional rekomendasi manajemen
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-273 \f20 \fs21 \cf0 \f
i6632 terapi
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-278 \f20 \fs21 \cf0 \f
i6272 {\f10 {\f63 \u61607\'3f}}
Dukung pasien untuk mengeksplorasi a
tau
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-273 \f20 \fs21 \cf0 \f
i6632 mendapatkan second opinion
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-278 \f20 \fs21 \cf0 \f
i6272 {\f10 {\f63 \u61607\'3f}}
Eksplorasi kemungkinan sumber dukungan
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-273 \f20 \fs21 \cf0 \f
i6272 {\f10 {\f63 \u61607\'3f}}
Instruksikan pasien mengenai tanda dan gejal
a
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-278 \f20 \fs21 \cf0 \f
i6632 untuk melaporkan pada pemberi perawatan
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-273 \f20 \fs21 \cf0 \f
i6632 kesehatan
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-292 \f20 \fs21 \cf0 {\
b TIDAK}
Setelah dilakukan tindakan keperawatan selama{\b
PERAWATAN}{\b
SIRKULASI }
\par}{\phpg\posx5063\pvpg\posy7416\absw11437\absh3389 \sl-223 \par\f20 \fs21 \cf
0 \fi11093 6 \par
}
\sect\sectd\pard\plain
\pgwsxn16838\pghsxn11908
{\phpg\posx0\pvpg\posy0\absw16840\absh11900 \overlay
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}
{\phpg\posx6074\pvpg\posy1620\absw4716\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 .
......x24 jam tidak ada gangguan pada status \par
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{\phpg\posx1987\pvpg\posy1894\absw7553\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 D
efinisi : penurunan pemberian oksigen
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{\phpg\posx1987\pvpg\posy2172\absw3961\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 d
alam
kegagalan
memberi
makan \par
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jaringan pada tingkat kapiler.
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{\phpg\posx1987\pvpg\posy1625\absw2343\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 EFEKTIF: PERIFER \par
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{\phpg\posx5408\pvpg\posy3829\absw514\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ku
lit \par
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{\phpg\posx2347\pvpg\posy4103\absw3612\absh2723 \f20 \fs21 \cf0 \fi360 \f20 \fs2
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Diskolorisasi kulit
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Perubahan suhu kulit
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Perubahan sensasi
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Kebiru-biruan
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Perubahan
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di
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Terlambat sembuh
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Pulsasi arterial kurang \par
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kapillary}{\f20
refill,}{\f20
warna}{\f20
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keadekuatan}{\f20
hidrasi}{\f20
untuk}{\f20
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{\phpg\posx11273\pvpg\posy6036\absw1635\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0
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Kolaborasi }
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{\phpg\posx13048\pvpg\posy6038\absw1135\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
pemberian \par
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{\phpg\posx14434\pvpg\posy6038\absw1140\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
antiplatelet \par
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{\phpg\posx15872\pvpg\posy6038\absw454\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 a
tau \par
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{\phpg\posx11273\pvpg\posy6588\absw3546\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
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20 VITAL }\par
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Aliran vena terputus

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oksgen
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720 melalui alveoler atau membran
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720 kapiler
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\cf0 NANDA NIC NOC PSIK FIKES UMM{\b 2011 }\par
}
{\phpg\posx2347\pvpg\posy1618\absw2798\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
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\par}{\phpg\posx2347\pvpg\posy1618\absw2798\absh487 \sl-273 \f10 \fs21 \cf0 {\f6
3 \u61607\'3f}{\f20
Perubahan}{\f20 status}{\f20 cairan }\par
}
{\phpg\posx1987\pvpg\posy2170\absw2667\absh1247 \f10 \fs21 \cf0 \fi359 \f10 \fs2
1 \cf0 {\f63 \u61607\'3f}{\f20
Perubahan }
\par}{\phpg\posx1987\pvpg\posy2170\absw2667\absh1247 \sl-273 \f10 \fs21 \cf0 \fi
720 {\f20 perubahan}{\f20 sirkulasi }
\par}{\phpg\posx1987\pvpg\posy2170\absw2667\absh1247 \sl-278 \f10 \fs21 \cf0 \fi
359 {\f63 \u61607\'3f}{\f20
Perubahan}{\f20 turgor }
\par}{\phpg\posx1987\pvpg\posy2170\absw2667\absh1247 \sl-283 \par\f10 \fs21 \cf0
{\b \f20 CEMAS }\par
}
{\phpg\posx4796\pvpg\posy2172\absw1110\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 p
igmentasi \par
}
{\phpg\posx1430\pvpg\posy3286\absw165\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 7
\par
}
{\phpg\posx6074\pvpg\posy3286\absw7896\absh243 \f20 \fs21 \cf0 \f20 \fs21 \cf0 S
etelah dilakukan tindakan keperawatan selama{\b
PENGURANGAN}{\b CEMAS }\par
}
{\phpg\posx1987\pvpg\posy3560\absw14553\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
Definisi : perasaan gelisah yang tak
.......x24 jam pasien dapat
mengontrol cemas
Definisi: rasa takut, cemas, merasa dalam bahaya
atau \par
}
{\phpg\posx1987\pvpg\posy3838\absw6002\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 j
elas
dari
ketidaknyamanan
atau
dengan indikator:: \par
}
{\phpg\posx1987\pvpg\posy4112\absw4025\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 k
ekuatan yang disertai respon autonom \par
}

{\phpg\posx1987\pvpg\posy4391\absw991\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 (s

umber
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ahui \par
}
{\phpg\posx3013\pvpg\posy4391\absw624\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ti
dak
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9 oleh \par
}
{\phpg\posx3738\pvpg\posy4391\absw2194\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 s
pesifik
atau
tidak
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1 individu),
perasaan \par
}
{\phpg\posx10913\pvpg\posy3838\absw1725\absh736 \f20 \fs21 \cf0 \f20 \fs21 \cf0
ketidaknyamanan
\par}{\phpg\posx10913\pvpg\posy3838\absw1725\absh736 \sl-274 \f20 \fs21 \cf0 dik
etahui
\par}{\phpg\posx10913\pvpg\posy3838\absw1725\absh736 \sl-278 \f20 \fs21 \cf0 Int
ervensi : \par
}
{\phpg\posx12899\pvpg\posy3838\absw918\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 t
erhadap \par
}
{\phpg\posx14022\pvpg\posy3838\absw819\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 s
umber \par
}
{\phpg\posx15029\pvpg\posy3838\absw521\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 y
ang \par
}
{\phpg\posx15792\pvpg\posy3838\absw547\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 t
idak \par
}
{\phpg\posx1987\pvpg\posy4943\absw4027\absh5209 \f20 \fs21 \cf0 \f20 \fs21 \cf0
keprihatinan disebabkan dari antisipasi
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hadap bahaya.
\par}{\phpg\posx1987\pvpg\posy4943\absw4027\absh5209 \sl-278 \f20 \fs21 \cf0 {\b
Faktor}{\b yang}{\b berhubungan} :
\par}{\phpg\posx1987\pvpg\posy4943\absw4027\absh5209 \sl-273 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
Terpapar racun
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359 {\f10 {\f63 \u61607\'3f}}
Konflik
yang
tidak
disadari
\par}{\phpg\posx1987\pvpg\posy4943\absw4027\absh5209 \sl-273 \f20 \fs21 \cf0 \fi
720 tentang nilai-nilai utama tujuan
\par}{\phpg\posx1987\pvpg\posy4943\absw4027\absh5209 \sl-278 \f20 \fs21 \cf0 \fi
720 hidup,
\par}{\phpg\posx1987\pvpg\posy4943\absw4027\absh5209 \sl-273 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
berhubungan dengan herediter,
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359 {\f10 {\f63 \u61607\'3f}}
kebutuhan tidak terpenuhi
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transmisi interpersonal
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krisis situasional
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359 {\f10 {\f63 \u61607\'3f}}
ancaman kematian
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359 {\f10 {\f63 \u61607\'3f}}
ancaman terhadap konsep diri,

\par}{\phpg\posx1987\pvpg\posy4943\absw4027\absh5209 \sl-273 \f20 \fs21 \cf0 \fi

720 stres, subtans abuse
\par}{\phpg\posx1987\pvpg\posy4943\absw4027\absh5209 \sl-278 \f20 \fs21 \cf0 \fi
359 {\f10 {\f63 \u61607\'3f}}
perubahan dalam : status peran;
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720 kesehatan; pola interaksi, fungsi
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720 peran, lingkungan, ekonomi
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Batasan}{\b karakteristik}{\b : }
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359 {\f10 {\f63 \u61607\'3f}}
perilaku : gelisah, pergerakan
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720 yang
tidak
berhubungan,
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720 insomnia, resah \par
}
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menurunkan}{\f20 stimulus}{\f20 lingkungan}{\f20 ke
tika }
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360 {\f20 cemas }
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63 \u61607\'3f}{\f20
merencanakan}{\f20
strategi}{\f20
koping}{\f20
untuk }
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360 {\f20 situasi}{\f20 penuh}{\f20 stres }
\par}{\phpg\posx6434\pvpg\posy4111\absw4425\absh2725 \sl-273 \f10 \fs21 \cf0 {\f
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menggunakan}{\f20
teknik}{\f20
relaksasi}{\f20
untuk }
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360 {\f20 mengurangi}{\f20 cemas }
\par}{\phpg\posx6434\pvpg\posy4111\absw4425\absh2725 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
tidak}{\f20
ada}{\f20
manifestasi}{\f20
perilaku }
\par}{\phpg\posx6434\pvpg\posy4111\absw4425\absh2725 \sl-278 \f10 \fs21 \cf0 \fi
360 {\f20 kecemasan }
\par}{\phpg\posx6434\pvpg\posy4111\absw4425\absh2725 \sl-273 \f10 \fs21 \cf0 {\f
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melaporkan}{\f20 kebutuhan}{\f20 tidur}{\f20 adekua
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}
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pahami}{\f20 perspektif}{\f20 pasien}{\f20 terhada
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berikan}{\f20
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mengenai}
{\f20
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mengenai}{\f20
situasi}{\f20
yang }
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{\f63 \u61607\'3f}{\f20
instruksikan }
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{\phpg\posx13101\pvpg\posy8530\absw705\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 p
asien \par
}
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}
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}}\par}{\phpg\posx9074\pvpg\posy786\absw7232\absh379 \f10 \fs32 \cf0 \f10 \fs32
\cf0 NANDA NIC NOC PSIK FIKES UMM{\b 2011 }\par
}
{\phpg\posx2347\pvpg\posy1618\absw1360\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
affektive: }\par
}
{\phpg\posx4022\pvpg\posy1620\absw1071\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 k
esedihan \par
}
{\phpg\posx2708\pvpg\posy1894\absw2260\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 m
endalam, ketakutan, \par
}
{\phpg\posx5192\pvpg\posy1620\absw721\absh485 \f20 \fs21 \cf0 \fi192 \f20 \fs21
\cf0 yang
\par}{\phpg\posx5192\pvpg\posy1620\absw721\absh485 \sl-273 \f20 \fs21 \cf0 gugup
, \par
}
{\phpg\posx2708\pvpg\posy2172\absw3315\absh735 \f20 \fs21 \cf0 \f20 \fs21 \cf0 m
udah tersinggung, nyeri hebat,
\par}{\phpg\posx2708\pvpg\posy2172\absw3315\absh735 \sl-273 \f20 \fs21 \cf0 foku
s pada diri sendiri, distres,
\par}{\phpg\posx2708\pvpg\posy2172\absw3315\absh735 \sl-278 \f20 \fs21 \cf0 khaw
atir, cemas \par
}
{\phpg\posx2347\pvpg\posy2996\absw1470\absh737 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
fisiologis: }
\par}{\phpg\posx2347\pvpg\posy2996\absw1470\absh737 \sl-278 \f10 \fs21 \cf0 \fi3
60 {\f20 gemetar, }
\par}{\phpg\posx2347\pvpg\posy2996\absw1470\absh737 \sl-273 \f10 \fs21 \cf0 \fi3
60 {\f20 meningkat, }\par
}
{\phpg\posx2708\pvpg\posy3829\absw828\absh736 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ny
eri
\par}{\phpg\posx2708\pvpg\posy3829\absw828\absh736 \sl-274 \f20 \fs21 \cf0 banya
k,
\par}{\phpg\posx2708\pvpg\posy3829\absw828\absh736 \sl-278 \f20 \fs21 \cf0 tekan
an \par
}
{\phpg\posx3969\pvpg\posy2998\absw721\absh735 \f20 \fs21 \cf0 \fi119 \f20 \fs21
\cf0 suara
\par}{\phpg\posx3969\pvpg\posy2998\absw721\absh735 \sl-278 \f20 \fs21 \cf0 goyah
,

\par}{\phpg\posx3969\pvpg\posy2998\absw721\absh735 \sl-273 \f20 \fs21 \cf0 \fi10

6 nadi \par
}
{\phpg\posx3658\pvpg\posy3829\absw1270\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 a
bdomen,
\par}{\phpg\posx3658\pvpg\posy3829\absw1270\absh485 \sl-274 \f20 \fs21 \cf0 \fi2
35 anoreksia, \par
}
{\phpg\posx3845\pvpg\posy4381\absw597\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 da
rah \par
}
{\phpg\posx4780\pvpg\posy2998\absw1201\absh1483 \f20 \fs21 \cf0 \fi234 \f20 \fs2
1 \cf0 gemetar,
\par}{\phpg\posx4780\pvpg\posy2998\absw1201\absh1483 \sl-278 \f20 \fs21 \cf0 \fi
258 respirasi
\par}{\phpg\posx4780\pvpg\posy2998\absw1201\absh1483 \sl-273 \f20 \fs21 \cf0 men
ingkat,
\par}{\phpg\posx4780\pvpg\posy2998\absw1201\absh1483 \sl-278 \f20 \fs21 \cf0 \fi
282 keringat
\par}{\phpg\posx4780\pvpg\posy2998\absw1201\absh1483 \sl-274 \f20 \fs21 \cf0 \fi
532 mual,
\par}{\phpg\posx4780\pvpg\posy2998\absw1201\absh1483 \sl-278 \f20 \fs21 \cf0 men
ingkat, \par
}
{\phpg\posx1987\pvpg\posy4655\absw3157\absh749 \f20 \fs21 \cf0 \fi720 \f20 \fs21
\cf0 pusing, pulsasi menurun
\par}{\phpg\posx1987\pvpg\posy4655\absw3157\absh749 \sl-283 \par\f20 \fs21 \cf0
{\b KURANG}{\b
PERAWATAN }\par
}
{\phpg\posx1430\pvpg\posy5217\absw165\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 8
\par
}
{\phpg\posx5236\pvpg\posy5217\absw7234\absh243 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 DIRI:{\b0
Setelah}{\b0 dilakukan}{\b0 tindakan}{\b0 keperawatan}{\b0
selama}
SELF-CARE \par
}
{\phpg\posx12578\pvpg\posy5222\absw1590\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 ASSISTANCE: \par
}
{\phpg\posx14475\pvpg\posy5222\absw582\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 ADL \par
}
{\phpg\posx15290\pvpg\posy5222\absw1088\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 (MANDI, \par
}
{\phpg\posx1987\pvpg\posy5495\absw4928\absh243 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 MANDI, MAKAN, BERPAKAIAN,{\b0
.......x24 }\par
}
{\phpg\posx1987\pvpg\posy5774\absw3959\absh731 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 TOILETING
\par}{\phpg\posx1987\pvpg\posy5774\absw3959\absh731 \sl-273 \b \f20 \fs21 \cf0 {
\b0 Definisi}{\b0 :}{\b0 gangguan}{\b0 kemampuan}{\b0 untuk }
\par}{\phpg\posx1987\pvpg\posy5774\absw3959\absh731 \sl-273 \b \f20 \fs21 \cf0 {
\b0 melakukan}{\b0 ADL}{\b0 pada}{\b0 diri}{\b0 sendiri. }\par
}
{\phpg\posx1987\pvpg\posy6604\absw3322\absh1725 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 Batasan
karakteristik
\par}{\phpg\posx1987\pvpg\posy6604\absw3322\absh1725 \sl-268 \b \f20 \fs21 \cf0
{\b0 ketidakmampuan}{\b0
untuk }
\par}{\phpg\posx1987\pvpg\posy6604\absw3322\absh1725 \sl-278 \b \f20 \fs21 \cf0

{\b0 berpakaian,}{\b0 makan,}{\b0 toileting. }

\par}{\phpg\posx1987\pvpg\posy6604\absw3322\absh1725 \sl-278 \b \f20 \fs21 \cf0
Faktor yang berhubungan:
\par}{\phpg\posx1987\pvpg\posy6604\absw3322\absh1725 \sl-274 \b \f20 \fs21 \cf0
\fi359 {\b0 \f10 {\f63 \u61607\'3f}}{\b0
kelemahan }
\par}{\phpg\posx1987\pvpg\posy6604\absw3322\absh1725 \sl-273 \b \f20 \fs21 \cf0
\fi359 {\b0 \f10 {\f63 \u61607\'3f}}{\b0
Kerusakankognitif }
\par}{\phpg\posx1987\pvpg\posy6604\absw3322\absh1725 \sl-278 \b \f20 \fs21 \cf0
\fi359 {\b0 \f10 {\f63 \u61607\'3f}}{\b0
kerusakan}{\b0 neuromuskular }\pa
r
}
{\phpg\posx5199\pvpg\posy6604\absw737\absh481 \b \f20 \fs21 \cf0 \fi571 \b \f20
\fs21 \cf0 :
\par}{\phpg\posx5199\pvpg\posy6604\absw737\absh481 \sl-268 \b \f20 \fs21 \cf0 {\
b0 mandi, }\par
}
{\phpg\posx7181\pvpg\posy5495\absw428\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ja
m \par
}
{\phpg\posx7857\pvpg\posy5495\absw705\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 pa
sien \par
}
{\phpg\posx8793\pvpg\posy5495\absw580\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 da
pat \par
}
{\phpg\posx9646\pvpg\posy5495\absw5585\absh243 \f20 \fs21 \cf0 \f20 \fs21 \cf0 m
elakukan{\b
MAKAN,}{\b BERPAKAIAN,}{\b TOILETING) }\par
}
{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \f20 \fs21 \cf0 \f20 \fs21 \cf0
kebersihan diri dengan indikator pasien dapat :
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-278 \f20 \fs21 \cf0 \fi
360 {\f10 {\f63 \u61607\'3f}}
Mencuci tangan
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-273 \f20 \fs21 \cf0 \fi
360 {\f10 {\f63 \u61607\'3f}}
Menggunakan deodoran
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-278 \f20 \fs21 \cf0 \fi
360 {\f10 {\f63 \u61607\'3f}}
Membersihkan area perinea
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-273 \f20 \fs21 \cf0 \fi
360 {\f10 {\f63 \u61607\'3f}}
Membersihkan telinga
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-278 \f20 \fs21 \cf0 \fi
360 {\f10 {\f63 \u61607\'3f}}
Menjaga oral hygiene
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-273 \f20 \fs21 \cf0 \fi
360 {\f10 {\f63 \u61607\'3f}}
Menjaga kebersihan hidung
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-276 \par\f20 \fs21 \cf0
Setelah dilakukan tindakan keperawatan selama
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-278 \f20 \fs21 \cf0 ...
....x24 jam pasien dapat melakukan aktivitas
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-273 \f20 \fs21 \cf0 seh
ari-hari secara mandiri dengan indikator
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-278 \f20 \fs21 \cf0 pas
ien dapat :
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-273 \f20 \fs21 \cf0 \fi
263 {\f10 {\f63 \u61607\'3f}}
makan
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-278 \f20 \fs21 \cf0 \fi
263 {\f10 {\f63 \u61607\'3f}}
berpakaian
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-273 \f20 \fs21 \cf0 \fi
263 {\f10 {\f63 \u61607\'3f}}
toileting
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-278 \f20 \fs21 \cf0 \fi
263 {\f10 {\f63 \u61607\'3f}}
mandi
\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-273 \f20 \fs21 \cf0 \fi
263 {\f10 {\f63 \u61607\'3f}}
hygiene

\par}{\phpg\posx6074\pvpg\posy5769\absw4825\absh4465 \sl-278 \f20 \fs21 \cf0 \fi

263 {\f10 {\f63 \u61607\'3f}}
oral hygiene \par
}
{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \f20 \fs21 \cf0 \f20 \fs21 \cf0
Definisi: membantu pasien untuk memenuhi ADL
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-278 \f20 \fs21 \cf0 In
tervensi:
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
monitor kemampuan klien untuk perawatan diri
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-278 \f20 \fs21 \cf0 \f
i720 yang mandiri
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
monitor kebutuhan klien untuk alat-alat
bantu
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-278 \f20 \fs21 \cf0 \f
i720 untuk
kebersihan
diri,
berpakaian,
berhias,
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-273 \f20 \fs21 \cf0 \f
i720 toileting dan makan
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-279 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
sediakan bantuan sampai klien mampu seca
ra
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-273 \f20 \fs21 \cf0 \f
i720 utuh untuk melakukan self-carae
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-278 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
dorong klien untuk melakukan aktivitas seh
ari\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-273 \f20 \fs21 \cf0 \f
i720 hari yang normal sesuai kemampuan yang
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-278 \f20 \fs21 \cf0 \f
i720 dimiliki
\par}{\phpg\posx10913\pvpg\posy5769\absw5565\absh3221 \sl-273 \f20 \fs21 \cf0 \f
i360 {\f10 {\f63 \u61607\'3f}}
dorong untuk melakukan secara mandiri, t
api \par
}
{\phpg\posx11273\pvpg\posy9361\absw2847\absh736 \f20 \fs21 \cf0 \fi360 \f20 \fs2
1 \cf0 beri
bantuan
ketika
\par}{\phpg\posx11273\pvpg\posy9361\absw2847\absh736 \sl-273 \f20 \fs21 \cf0 \fi
360 melakukanya
\par}{\phpg\posx11273\pvpg\posy9361\absw2847\absh736 \sl-278 \f20 \fs21 \cf0 {\f
10 {\f63 \u61607\'3f}}
ajarkan
klien/keluarga \par
}
{\phpg\posx14094\pvpg\posy9361\absw1249\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
klien
tidak \par
}
{\phpg\posx14319\pvpg\posy9913\absw613\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 u
ntuk \par
}
{\phpg\posx15552\pvpg\posy9361\absw812\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 m
ampu \par
}
{\phpg\posx15182\pvpg\posy9913\absw1231\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
mendorong \par
}
{\phpg\posx11633\pvpg\posy10187\absw4760\absh895 \f20 \fs21 \cf0 \f20 \fs21 \cf0
kemandirian, untuk memberikan bantuan hanya
\par}{\phpg\posx11633\pvpg\posy10187\absw4760\absh895 \sl-278 \f20 \fs21 \cf0 ji
ka pasien tidak mampu untuk melakukanya
\par}{\phpg\posx11633\pvpg\posy10187\absw4760\absh895 \sl-225 \par\f20 \fs21 \cf
0 \fi4402 10 \par
}

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jam
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trau
ma
pasien
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Manusia
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gaya }
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Menghindari}{\f20
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{\phpg\posx10146\pvpg\posy4943\absw617\absh736 \f20 \fs21 \cf0 \f20 \fs21 \cf0 u
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y
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(racun,}{\f20
obat,}{\f2
0
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{\phpg\posx4809\pvpg\posy3008\absw9485\absh243 \b \f20 \fs21 \cf0 \b \f20 \fs21
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Pengungkapan diri yang negatif
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720 dengan nilai

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}}\par}{\phpg\posx1987\pvpg\posy786\absw14771\absh990 \f10 \fs32 \cf0 \fi7086 \f
10 \fs32 \cf0 NANDA NIC NOC PSIK FIKES UMM{\b 2011 }
\par}{\phpg\posx1987\pvpg\posy786\absw14771\absh990 \sl-353 \par\f10 \fs32 \cf0
{\f20 \fs21 Definisi:}{\f20 \fs21 ketidakcukupan}{\f20 \fs21 energi}{\f20 \f
s21 secara}{\f20 \fs21
.......x24}{\f20 \fs21 jam}{\f20 \fs21 daya}{\f20
\fs21 tahan}{\f20 \fs21 pasien}{\f20 \fs21 akan}{\f20 \fs21 meningkat}{\f20
\fs21
Definisi:}{\f20 \fs21 petunjuk}{\f20 \fs21 rentang}{\f20 \fs21 dan
}{\f20 \fs21 bantuan}{\f20 \fs21 dalam}{\f20 \fs21 aktivitas }\par
}
{\phpg\posx1987\pvpg\posy1894\absw6019\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 f
isiologis maupun untuk meneruskan
dengan indikator: \par
}
{\phpg\posx1987\pvpg\posy2172\absw3998\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 a
tau
menyelesaikan
aktivitas
yang
\par}{\phpg\posx1987\pvpg\posy2172\absw3998\absh485 \sl-273 \f20 \fs21 \cf0 dimi
nta
atau
aktivitas
sehari-hari \par
}
{\phpg\posx1987\pvpg\posy2724\absw3302\absh1280 \f20 \fs21 \cf0 \f20 \fs21 \cf0
(adanya respon jantung dan paru)
\par}{\phpg\posx1987\pvpg\posy2724\absw3302\absh1280 \sl-273 \f20 \fs21 \cf0 {\b
Faktor}{\b yang}{\b berhubungan}:
\par}{\phpg\posx1987\pvpg\posy2724\absw3302\absh1280 \sl-297 \f20 \fs21 \cf0 \fi
359 {\f40 {\f63 \u61623\'3f}}
Imobilisasi
\par}{\phpg\posx1987\pvpg\posy2724\absw3302\absh1280 \sl-292 \f20 \fs21 \cf0 \fi

359 {\f40 {\f63 \u61623\'3f}}

Kelemahan fisik
\par}{\phpg\posx1987\pvpg\posy2724\absw3302\absh1280 \sl-292 \f20 \fs21 \cf0 \fi
359 {\f40 {\f63 \u61623\'3f}}
Ketidakseimbangan \par
}
{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \f20 \fs21 \cf0 \f20 \fs21 \cf0
fisik, kognitif, sosial dan spiritual yang spesifik untuk
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-278 \f20 \fs21 \cf0 me
nentukan rentang frekuensi dan durasi aktivitas
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-273 \f20 \fs21 \cf0 in
dividu atau kelompok.
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-278 \f20 \fs21 \cf0 In
tervensi :
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-293 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Kaji
tanda
dan
gejala
yang
men
unjukan
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-273 \f20 \fs21 \cf0 \f
i720 ketidaktoleransi
terhadap
aktivitas
dan
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-278 \f20 \fs21 \cf0 \f
i720 memerlukan pelaporan terhadap perawat dan
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-273 \f20 \fs21 \cf0 \f
i720 dokter
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-298 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Tingkatkan pelaksanaan
ROM
pasif
s
esuai
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-273 \f20 \fs21 \cf0 \f
i720 indikasi
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-297 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Buat jadwal latihan aktivitas secara b
ertahap
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-273 \f20 \fs21 \cf0 \f
i720 untuk pasien dan berikan periode istirahat
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-293 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Berikan suport dan libatkan keluarga
dalam
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-273 \f20 \fs21 \cf0 \f
i720 program terapi
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-297 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Berikan berikan reinforcemen untuk pencapaian
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-273 \f20 \fs21 \cf0 \f
i720 aktivitas sesuai program latihan
\par}{\phpg\posx10913\pvpg\posy1894\absw5629\absh4310 \sl-293 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Kolaborasi ahli fisioterapi \par
}
{\phpg\posx10913\pvpg\posy6974\absw1920\absh485 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 PENGELOLAAN
\par}{\phpg\posx10913\pvpg\posy6974\absw1920\absh485 \sl-273 \b \f20 \fs21 \cf0
ENERGI \par
}
{\phpg\posx13217\pvpg\posy6974\absw1153\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 ENERGI/ \par
}
{\phpg\posx14685\pvpg\posy6974\absw1742\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
\cf0 MANAJEMEN \par
}
{\phpg\posx5221\pvpg\posy3881\absw705\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 su
play \par
}
{\phpg\posx2708\pvpg\posy4156\absw2634\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 o
ksigen dengan kebutuhan \par

}
{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \f40 \fs21 \cf0 \fi451 \f40 \fs2
1 \cf0 {\f63 \u61623\'3f}{\f20
Menunjukan}{\f20 kebiasaan}{\f20 rutin }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-292 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Aktivitas }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-293 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Konsentrasi }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-292 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Tertarik}{\f20 dengan}{\f20 lingkungan }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-292 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Pola}{\f20 makan }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-292 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Tidak}{\f20 ada}{\f20 letargi }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-292 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Hb}{\f20 normal }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-293 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Ht}{\f20 normal }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-297 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Gula}{\f20 darah}{\f20 normal }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-292 \f40 \fs21 \cf0 \fi
451 {\f63 \u61623\'3f}{\f20
Elektrolit}{\f20 serum}{\f20 normal }
\par}{\phpg\posx6074\pvpg\posy2164\absw4748\absh3133 \sl-273 \par\f40 \fs21 \cf0
{\f20 Setelah}{\f20 dilakukan}{\f20 tindakan}{\f20 keperawatan}{\f20 selama
}\par
}
{\phpg\posx6074\pvpg\posy5658\absw3309\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 .
......x24 jam toleransi aktivitas
\par}{\phpg\posx6074\pvpg\posy5658\absw3309\absh485 \sl-273 \f20 \fs21 \cf0 meni
ngkat dengan indikator{\b : }\par
}
{\phpg\posx9495\pvpg\posy5658\absw1219\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 p
asien akan \par
}
{\phpg\posx6338\pvpg\posy6202\absw4480\absh2048 \f40 \fs21 \cf0 \f40 \fs21 \cf0
{\f63 \u61623\'3f}{\f20
Saturasi}{\f20
oksigen}{\f20
dalam}{\f20
r
entang}{\f20
yang }
\par}{\phpg\posx6338\pvpg\posy6202\absw4480\absh2048 \sl-273 \f40 \fs21 \cf0 \fi
374 {\f20 diharapkan}{\f20 dalam}{\f20 respon}{\f20 aktivitas }
\par}{\phpg\posx6338\pvpg\posy6202\absw4480\absh2048 \sl-292 \f40 \fs21 \cf0 {\f
63 \u61623\'3f}{\f20
Heart}{\f20
rate}{\f20
dalam}{\f20
r
entang}{\f20
yang }
\par}{\phpg\posx6338\pvpg\posy6202\absw4480\absh2048 \sl-273 \f40 \fs21 \cf0 \fi
374 {\f20 diharapkan}{\f20 dalam}{\f20 respon}{\f20 aktivitas }
\par}{\phpg\posx6338\pvpg\posy6202\absw4480\absh2048 \sl-297 \f40 \fs21 \cf0 {\f
63 \u61623\'3f}{\f20
RR}{\f20
dalam}{\f20
rentang}{\f20
yang}{\
f20
diharapkan }
\par}{\phpg\posx6338\pvpg\posy6202\absw4480\absh2048 \sl-274 \f40 \fs21 \cf0 \fi
374 {\f20 dalam}{\f20 respon}{\f20 aktivitas }
\par}{\phpg\posx6338\pvpg\posy6202\absw4480\absh2048 \sl-292 \f40 \fs21 \cf0 {\f
63 \u61623\'3f}{\f20
Tekanan}{\f20
darah}{\f20
dalam}{\f20
rent
ang}{\f20
yang }
\par}{\phpg\posx6338\pvpg\posy6202\absw4480\absh2048 \sl-278 \f40 \fs21 \cf0 \fi
374 {\f20 diharapkan}{\f20 dalam}{\f20 respon}{\f20 aktivitas }\par
}
{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \f20 \fs21 \cf0 \f20 \fs21 \cf0
Definisi: pengaturan penggunaan energi untuk merawat
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-273 \f20 \fs21 \cf0 da
n mencegah kelelahan dan mengoptimalkan fungsi.
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-278 \f20 \fs21 \cf0 In
tervensi:

\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-292 \f20 \fs21 \cf0 \f

i360 {\f40 {\f63 \u61623\'3f}}
Bantu pasien untuk mengidentifikasi pil
ihan\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-273 \f20 \fs21 \cf0 \f
i720 pilihan aktivitas
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-297 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Rencanakan aktivitas untuk periode di
mana
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-273 \f20 \fs21 \cf0 \f
i720 pasien mempunyai energi paling banyak
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-292 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Bantu dengan aktivitas fisik teratur
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-297 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Tentukan persepsi lain pasien tentang penyeba
b
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-274 \f20 \fs21 \cf0 \f
i720 fatigue
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-292 \f20 \fs21 \cf0 \f
i360 {\f40 {\f63 \u61623\'3f}}
Dorong verbalisasi perasaan keterbatasan
\par}{\phpg\posx10913\pvpg\posy7522\absw5551\absh3294 \sl-273 \par\f20 \fs21 \cf
0 \fi5122 13 \par
}
\sect\sectd\pard\plain
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}}\par}{\phpg\posx4776\pvpg\posy786\absw11590\absh3349 \f10 \fs32 \cf0 \fi4298 \
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RO
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asif}{\f20 \fs21
atau}{\f20 \fs21
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{\phpg\posx5264\pvpg\posy4511\absw4491\absh489 \f20 \fs21 \cf0 \fi809 \f20 \fs21
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{\phpg\posx5444\pvpg\posy5063\absw454\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 at
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{\phpg\posx1987\pvpg\posy5342\absw4037\absh3467 \f20 \fs21 \cf0 \f20 \fs21 \cf0
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Kegagaalan }

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dala
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fakto
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resiko}{\f20
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0 \fi5122 {\f20 14 }\par
}
\sect\sectd\pard\plain
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{\phpg\posx1430\pvpg\posy7911\absw316\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 14
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{\phpg\posx1987\pvpg\posy7915\absw1620\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21
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r
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{\phpg\posx1987\pvpg\posy8184\absw9002\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 D
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{\phpg\posx1987\pvpg\posy8463\absw4073\absh982 \f20 \fs21 \cf0 \f20 \fs21 \cf0 n
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ikan suhu tubuh diatas rentang \par
}
{\phpg\posx1987\pvpg\posy9567\absw959\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 no
rmal,
\par}{\phpg\posx1987\pvpg\posy9567\absw959\absh485 \sl-273 \f20 \fs21 \cf0 (keja
ng), \par
}
{\phpg\posx3071\pvpg\posy9567\absw950\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 se
rangan
\par}{\phpg\posx3071\pvpg\posy9567\absw950\absh485 \sl-273 \f20 \fs21 \cf0 \fi25
8 kulit \par
}
{\phpg\posx4270\pvpg\posy9567\absw454\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 at
au \par
}
{\phpg\posx4735\pvpg\posy9567\absw1205\absh485 \f20 \fs21 \cf0 \fi287 \f20 \fs21
\cf0 konvulsi
\par}{\phpg\posx4735\pvpg\posy9567\absw1205\absh485 \sl-273 \f20 \fs21 \cf0 keme
rahan, \par
}
{\phpg\posx6074\pvpg\posy8463\absw4771\absh1808 \f20 \fs21 \cf0 \f20 \fs21 \cf0

normal dengan indikator{\b : }

\par}{\phpg\posx6074\pvpg\posy8463\absw4771\absh1808 \sl-293 \f20 \fs21 \cf0 \fi
451 {\f40 {\f63 \u61623\'3f}}
Suhu tubuh dalam rentang normal
\par}{\phpg\posx6074\pvpg\posy8463\absw4771\absh1808 \sl-292 \f20 \fs21 \cf0 \fi
451 {\f40 {\f63 \u61623\'3f}}
Nadi dan RR dalam rentang normal
\par}{\phpg\posx6074\pvpg\posy8463\absw4771\absh1808 \sl-297 \f20 \fs21 \cf0 \fi
451 {\f40 {\f63 \u61623\'3f}}
Temperatur
kulit
sesuai
dengan
\par}{\phpg\posx6074\pvpg\posy8463\absw4771\absh1808 \sl-273 \f20 \fs21 \cf0 \fi
825 rentang yang diaharapkan
\par}{\phpg\posx6074\pvpg\posy8463\absw4771\absh1808 \sl-293 \f20 \fs21 \cf0 \fi
451 {\f40 {\f63 \u61623\'3f}}
Tidak ada sakit kepala
\par}{\phpg\posx6074\pvpg\posy8463\absw4771\absh1808 \sl-292 \f20 \fs21 \cf0 \fi
451 {\f40 {\f63 \u61623\'3f}}
Tidak ada nyeri otot \par
}
{\phpg\posx1987\pvpg\posy10120\absw1275\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
pertambahan \par
}
{\phpg\posx3541\pvpg\posy10120\absw445\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 R
R, \par
}
{\phpg\posx4246\pvpg\posy10120\absw945\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 t
akikardi, \par
}
{\phpg\posx5474\pvpg\posy10120\absw437\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 s
aat \par
}
{\phpg\posx1987\pvpg\posy10393\absw2920\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
disentuh tangan terasa hangat \par
}
{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \f40 \fs21 \cf0 \f40 \fs21 \cf0
{\f63 \u61623\'3f}{\f20
Monitor}{\f20 minimal}{\f20 tiap}{\f20 2}{\f20
jam }
\par}{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \sl-297 \f40 \fs21 \cf0 {\
f63 \u61623\'3f}{\f20
Rencanakan}{\f20 monitoring}{\f20 suhu}{\f20 secar
a}{\f20 kontinyu }
\par}{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \sl-293 \f40 \fs21 \cf0 {\
f63 \u61623\'3f}{\f20
Monitor}{\f20 TD,}{\f20 nadi,}{\f20 dan}{\f20 RR
}
\par}{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \sl-292 \f40 \fs21 \cf0 {\
f63 \u61623\'3f}{\f20
Monitor}{\f20 warna}{\f20 dan}{\f20 suhu}{\f20 ku
lit }
\par}{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \sl-292 \f40 \fs21 \cf0 {\
f63 \u61623\'3f}{\f20
Monitor}{\f20 tanda-tanda}{\f20 hipertermi}{\f20 d
an}{\f20 hipotermi }
\par}{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \sl-292 \f40 \fs21 \cf0 {\
f63 \u61623\'3f}{\f20
Tingkatkan}{\f20 intake}{\f20 cairan}{\f20 dan}{\f
20 nutrisi }
\par}{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \sl-293 \f40 \fs21 \cf0 {\
f63 \u61623\'3f}{\f20
Selimuti}{\f20
pasien}{\f20
untuk}{\f20
men
cegah}{\f20
hilangnya }
\par}{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \sl-273 \f40 \fs21 \cf0 \f
i360 {\f20 kehangatan}{\f20 tubuh }
\par}{\phpg\posx11273\pvpg\posy8176\absw5158\absh2705 \sl-338 \par\f40 \fs21 \cf
0 \fi4762 {\f20 16 }\par
}
\sect\sectd\pard\plain
\pgwsxn16838\pghsxn11908
{\phpg\posx0\pvpg\posy0\absw16840\absh11900 \overlay
{\*\shppict {\pict\jpegblip\picw842 \pich595
\picwgoal16840 \pichgoal11900

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263 {\f63 \u61623\'3f}{\f20

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dan}{\f20
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0 \fi5122 {\f20 18 }\par

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\par
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{\phpg\posx1987\pvpg\posy3637\absw2914\absh978 \b \f20 \fs21 \cf0 \b \f20 \fs21
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Hilang nafsu makan \par
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Ajarkan}{\f20 \fs21
pasi
en}{\f20 \fs21
bagaimana}{\f20 \fs21
membuat}{\f20 \fs21
catatan }
\par}{\phpg\posx6074\pvpg\posy786\absw10352\absh5380 \sl-274 \f10 \fs32 \cf0 \fi
5559 {\f20 \fs21 makanan}{\f20 \fs21 harian }
\par}{\phpg\posx6074\pvpg\posy786\absw10352\absh5380 \sl-297 \f10 \fs32 \cf0 \fi
5199 {\f40 \fs21 {\f63 \u61623\'3f}}{\f20 \fs21
Monitor}{\f20 \fs21 jumlah
}{\f20 \fs21 nutrisi}{\f20 \fs21 dan}{\f20 \fs21 kandungan}{\f20 \fs21 kalor
i }
\par}{\phpg\posx6074\pvpg\posy786\absw10352\absh5380 \sl-292 \f10 \fs32 \cf0 \fi
5199 {\f40 \fs21 {\f63 \u61623\'3f}}{\f20 \fs21
Berikan}{\f20 \fs21 inform
asi}{\f20 \fs21 tentang}{\f20 \fs21 kebutuhan}{\f20 \fs21 nutrisi }
\par}{\phpg\posx6074\pvpg\posy786\absw10352\absh5380 \sl-278 \par\f10 \fs32 \cf0
{\f20 \fs21 Setelah}{\f20 \fs21 dilakukan}{\f20 \fs21 tindakan}{\f20 \fs21 k
eperawatan}{\f20 \fs21 selama}{\b \f20 \fs21
MANAJEMEN}{\b \f20 \fs21 NYER
I }\par
}
{\phpg\posx1430\pvpg\posy6494\absw316\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 16
\par
}

{\phpg\posx1987\pvpg\posy6499\absw1799\absh239 \b \f20 \fs21 \cf0 \b \f20 \fs21

\cf0 NYERI KRONIS \par
}
{\phpg\posx1987\pvpg\posy6772\absw14823\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
Definisi: serangan mendadak atau pelan
...... x24 jam pasien dapat men
gontrol nyeri
Definisi : mengurangi nyeri dan menurunkan tingkat \par
}
{\phpg\posx1987\pvpg\posy7046\absw5993\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 i
ntensitsnya dari ringan sampai berat,
dengan indikator: \par
}
{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \f20 \fs21 \cf0 \f20 \fs21 \cf0
konstan atau berulang tanpa akhir yang
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-274 \f20 \fs21 \cf0 dap
at diantisipasi/siprediksi dan durasi
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-278 \f20 \fs21 \cf0 wak
tunya lebig dari 6 bulan.
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-273 \f20 \fs21 \cf0 Bat
asan karakteristik:
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-297 \f20 \fs21 \cf0 \fi
263 {\f40 {\f63 \u61623\'3f}}
Perubahan berat badan
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-293 \f20 \fs21 \cf0 \fi
263 {\f40 {\f63 \u61623\'3f}}
Laporan secara verbal dan non
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-273 \f20 \fs21 \cf0 \fi
638 verbal atau fakta dari observasi
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-273 \f20 \fs21 \cf0 \fi
638 atas tingkah laku
melindungi,
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-278 \f20 \fs21 \cf0 \fi
638 tingkah laku berjaga-jaga, muka
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-273 \f20 \fs21 \cf0 \fi
638 topeng, ritabilitas,
fokus pada
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-278 \f20 \fs21 \cf0 \fi
638 diri sendiri, gelisah, depresi
\par}{\phpg\posx1987\pvpg\posy7324\absw4031\absh3018 \sl-292 \f20 \fs21 \cf0 \fi
263 {\f40 {\f63 \u61623\'3f}}
Atropi yang melibatkan beberapa \par
}
{\phpg\posx6525\pvpg\posy7323\absw4328\absh1234 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
Mengenali}{\f20 fktor}{\f20 penyebab }
\par}{\phpg\posx6525\pvpg\posy7323\absw4328\absh1234 \sl-274 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Mengenali}{\f20 onset}{\f20 (lamanya}{\f20 sakit) }
\par}{\phpg\posx6525\pvpg\posy7323\absw4328\absh1234 \sl-278 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Menggunakan}{\f20 metode}{\f20 pencegahan }
\par}{\phpg\posx6525\pvpg\posy7323\absw4328\absh1234 \sl-273 \f10 \fs21 \cf0 {\f
63 \u61607\'3f}{\f20
Menggunakan}{\f20
metode}{\f20
nonanalgetik }
\par}{\phpg\posx6525\pvpg\posy7323\absw4328\absh1234 \sl-278 \f10 \fs21 \cf0 \fi
374 {\f20 untuk}{\f20 mengurangi}{\f20 nyeri }\par
}
{\phpg\posx6525\pvpg\posy8701\absw1794\absh491 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Menggunakan }
\par}{\phpg\posx6525\pvpg\posy8701\absw1794\absh491 \sl-278 \f10 \fs21 \cf0 \fi3
74 {\f20 kebutuhan }\par
}
{\phpg\posx8746\pvpg\posy8703\absw975\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 an
algetik \par
}
{\phpg\posx10104\pvpg\posy8703\absw688\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 s
esuai \par
}
{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \f20 \fs21 \cf0 \f20 \fs21 \cf0
nyeri yang dirasakan pasien.
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-278 \f20 \fs21 \cf0 In

tervensi :
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-274 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
lakukan pengkajian nyeri secara komprehen
sif
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-278 \f20 \fs21 \cf0 \f
i638 termasuk lokasi, karakteristik, durasi, frekuensi,
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-273 \f20 \fs21 \cf0 \f
i638 kualitas dan faktor presipitasi
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-278 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
observasi
reaksi
non
verbal
dari
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-273 \f20 \fs21 \cf0 \f
i638 ketidaknyamanan
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-278 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
gunakan teknik komunikasi terapeutik
untuk
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-273 \f20 \fs21 \cf0 \f
i638 mengetahui pengalaman nyeri pasien
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-278 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
kaji kultur yang mempengaruhi respon nyeri
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-273 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
evaluasi pengalaman nyeri masa lampau
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-278 \f20 \fs21 \cf0 \f
i263 {\f10 {\f63 \u61607\'3f}}
evaluasi bersama pasien dan tim kesehata
n lain
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-273 \f20 \fs21 \cf0 \f
i638 tentang
ketidakefektifan
kontrol
nyeri
masa
\par}{\phpg\posx10913\pvpg\posy7046\absw5638\absh3722 \sl-278 \par\f20 \fs21 \cf
0 \fi5122 19 \par
}
{\phpg\posx6525\pvpg\posy9253\absw3830\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Mencari}{\f20 bantuan}{\f20 tenaga}{\f20 kesehata
n }\par
}
{\phpg\posx6525\pvpg\posy9532\absw1614\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
\f63 \u61607\'3f}{\f20
Melaporkan }
\par}{\phpg\posx6525\pvpg\posy9532\absw1614\absh487 \sl-273 \f10 \fs21 \cf0 \fi3
74 {\f20 kesehatan }\par
}
{\phpg\posx8381\pvpg\posy9533\absw655\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ge
jala \par
}
{\phpg\posx9283\pvpg\posy9533\absw504\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 pa
da \par
}
{\phpg\posx10065\pvpg\posy9533\absw705\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 t
enaga \par
}
{\phpg\posx6525\pvpg\posy10084\absw4316\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0
{\f63 \u61607\'3f}{\f20
Menggunakan}{\f20
sumber-sumber}{\f20
yang
}
\par}{\phpg\posx6525\pvpg\posy10084\absw4316\absh487 \sl-273 \f10 \fs21 \cf0 \fi
374 {\f20 tersedia }\par
}
\sect\sectd\pard\plain
\pgwsxn16838\pghsxn11908
{\phpg\posx0\pvpg\posy0\absw16840\absh11900 \overlay
{\*\shppict {\pict\jpegblip\picw842 \pich595
\picwgoal16840 \pichgoal11900
\picscalex100 \picscaley100

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}
{\phpg\posx6525\pvpg\posy1618\absw3414\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
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{\phpg\posx6525\pvpg\posy1892\absw1574\absh491 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {
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{\phpg\posx8420\pvpg\posy1894\absw1185\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 p
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{\phpg\posx10200\pvpg\posy1894\absw580\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 n
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{\phpg\posx2251\pvpg\posy1620\absw3714\absh1280 \f20 \fs21 \cf0 \fi375 \f20 \fs2
1 \cf0 otot
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Perubahan pola tidur
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Takut cedera kembali
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Berkurangnya interaksi dengan
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{\phpg\posx2251\pvpg\posy3043\absw2139\absh760 \f40 \fs21 \cf0 \f40 \fs21 \cf0 {
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{\phpg\posx5035\pvpg\posy3070\absw895\absh485 \f20 \fs21 \cf0 \fi263 \f20 \fs21
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itas \par
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{\phpg\posx2251\pvpg\posy3888\absw3772\absh263 \f40 \fs21 \cf0 \f40 \fs21 \cf0 {
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Memperantarai}{\f20
respon}{\f20
simpatik }\pa
r
}
{\phpg\posx2626\pvpg\posy4189\absw1087\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 (
contoh:
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bahan \par
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{\phpg\posx3782\pvpg\posy4189\absw1110\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 t
emperatur
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{\phpg\posx5178\pvpg\posy4189\absw747\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 di
ngin,
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tubuh, \par
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{\phpg\posx1987\pvpg\posy4741\absw4027\absh999 \f20 \fs21 \cf0 \fi638 \f20 \fs21
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Anoreksia
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Faktor}{\b yang}{\b berhubungan} : ketidak
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{\phpg\posx6074\pvpg\posy2444\absw4775\absh4964 \f10 \fs21 \cf0 \fi451 \f10 \fs2
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terkontrol }
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pernyataan}{\f20 nyeri }
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{\phpg\posx11177\pvpg\posy1620\absw5257\absh1729 \f20 \fs21 \cf0 \fi374 \f20 \fs
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bantu pasien dan keluarga untuk mencari dan
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kontrol lingkungan yang dapat mempengaruhi
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{\phpg\posx11552\pvpg\posy3829\absw1395\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0
(farmakologi,
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{\phpg\posx13134\pvpg\posy3829\absw428\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 n
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{\phpg\posx13767\pvpg\posy3829\absw1245\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0
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{\phpg\posx15209\pvpg\posy3829\absw393\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 d
an \par
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{\phpg\posx15778\pvpg\posy3550\absw586\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 n
yeri
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5 inter \par
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:}{\f20
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agen}{\f20
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gi}{\f20
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karakterist
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\par}{\phpg\posx10913\pvpg\posy4379\absw5649\absh6122 \sl-230 \par\f10 \fs21 \cf
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}
\sect\sectd\pard\plain
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