Setho Hadisuyatmana, Ns.

Transitional period of childhood

to adulthood According to WHO adolescence is ranging between 12 to 24 y.o., married is not included.

Stage of life which is identified

by its change in: 1. Physical anatomy 2. Behavior 3. Cognitive 4. Biological needs 5. Emotional

 Early adolescence (11-14 y.o)

Change of primary puberty & its responses Middle adolescence (15-17 y.o) Transition of orientation where those are more dominant than others Late adolescence (18-20 y.o) Transition of adult, where they starting to look for suitable jobs (Crockett and Peterson, 1993)

 Weight

Height

female, approx. at 17-18 y.o male, approx. at 19-20 y.o Body Proportion Internal Organs Sexual Organs maximum size reached, but still yet mature up till late adolescence.

Female
Breast develops Pubic hair grows Body gowth Menarche Axillar hair

Male
Growth of testical Pubic hair Body growth Transitional of penis, prostatic glands First ejaculation Beard, mustache, hairy face Axilla hair

1. Abstract

Using ideas and critical thinking in solving problems

2. Idealistic

Ideally think of their selves, others also their social everyday

3. Logic
analyzing method taken after their critical thinking trial

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The main differences between this community and the younger identified in its type of stimulus and its level of quality. Findings: anger, fear, jealousy, curiosity, sadness & happiness expression, passion and compassion expression.

 Identity vs Role

developmental task: to be independent with his/her own identity Problems: Moody Decision making Identity taking

1. Adapting changes physically & psychologically.

2. Learning in socializing as men or women

3. Having their emotional independency 4. To be good and responsible citizen

5. Having their independency and certainty in economic

status

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1. Close friends : 2-3, same sex, same in interest

2. Small group : consist of 2 groups, possibly heterosex

3. Large group : some groups, low intersocial

interaction

4. Organized group : made by formal consideration

5. Gang : rejection by antisocial attempt group

1. First impression

2. Reputation
3. Performance suitability 4. Social

behavior, which identified by cooperation, responsibility, mindful, wisdom,

5. Emotional maturity

 Social interest

Educational interest
Religion and worship interest Sexual interest

 Vacation

Party
Curiosity to new items

(drugs, sexual activity, alcoholism) Problem sharing Helping others Critics Surrounding consideration

Educational interest Affected by means of workfields

Religion interest Exploring religion as an emotional and intellectual impulse

Sexual interest As an improvement in sexual needs they start to gather more information from sources elsewhere

Because of their interest improvement, somehow it may brings problems, especially their wellbeing Developmental Nutritional Reproduction STD & HIV/AIDS Drugs and alcoholism Sexual harassment, adultery, pornography, etc.

 Assessing

Diagnosing
Planning Implementing

Evaluating

 Age

Education status
Social/extra campus activity Health problem finding (past and present illness)

Spare time activity

Local habit

Health Promotion 2. Health Prevention 3. Curative level 4. Rehabilitative level

1.

Not to be in formal terms 2. Not in teaching performance 3. Give them the real evidence
1.

 Cognitive

Affective
Psychomotor

through
Structure
Process Output/outcome

Pencegahan Penanggulangan Penyalahgunaan dan Peredaran Gelap Narkoba

Tujuan :

Membentuk masyarakat/organisasi yg kompeten dalam berpartisipasi mengenali keberadaan dan dampak napza
Komponen :

Tokoh masyarakat, pemuda (kartar), PKK, Tenaga kesehatan (perawat komunitas), LSM-LSM dan BNP.
Kegiatan : 1. Demand Reduction (Preventif, Kuratif, Rehabilitatif) 2. Supply Control (Pengawasan, Pemberantasan, Harm Reduction)

1. Meningkatkan pengetahuan masyarakat tentang napza

dan bahayanya.

2. Meningkatkan komitmen dan kerja sama lintas sektor. 3. Meningkatkan keamanan lingkungan, pengawasan untuk

tidak memberi ruang gerak bagi para pengedar napza.

4. Membangun

sistem pelaporan, informasi, tentang masalah napza di lingkungan masing-masing dengan tenaga kesehatan dan aparat penegak hukum.
di lingkungan masing-masing.

5. Meningkatkan kegiatan agama dan kegiatan yang positif

PERAN PERAWAT

PERAN KLIEN

KOMPONEN Observasi/ Inspeksi

Auskultasi Tanda-tanda Vital Review Sistem

SUMBER DATA INDIVIDU

Semua indra Otoskop Optalmoskop
Stetoskop Termometer Tensimeter Sistem kardiovaskuler, respirasi dll

KOMUNITAS
Windshield survey

Windshield survey Status kesehatan, data demografi, angka kelahiran, angka kematian Observasi sistem sosial pendidikan, ekonomi, komunikasi, transportasi Data sensus, data survei, kepustakaan, pusat penelitian kesehatan dan masyarakat

Head to toe

Tes darah, sinar X, CT scan

Laboratorium

P
Tingkat Individu

E
Karakteristik Individu

Tingkat Keluarga

NANDA

5 tugas keluarga di bidang kesehatan Karakteristik masyarakat (Ketidakmampuan masy)

Tingkat Komunitas

Deskripsi masalah, respon/keadaan

Tanda / Gejala / Data

PERENCANAAN
Menentukan prioritas Menentukan kriteria hasil

Menentukan rencana tindakan

Implementasi Dokumentasi

Perencanaan pada askep klien di komunitas : empowerment, negotiation dan networking

HIRARKI KOMUNITAS
Aktualisasi diri Aktualisasi komunitas

Harga diri

Kebanggaan komunitas

Kasih sayang dan rasa memiliki

Pendidikan Partisipasi

Aman

Keamanan, perlindungan

Fisiologis

Aktivitas yang mendukung kehidupan

Perbandingan kebutuhan dasar individu dengan komunitas sebagai klien (Higgs&Gustafson, 1995) 28

 Proses evaluasi : KOGNITIF AFEKTIF PSIKOMOTOR PERUBAHAN FUNGSI KEMANDIRIAN EMPOWERING, NETWORKING, NEGOTIATION DATA YANG TERKUMPUL : TUJUAN DAN

PENCAPAIAN TUJUAN

 Ancaman kehidupan & kesehatan

Sumber daya dan dana yang tersedia

Peran serta klien Prinsip ilmiah dalam praktik keperawatan

Hirarkhi Maslows dan Komunitas

ASUHAN KEPERAWATAN PASIEN (PRIORITAS) KONTAK PUSKESMAS

PENGKAJIAN KEPERAWATAN PASIEN DETEKSI DINI (SASARAN PRIORITAS) PENYULUHAN KESEHATAN
POLIKLINIK PUSKESMAS, PUSTU, PUSLING, POSYANDU, POS KES DESA

TINDAKAN KEPERAWATAN (DIRECT CARE)

KONSELING KEPERAWATAN

PENGOBATAN (SESUAI KEWENANGAN)

RUJUKAN PASIEN/MASALAH KES DOKUMENTASI KEPERAWATAN

KUNJUNGAN RUMAH OLEH PERAWAT (HOME VISIT /HOME CARE) TERENCANA PEMBINAAN KELUARGA
PENGKAJIAN KEPERAWATAN ANGGOTA KELUARGA LAIN DETEKSI DINI KASUS/MASALAH KONTAK SERUMAH
PENDIDIKAN/ PENYULUHAN KESEHATAN/ KEPERAWATAN TERENCANA DI KELUARGA TINDAKAN KEPERAWATAN (DIRECT CARE) PENDERITA PEMANTAUAN KETERATURAN PENGOBATAN PENGENDALIAN INFEKSI DI KELUARGA KONSELING KEPERAWATAN/KESEHATAN DOKUMENTASI KEPERAWATAN

KELUARGA RAWAN KES PRIORITAS KELUARGA D/ KASUS TLP