PSCYHIATRIC NURSING CARE AT NY.

A WITH A
DIAGNOSIS OF VIOLENT BEHAVIOR IN THE TRANSIT
ROOM OF A WOMAN AT RUMAH SAKIT SAMBANG
LIHUM

Arranged by group 4:
1. SHINTYA
2. NORMASITAH
3. SITI NAJRAH
4. ALFI BARIROH
5. DESSY S
6. KHAIRUNNISA

SEKOLAH TINGGI ILMU KESEHATAN INTAN MARTAPURA

Ward Room : Transi for woman Date of assessment : 21 Augustus 2019
Hospital entry date : july 21 2016 RM Number : 02 13 XX

 NURSING ASSESSMENT
 PATIENT IDENTITY
 Initial: Mrs A
 Age : 36 years old
 Educations : Middle School
 Occupation : Housewife
 Ethnic group : Banjar
 Marital Status : Married
 Informent : Patients & Medical Records
 Address : Pelaihari, tanah laut
THE REASON OF ENTRY

 On July 21, 2016 patients escorted by

family to the RSJ SAMBANG LIHUM
 approximately the last 2 months the
patient is often on the road and often
lingering in the rampage, fighting with
people and speak ill of Social Service
when asked.
The Main Complaint

 Patients say irritability with talk people, quick

tempers and often grumpy, always annoyed with
nurses and other patients.
 Patients also often says munyak, emotional labile
patients intonation while talking loudly, the look
on the face of the tense. Patients fighting and
hitting his friends with another patient reason
feel upset because patients often grumble-
grumble continued making other angry patients.
Patients also often looks pinched her friend,
feeling upset, and was about to slap a nurse when
told to gymnastics.
PREDISPOSING FACTORS

 Never experienced psychiatric Patient in the last ever

treated in year 2014 RSJ SAMBANG LIHUM and may
return in the year 2015, re-entered sambang Lihum
since given up drugs. Previous treatment before
treatment is less successful entry RSJ sambang Lihum
again on July 21, 2016. A history of Trauma/violent
 Patients have experienced the trauma of domestic
violence at the age of 33 years as a victim by her
husband.
 Problems of Nursing: therapeutic Regimens are not
effective, not effective individual koping, the risk of
violent behavior.
PHYSICAL EXAMINATION

 1. Vital Signs :
 Blood pressure: 110/90 mmHg
 pulse : 88 x/menit
 The temperature of the : 36,5ºC
 RR : 22x/menit
 Height148 cm, Weight 49 kg.
 3. Physical complaints
 When done the study patients say there is no
physical complaints and told him fine
 Problems of nursing nursing: no problem.
PSYCHOSOCIAL
The concept of self

 The patient said that he felt less pretty

and patients say want to buy clothes and
gold to make it look more beautiful and
that the husband was blown away again.
 The patient did not feel confident when
meeting with others because it felt he
was not pretty.
 Nursing issues: low self esteem
Social relations
 Obstacles in dealing with others Patients
sometimes labile mood often fickle, and
when talking with others can not with a
long duration can only be approximately
10-15 minutes with bulging eyes.
 Patients also can not begin talks.
 Nursing problems: violent behavior.
 XI. ASPEK MEDIK
 Medical diagnosis: f. 20.3 (Schizophrenia is not
detailed)
Drug name and dosage

 Risperidone 2 mg 3x1
 Haloperidol 5 mg 3x1
 Trihexyphenidyl 2 mg 3x1
 Amitrptyline 25 mg 3x1