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NCP Anxiety
NCP Anxiety
Is stress, feel is not peaceful and care of arising out because felt to happened inconvenience something that but its source most unknown and come from within (intra psychical). (Adl ketegangan, rasa tidak aman dan kekhawatiran yg timbul krn dirasakan terjadi sesuatu yg tdk menyenangkan tetapi sumbernya sebagian besar tdk diketahui & berasal dari dalam (intra psikis).
Is misgiving, doubt, or is not balmy happened something that felt as threat. (Adl perasaan was-was, kuatir, atau tidak nyaman seakan-akan terjadi sesuatu yang dirasakan sebagai ancaman
Representing emotional respon and experience of subjektif of someone. (Merupakan respon emosional & pengalaman subjektif dari seseorang).
Syarniah - Kep. Jiwa
1.
Existence of threat to integrity of biologik ; in the form of threat to satisfaction will feel hungry, thirsty, warm feeling and sexual.
Adanya ancaman thd integritas biologik ; berupa ancaman thd kepuasan akan rasa lapar, haus, kehangatan & seksual.
2.
Threat to self concept that is self esteem like affronted by others, expectations which do not fufilled, etc.
Ancaman thd konsep diri yaitu thd harga diri spt dihina org lain, harapan-harapan yg tdk terpenuhi dsb.
Reality Anxiety
Neurotic Anxiety
Moral Anxiety
Reality Anxiety
Fear to real object and represent danger from outside to threat individual (Takut thd objek nyata & merup bahaya dari luar mengancam individu).
Syarniah - Kep. Jiwa
Perception to danger coming from Id where ego cannot take care of expressed instinct of Id. (Persepsi thd bahaya yg berasal dari Id, dimana ego tdk dpt menjaga instink yg diekspresikan dari Id). Anxiety Neurotic consist of 3 ; Float anxiety, phobia anxiety & condition of panic. (Neurotic anxiety tdd dari 3 ; ansietas mengambang, ansietas fobia, & kondisi panik.
a. Floating anxiety ; is worriing to something that will happened, pessimist. (Ansietas yg mengambang ; adl cemas thd sesuatu yg akan terjadi, pesimis). b. Fobik Anxiety ; fear to object which cannot avoid. (Ansietas fobik ; takut thd objek yg tdk dihindari). c. Condition of panic ; acute, happened of dysfungsi and disorganization of personality accompanied by changes of phisiology. (Kondisi panik ; akut, tjd disfungsi & disorganisasi dari kepribadian disertai perubahan2 scr fisiologik).
3. Moral (Bahaya thd ego datang dari super Anxiety ego (yg berkaitaan dgn
etik/moral) berupa perasaan bersalah, malu).
Danger to ego come from super ego which is with etic / moral) in the form of guilty feeling, shame.
Adaptif Respons
Maladaptif Respons
Antisipasi
Mild (Ringan)
Moderate (Sedang)
Severe (Berat)
Panic (Panik)
Severe (Berat)
Panic (Panik)
1. Mild This condition assist individual Anxiety become to allert and how to (Ansietas prevent possibilities. (Kondisi ini Ringan) membantu individu mjd waspada
& bagaimana mencegah berbagai kemungkinan).
Is axiety that happened at everyday of life. (Adl ansietas yg tjd pd kehidupan sehari2).
Neglectless and Attentive individual. (Individu waspada dan hatihati). Spacious of perception mount / extend. (Lapang persepsi meningkat (meluas). Sharply sensory (Menajamkan indra). Can motivate individual to learn and can finish problem effectively. (Dpt memotivasi individu utk belajar & mampu menyelesaikan masalah scr efektif). Yielding growth & creativity . (Menghasilkan pertumbuhan & kreativitas).
At this level have experienced of mild anxiety 2. Moderate which have the character of chronic and acute.
anxiety (Ansietas (Pd tingkatan ini telah mengalami ansietas ringan Sedang)
yg bersifat akut & kronis).
Individual only focus at mind becoming its attention. (Individu hanya fokus pd pikiran yg menjadi perhatiannya). Spacious of narrow; tight perception ( downhill / decreasing). (Lapang persepsi menyempit (menurun/berkurang). Only can pay attention things which do not detail, but can do or paying attention things having the character of detail if ordered. (Hanya mampu memperhatikan hal-hal yg tdk detail, ttp dpt melakukan / memperhatikan hal-hal yg bersifat detail apabila disuruh). Admit to do something with others instruction. (Masih dpt melakukan sesuatu dgn arahan org lain).
Spacious of perception very narrow. (Lapang persepsi sangat sempit). Attention only at just special things ( spesifik) and cannot think other. (Perhatian hanya pd hal-hal yg khusus saja (spesifik) & tdk dpt berfikir yg lain). Unable to heavier think again. (Tdk mampu berfikir lebih berat lagi). Unable to conduct action and have to be ordered / to be arranged. (Tdk mampu melakukan tindakan & harus disuruh/diatur). All behavior addressed to decrease anxiety. (Seluruh perilaku ditujukan utk mengurangi kecemasan. Need many guidance to be able to give all mind to at one particular other area. (Perlu banyak pengarahan utk dpt memusatkan perhatian pd suatu area lain).
Individual have unable to control him self ( individual loss conduct him self).(Individu sudah tdk mampu mengontrol dirinya (individu kehilangan kendali diri). Happened disintegration mind process ( loss of rational mind) and personality.(Terjadi disintegrasi proses berfikir (hilangnya pikiran rasional) & kepribadian). Happened perception trouble.(Tjd ggn persepsi).
Unable to communicate with goodness.(Tdk mampu berkomunikasi dgn baik). Cannot do any thing by order. (Tdk bisa melakukan apapun meskipun dgn perintah). Happened the increase of activity motorik. (Tjd peningkatan aktivitas motorik). Decreasing of ability relate to others (Berkurangnya kemampuan berhubungan dgn org lain).
Palpitasi. Sweaty (Berkeringat.). Tremble or groggy (Gemetar atau goyah). Asphyxia (Sesak napas). Feel to hiccough (Merasa tersedak). Chest pain in bone (Nyeri dada). Nausea (mual)
Abdomen Distres. Headache. Parestesia. Derealisasi / depersonalisasi. Fear to lose to self control (Takut hilang kendali dir). . Fear of death (Takut mati).
There is conflict in life, for example : (Adanya ketegangan dlm kehidupan, dpt berupa hal-hal sbb) : 1. Traumatic accident (Peristiwa traumatik) ; separate (perpisahan), divorce . 2. Emotional conflict (Konflik emosional). 3. Self concept disorders ; Low self esteem 4. Frustation (Frustasi). 5. Physical Disturbance (Ggn fisik). 6. Family coping mechanism (Pola mekanisme koping keluarga). 7. History of Anxiety Disorder (Riwayat ggn ansietas). 8. Medication (Medikasi).
Syarniah - Kep. Jiwa
1. Threat of physical integrity, basic human need. (Ancaman thd integritas Fisik, KDM).
Internal source : Guilty, Conflict between self confindence and behavior. (Sumber internal ; rasa bersalah, pertentangan ant keyakinan diri & perilaku).
External source : Individual cannot take positif reinforcement from other person. (Sumber eksternal ; tdk mampu utk mendptkan penghargaan dr org lain).
Syarniah - Kep. Jiwa
2. Threat of self esteem (Ancaman thd Harga diri) Internal source (Sumber internal)
Exsternal source
(Sumber Eksternal)
Syarniah - Kep. Jiwa
Afective (Afektif)
Emotion/Behavior
(Emosi/ Perilaku)
Syarniah - Ke)p. Jiwa
Physiologis Aspect More sweaty (Banyak berkeringat). Tachycardi, tachypnoe, and hipertension (Peningkatan denyut nadi/jantung, pernapasan & tekanan darah). Feel choked (Rasa tercekik). Dispnoe (Susah bernapas). Anorexia or Binge (Tdk ada nafsu makan atau makan berlebihan). Dry mouth (Mulut kering). Stomache and Feel to swell (Rasa kembung & nyeri perut). Difficult to sleep (Sulit tidur). Sweaty of hand (Telapak tangan berkeringat). Extremitas is cold (Dingin pd daerah ekstremitas). Tremor. Pupil dilatation (Dilatasi pupil)
Syarniah - Kep. Jiwa
Cognitive Aspect Difficult to consentration and study (Susah utk berkonsentrasi & belajar). Easy to forget (Mudah lupa).
Afektif Aspect Feel nervous about excrutiatingly (merasa gugup luar biasa). Tense (Tegang).
Fear (Ketakutan)
Confuse (Bingung).
Syarniah - Kep. Jiwa
Spiritual Aspect Feel future become meaningless and bleak (Merasa masa depan mjd suram & tidak berarti).
Constructive Pattern (Pola konstruktif) ; Efective problem solving (penyelesaian masalah scr efektif). Destructive Pattern (Pola destruktif ); angry (Marah) & inimical (bermusuhan).
3.Compromi (Kompromi)
Change way of work or way of problem solving, accomodating of goal or sacrifice one of personal requirement
(Mengubah cara bekerja atau cara penyelesaian masalah, menyesuaikan tujuan atau mengorbankan salah satu kebutuhan pribadi).
Hardness behavior
RPK
PK
Hardness behavior
ANXIETY
Risk of Injury
RISIKO CEDERA
1. 2.
3.
4.
Mentioning cause anxiety.(Menyebutkan penyebab ansietas). Mentioning situation that join anxiety. (Menyebutkan situasi yang menyertai ansietas). Mentioning relevant behavior of anxiety. (Menyebutkan perilaku terkait ansietas). Doing technique of situation transfer ( social/ Distraction)). (Melakukan teknik pengalihan situasi (social)/distraksi).
)Syarniah - Kep. Jiwa
5. Doing practice brerathing relaxation. (Melakukan latihan relaksasi tarik napas dalam (fisik).
6. Doing to self hypnotize technicsly five finger ( emotion). (Melakukan hipnotis diri dengan tehnik lima jari (emosi):
Goal :
1. Family able to recognize anxiety problem at his family member. (Keluarga mampu mengenal masalah ansietas pada anggota keluarganya).
2. Family able to comprehend process of the happening of anxiety problem. (Keluarga mampu memahami proses terjadinya masalah ansietas) 3. Family able to take care of family member experiencing of anxiety. (Keluarga mampu merawat anggota keluarga yang mengalami ansietas)
Syarniah - Kep. Jiwa
Goal :
4. Family able to practice the way of taking care of the patient by anxiety. (Keluarga mampu mempraktekkan cara merawat pasien dengan ansietas).
Family able to refer family member experiencing of anxiety. (Keluarga mampu merujuk anggota keluarga yang mengalami ansietas).
Syarniah - Kep. Jiwa
1.
2.
1.
4.
Teaching the way of taking care of the patient by : (Mengajarkan cara merawat pasien dengan) ; a. Transfer of situation . (Distraksi/Pengalihan situasi).
b. Practice Breathing Relaxation. (Latihan relaksasi: napas dalam)
c. Self Hypnotic technique of five finger. (Teknik hipnotis diri lima jari).
5. Discussing with family about behavioral patient which require to be referred and how referring patient. (Diskusikan dengan keluarga perilaku pasien yang perlu dirujuk dan bagaimana merujuk pasien).