BASIC ENGLISH

“ TUBERCULOSIS ”

Created By :
Group 3
1. Ayu Febriyanti (21116003)
2. Apriliyanti Safitri (21116008)
3. Junaedi (21116025)
4. Tri Oktaviana (21116041)
5. Gisella Rara Aliande A (21116043)
6. Ratih Mayang Sari (21116057)
7. Aprianti Rosidah (21116061)

Supervisor :
Emmy Octarina, S.Pd

PROGRAM STUDI S1 KEPERAWATAN

SEKOLAH TINGGI ILMU KESEHATAN
MUHAMMADIYAH PALEMBANG
TAHUN AKADEMIK 2016/2017
 Health Promotion Plan

Topic : Tuberculosis
Subtopic : Be Aware With Tuberculosis
Target : Community around STIKes Muhammadiyah Palembang
Day/Date : Monday, June 17th 2019 at 09.00 AM
Time : 150 Minutes
Place : STIKes Muhammadiyah Palembang

A. General Instructional Goals

After being given the Health Promotion is expected the community will be understand
with tuberculosis and can minimize the occurence of tuberculosis.

B. Specific Instructional Goals

After being given the health promotion about Tuberculosis is expected the
participants can mention and understand about :
1. Definition of Tuberculosis
2. Sign and Symptoms of Tuberculosis
3. Trigger Factors of Tuberculosis
4. Medication of Tuberculosis
5. Prevention of Tuberculosis

C. Material (Attached)

D. Method
1. Lecture
2. Discussion with Question and Answer

E. Media
1. PPT
2. Leafleat
 F. Organizing
1. Speaker :
- Gisella Rara Aliande
- Ratih Mayang Sari
- Junaedi
2. Audience :
- Tri Oktaviana
- Ayu Febriyanti
- Apriliyanti Safitri
3. Moderator :
- Aprianti Rosidah

G. Learning Activities

No
Activities Time Participants Activities

1. Opening : 15 minutes
1. Open the activities with greeting. 1. Answering the greeting
2. Introducing
3. Explain the goals from the health 2. Listening
promotion 3. Listening
4. Mention the material that will be 4. Listening
given
2. Implementation : 50 minutes
1. Explain about the Definition of 1. Listening and Learning
Tuberculosis
2. Explain about the Sign and 2. Listening and Learning
Symptoms, Trigger Factors of
Tuberculosis
3. Listening and Learning
3. Explain about the Medication and
Prevention of Tuberculosis
4. Ask and answer the
4. Provide an opportunity for
questions
participants to ask the questions
4. Closing : 10 minutes
1. Telling the evaluation from the 1. Listening
activities
2. Saying thank you for the 2. Listening
participation from the participants
3. Closing the activities with greeting 3. Answer the greeting

I. Evaluation
1. Structure Evaluation
- All of the participants present or join with the health promotion activities
- The Health Promotion can be held at STIKes Muhammadiyah Palembang
- The Organizing of Health Promotion carried out two days earlier.

2. Process Evaluation
- The Participants enthusiatic with the material of the health promotion
- The Participants didn’t leave the place before the activites was finished
- The Participants were actively involved in the health promotion

3. Evaluation of Results
Give the questions directly to participant, which are :
a. What the definitions of Tuberculosis ?
b. What are the sign and symptoms of Tuberculosis ?
c. What are the trigger factors of Tuberculosis ?
d. How to medication people with Tuberculosis ?
e. How to prevention of Tuberculosis ?
(Attachment 1)

1. Definition
Tuberculosis (TB) is an infection disease usually caused by Mycobacterium
Tuberculosis (Price and Wilson, 2005).
Tuberculosis generally affect the lungs, but can also affect other parts of the body.
Most Infections don’t have symptoms, in which case it is known as latent tuberculosis. About
10% of latent infections progress to active disease which, if left untreated, kills about half of
those affected (Brunner and Suddarth, 2002).

2. Sign and Symptoms

- a chronic cough with blood-containing sputum
- low-grade fever
- anorexia
- chill
- fatigue
- night sweats
- weight loss
- chest tightness and a dull
- aching chest pain may accompany the cough.
It was historically called “consumption” due to the weight loss. Infection of other
organs can cause a wide range of symptoms. (Price and Wilson, 2005).

3. Trigger Factors
Tuberculosis is spread through the air when people who have active TB in their lungs
cough, spit, speak, or sneeze. People with latent TB do not spread the disease. Active
infection occurs more often on people with HIV/AIDS and in those who smoke. (Price and
Wilson, 2005).

4. Medication
a. Diagnose
Diagnosis of active TB is based on chest X-Ray, as well as microscopic examination
and culture of body fluids. Diagnosis of latent TB relies on the tuberculin skin test
(TST) or blood test. (www.wikipedia.org)
 b. Treatment
Treatment of TB uses antibiotics to kill the bacteria. Effective TB treatment is
difficult, due to the unusual structure and chemical composition of the mycobacterial
cell wall, which hinders the entry of drugs and makes many antibiotics ineffective.
Latent TB is treated with either isoniazid alone, or a combination of isoniazid with
either rifampicin or rifapentine. The treatment takes at least three months. People with
latent infections are treated to prevent them from progressing to active TB disease
later in life.
Active TB disease is best treated with combinations of several antibiotics to reduce
the risk of the bacteria developing antibiotic resistance.
If multiple drug resistant (MDR-TB) is detected, treatment with at least four effective
antibiotics for 18-24 months is recommended. (www.wikipedia.org)

5. Prevention
Tuberculosis prevention and control efforts primarily on the vaccination of infants
and the detection and appropriate treatment of active cases. The World Health Organization
(WHO) has achieved some success with improved treatment regimens, and a small decrease
in case numbers.
The only available vaccine as of 2011 is Bacillus Calmette-Guerin (BCG). In children
it decreases the risk of getting the infection by 20% and the risk of infection turning into
active disease by nearly 60%. (www.wikipedia.org)
There are another prevention of Tuberculosis that patient with active Tuberculosis can
do, which are :
a. Close your mouth when coughing and sneezing
Don’t close your mouth with both of your hand because the bacteria can be moved to
your hands and they will be moved to another people hand’s when you shake hands
and touch them. You can use tissue or personal handkerchief when coughing and
sneezing. If you don’t have it, you can close your mouth with turn away your face to
the side of your inner arm. If you in public place, you can using mask for prevent the
Tuberculosis transmission to healthy people.
b. Don’t spit and throw the sputum carelessly
Because the bacteria from the sputum and saliva can contaminating the air and being
inhaled by healthy people. If you want to spit and throw the sputum you should do it
 at bathroom and flush that until it’s rinse clearly. If you in public place, you can spit
and throw the sputum sewers and running water.
c. Avoid direct contact with children
As much as possible, avoid to getting close with babies, toddlers, or children. Because
their immune systems are still not strong and tend to be weak.
d. Let the sunshine enter your room
The bacteria that cause Tuberculosis generally can survive in the free air for 1-2
hours, depending on there is exposure or not with sunlight, humidity, and ventilation.
In the dark, damp and cold conditions, the bacteria can survive for a few days even
few months.
Clean your room, tidy up the pile of dirty clothes and open your windows and curtains
when the weather is clear. Let the sun go into the room to kill the bacteria that may be
residing in your home. (www.hellosehat.com)
(Attachment II)
CONVERSATION
 SOURCE LIST

Mansjoer Arif, 1999. “ Kapita Selekta Kedokteran Jilid I ”. Jakarta : Media Aeculapius.

Price dkk, 2005. “ Patofisiologi : Konsep Klinis Proses – Proses Penyakit ”. Jakarta : EGC.

www.hellosehat.com

www.wikipedia.org