Name : Aryani DwiRagupti Yuwono

NIM : 12.14201.012

Nursing Measures Implementation Strategy

Every Day (SP) feeding orally

Name patient : Mr. Yuwono

Gender : Male
DOB : 12.04.1976
Country of origin : Indonesia
Telephone number : 085770399110
GP : Dr. Soli
Address : Jl. Suka indah No. 12 Tangerang
Next of kin : Wira
Reletionship to patient : Sister

A. Patient Data

Subjective Data:

Patients say hungry.

Patients complain of difficulty in the movement of his hand to eat.

Objective Data:

Patients seen weak.

Look no family waiting.

Nursing diagnosis: Barriers immobilization associated with reduced strength

muscles in the body.

goals:

Meeting the nutritional intake of patients.

Nursing actions: Feeding orally.

B. orientation phase.

greet therapeutic

1. Good morning.
2. This is true with mr. Yowono?
3. My name aryani. The nurse in charge of this room from 7 am until 2 pm
later.
4. How does the situation this morning.
 evaluation / validision
1. Is it true masters feel hungry.
2. What is the state mr hand. Has it been able to in the motion ?
3. What if this morning I would help mr to eat in bed . Because mr hands
complaining can not be moved, the family was out and Mr also was feeling
hungry. I will help to eat.
4. How are you willing?

contract (subject, time, place and porpose)

1. If willing, I will help mr to eat, at 7 am, in bed . And about 10 to 15
minutes. The goal is that mr does not feel hungry again and soon to take
medication in order to get well.
2. Then my permission to the room to prepare.

2 .. Strage word

1. The food was ready.

2. I would mr Rev upper bed order half-sitting position.
3. Excuse me, I will put a pad on the chest in order to morbidly dirty clothes.
4. Do want to pray before meals.
5. Do you want a drink before eating .
6. Can you open your mounth for me, please.
7. In order to finish his food this morning's nutritional needs are met.
8. do not have to eat slowly in a hurry.
9. Okay. Food is up.
10. If you want to drink.
11. (after finish instrument near the patient, the patient's mouth and wiped.
12. I will clean a dirty mouth mr. Excuse me.
13. Actions already completed this morning.

3 .. evaluation phase

subjective data
1. mr how you feel after eating?

Objective evaluation
1. mr had been good. Host food runs out. Food should always be spent
later so mr speedy recovery.
Follow-up plan
1. If you need help, mr can ring the bell right next to the bed.

Will the contrac-Winsome (topics and time)

1. okay mr Yowono at 9 am I going to measure blood pressure. In bed mr.
2. Because the action is finished I excused myself to go back to the ward
nurse.
3. Good morning.