Pengkajian Askepga

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]
ASUHAN KEPERAWATAN KELUARGA

I.
DATA UMUM KELUARGA

1. Identitas Kepala keluarga
Nama : I Gusti Putu Dogler Candra
Pendidikan
: SMP
Umur : 44 tahun
Pekerjaan
: Buruh pabrik kapuk
Agama : Hindu
Alamat
: Bumi Dalung Permai blok FF.33
Suku : Bali
No. Telepon
: 0812233445566
2. Komposisi keluarga
No
Nama
Hub dgn
Pendidika
KK
L/P Umur
Pekerjaan
Keterangan
Ni Wayan Rinten
35 th
Istri
SD
Buruh Lepas
...
Gst. Ayu Bulan Candra
10 th
Anak
Siswa
...
G.Md.Bintang Candra
4 th
Anak
...
Gst. Ayu Komang Jati
72 th
Ibu
...
3. Genogram
4. Tipe keluarga
[1]

1) Jenis tipe keluarga
Tipe keluarga ini adalah Keluarga Besar (Extended Family), karena selain
keluarga inti, terdapat kehadiran sanak saudara lain yang masih memiliki ikatan
darah yaitu ibu dari kepala keluarga.
2) Masalah yang terjadi dengan tipe tersebut
Pada umumnya masalah-masalah yang muncul dalam keluarga adalah
berkenaan dengan: (1) masalah hubungan sosial-emosional antar anggota
keluarga, (2) masalah hubungan antar keluarga, (3) masalah ekonomi, (4)
masalah pekerjaan, (5) masalah pendidikan, (6) masalah kesehatan, (7) masalah
seks, dan (8) masalah keyakinan atau agama. Pada keluarga ini, masalah yang
muncul berkenaan dengan ekonomi dan masalah kesehatan. Penghasilan dari
suami & istri sudah cukup rendah untuk menanggung 1 anak sekolah, selain itu
anak mereka juga menderita asma dan gizi buruk. Ditambah lagi harus
menanggung hidup sang ibu yang juga sudah renta dan sering sakit-sakitan.
5. Suku Bangsa
1) Asal suku bangsa
Seluruh anggota keluarga ini berasal dari Suku Bali.
2) Budaya yang berhubungan dengan kesehatan
1.
Ny. Jati (Ibu dari kepala keluarga) memiliki kebiasaan meminum lebih dari
3 gelas kopi sehari. Padahal Ny. Jati memiliki riwayat hipertensi, saat
diingatkan oleh keluarganya untuk mengurangi minum kopi, Ny. Jati akan
2.
marah dan akan mengeluh kepalanya pusing dan badannya lemas.

Tn. Dogler mempunyai kebiasan langsung memeluk anak sepulang bekerja
tanpa membersihkan tubuh terlebih dahulu, padahal ia sadar jika anaknya
menderita asma dan rentan terhadap kapuk yang mungkin saja menempel di
tubuhnya sepulang bekerja. Jika diingatkan, ia selalu mengatakan lupa
untuk membasuh tubuh terlebih dahulu. Selain itu Tn. Dogler adalah
seorang yang perokok berat. Ia bisa menghabiskan 2 bungkus rokok dalam
sehari. Tn. Dogler juga terbiasa merokok setelah makan dirumah, dan
tentunya asap rokok tersebut dihirup oleh anggota keluarga yang lain dan
dapat menjadi salah satu faktor pencetus asma.
6. Agama
Kepercayaan yang mempengaruhi kesehatan
[2]

Agama yang dianut oleh keluarga ini adalah agama Hindu. Tentunya setiap
perayaan hari besar seperti Galungan dan Kuningan, keluarga ini layaknya
keluarga lain biasa mengkonsumsi babi guling. Dimana babi guling adalah salah
satu makanan favorit Ny. Jati dan beliau kurang bisa mengontrol dalam
mengkonsumsi daging babi, sehingga biasanya tekanan darah beliau akan
meningkat dengan cepat.
7. Status sosial ekonomi keluarga
1). Anggota keluarga yang mencari nafkah
Anggota keluarga yang mencari nafkah adalah Tn. Dogler dan Ny. Rinten.
1). Penghasilan
1.
Tn. Dogler adalah seorang buruh di sebuah pabrik kapuk. Penghasilan

beliau adalah Rp 20.000/hari ditambah dengan uang makan Rp 5.000/per
2.
hari, untuk itu total penghasilan Tn. Dogler per bulan adalah RP 750.000.
Ny. Rinten adalah seorang buruh harian lepas. Beliau biasa bekerja
membantu menjadi buruh cuci, membantu menjadi buruh panen apabila
musim panen tiba, dengan penghasilan rata-rata per hari Rp 20.000, untuk
itu total penghasilan Ny. Rinten adalah kurang lebih Rp 600.000/bulan.
2). Upaya lain untuk menambah penghasilan

Biasanya untuk menambah penghasilan, Ny. Rinten memungut botol plastik
yang kemudian dijual per kilogramnya. Selain itu, Ny. Jati juga biasanya
membantu dengan mengumpulkan bunga jepun kering kemudian dijual
perkilogramnya.
3). Kebutuhan yang dikeluarkan setiap bulan
Untuk pengeluaran tiap bulannya, Ny. Rinten harus pintar dalam mengatur
keuangannya. Berikut pengeluaran perbulan keluarga ini yang dijelaskan dalam
bentuk tabel:
Penghasilan Rata-rata perbulan
Rp 1. 350.000
Tabungan Rutin perbulan
Rp 150.000
Cicilan Rutin perbulan (sepeda motor)
Rp 350.000
Total Maksimal Pengeluaran perbulan
Rp 850.000
No.
Jenis Pengeluaran
Biaya
1.
Biaya Sekolah Anak (SPP, buku, uang jajan, seragam, Rp 150.000
dll)
[3]

2.
3.
4.
5.
Biaya Makan
Listrik, Air, Keperluan Rumah Tangga
Transportasi (uang bensin)
Biaya Tak Terduga (sakit, kecelakaan, musibah)
TOTAL PENGELUARAN
Rp 300.000
Rp. 150.000
Rp 150.000
Rp 100.000
Rp 850.000
4). Harta benda yang dimiliki (perabot, transportasi dll)

Keluarga ini tidak memiliki terlalu banyak harta benda. Mereka hanya memiliki
1 buah sepeda motor yang masih harus dicicil, 1 buah televisi, 1 buah kipas
angin kecil, peralatan dapur sederhana, 1 buah lemari pakaian, dan sepasang
anting seberat 2gr emas.
6). Tabungan khusus kesehatan
Keluarga ini tidak memiliki tabungan khusus, tetapi Ny. Rinten selalu
menganggarkan Rp 100.000/bulan untuk biaya tak terduga seperti apabila ada
anggota keluarga yang jatuh sakit, kecelakaan, maupun terkena musibah.
8. Aktifitas rekreasi keluarga
Untuk kelangsungan hidup sehari-hari keluarga ini sudah cukup pas-pasan.
Mereka jarang sekali pergi ke arena bermain atau tempat hiburan untuk sekalikali menikmati liburan. Rekreasi mereka cukup dengan menonton televisi
bersama keluarga dan bermain bersama-sama dengan anak mereka.
II.
RIWAYAT DAN TAHAP PERKEMBANGAN KELUARGA

1. Tahap perkembangan keluarga saat ini (ditentukan dengan anak tertua):
Tahap perkembangan keluarga ini adalah Tahap Keluarga dengan Anak Usia
Sekolah (6 13 tahun) karena anak tertua mereka, Ayu Bulan sudah memasuki
sekolah dasar dan berusia 10 tahun.
Tugas perkembangan keluarga pada saat ini adalah:
a. Membantu sosialisasi anak terhadap lingkungan luar rumah, sekolah dan
b.
c.
d.
e.
lingkungan lebih luas.

Mendorong anak untuk mencapai pengembangan daya intelektual.
Menyediakan aktivitas untuk anak.
Menyesuaikan pada aktivitas komuniti dengan mengikut sertakan anak.
Memenuhi kebutuhan yang meningkat termasuk biaya kehidupan dan
kesehatan anggota keluarga.
2. Tahap perkembangan keluarga yang belum terpenuhi dan kendalanya

Tahap perkembangan yang belum terpenuhi:
[4]

a. Membantu sosialisasi anak terhadap lingkungan luar rumah, sekolah dan
lingkungan lebih luas.
Tahap ini belum terpenuhi karena kedua orang tua sibuk bekerja dan anak hanya
diasuh oleh neneknya yang sudah renta. Selain itu anak juga menderita asma yang
tentu saja dapat membatasinya dengan lingkungan luar.
b. Mendorong anak untuk mencapai pengembangan daya intelektual.
Orang tua yang sibuk bekerja tidak mempunya cukup waktu untuk membantu
anak belajar, sehingga anak belajar dirumah hanya sendiri atau terkadang bersama
temannya.
c. Menyediakan aktivitas untuk anak.
Karena anak yang menderita asma, orang tua berasumsi harus membatasi
aktivitas anak sehingga anak tidak mudah lelah dan meminimalisir kekambuhan
penyakit asmanya.
d. Menyesuaikan pada aktivitas komuniti dengan mengikut sertakan anak.
Waktu berkumpul bersama keluarga saja jarang untuk dilakukan karena
kesibukan perkerjaan, sehingga membuat keluarga ini kurang bersosialisasi
dengan lingkungan sekitarnya.
e. Memenuhi kebutuhan yang
meningkat
termasuk
biaya
kehidupan dan
kesehatan anggota keluarga.

Pekerjaan orang tua yang hanya seorang buruh dengan penghasilan kecil dengan
begitu banyak menanggung kebutuhan anggota keluarga, tentu saja akan
membuat biaya kehidupan dan kesehatan keluarganya akan dikesampingkan dan
digunakan untuk menutupi kebutuhan makan anggota keluarga.
3. Riwayat keluarga inti:
1). Riwayat terbentuknya keluarga inti
Tn Dogler dan Ny. Rinten sudah menikah kurang lebih 11 tahun. Ini adalah
pernikahan pertama mereka, mereka belum pernah menikah sebelumnya. Satu
tahun setelah menikah, Ny. Rinten dan Tn. Dogler dikaruniai anak perempuan
pertama mereka yang diberi nama Gusti Ayu Bulan Candra. Enam tahun
kemudian, keluarga ini dianugerahi kembali anak laku-laki kedua mereka yang
diberi nama Gusti Made Bintang Candra.
2). Riwayat kesehatan keluarga saat ini
Ny. Jati, Almh. Ny. Sayu (kakak Tn. Dogler), dan Ayu Bulan memiliki riwayat
penyakit yang sama yaitu asma. Selain itu Ny. Jati juga memiliki riwayat
hipertensi. Saat pengkajian, keadaan umum Tn. Dogler dan Ny. Rinten terlihat
cukup baik, tetapi keadaan Ayu Bulan, Bintang, dan Ny. Jati terlihat cukup
[5]

lemah. Asma Ayu Bulan dan Ny. Jati sering kumat dalam seminggu terakhir
karena di depan rumah mereka sedang terdapat perbaikan jalan, yang membuat
debu masuk ke dalam rumah. Sedangkan Bintang tubuhnya terlihat cukup kurus
dibandingkan dengan anak seusianya. Ny. Rinten mengatakan anaknya (Ayu
Bulan dan Bintang) pernah mendapat imunisasi BCG saat bayi, dan tidak pernah
mendapatkan imunisasi lainnya karena tidak sempat mengantar ke pusat
pelayanan kesehatan. Sedangkan anggota keluarga lainnya tidak ingat pernah
diimunisasi atau belum karena orang tua mereka tidak pernah menjelaskan.
Apabila anggota keluarga ada yang jatuh sakit dan mempunyai uang yang
sedikit berlebih, mereka akan dibawa ke Puskesmas saja dengan alasan lebih
murah.
3). Riwayat kesehatan masing-masing anggota keluarga
1.
Dogler
44th
68/175
Baik
Imunisasi
(BCG/Polio/DPT/
HB/ Campak)
-
2.
Rinten
35th
55/160
Baik
3.
Bulan
10th
35/140
Lemah
No
Nama
Umur
BB/TB
Keadaan
kesehatan
BCG
Tindakan
yang telah
dilakukan
-
Masalah
kesehatan
Asma
Rawat jalan
Puskesmas
4.
Bintang
4th
18/98
Lemah
BCG
5.
Jati
72th
48/155
Lemah
Malnutrisi
Asma,
Rawat jalan
hipertensi
Puskesmas
4). Sumber pelayanan kesehatan yang dimanfaatkan

Apabila anggota keluarga ada yang jatuh sakit, mereka akan dibawa ke
Puskesmas saja. Mereka percaya apabila sakit yang dialami adalah sakit medis,
sehingga mereka tidak pernah berobat ke dukun dan sejenisnya.
4. Riwayat kesehatan keluarga sebelumnya.
Dari pihak istri tidak terdapat riwayat penyakit apapun. Namun dari pihak suami,
terdapat riwayat penyakit asma dimana sudah menurun ke anak pertama mereka,
Ayu Bulan.
III. DATA LINGKUNGAN
[6]

1. Karakteristik rumah
1). Luas rumah
Luas tanah adalah 75
, luas bangunan 36
2). Tipe rumah

Tipe rumah tipe 36/75.
3). Kepemilikan
Rumah adalah milik pribadi.
4). Jumlah dan rasio kamar/ruangan
Rumah terdiri dari 2 kamar tidur kecil, 1 dapur, 1 kamar mandi dalam, dan 1
ruang tamu yang cukup sempit.
5). Ventilasi dan jendela
Terdapat 2 buah jendela di ruang tamu, dan ventilasi kecil di dapur. Kamar
keluarga ini sangat tertutup dan lembab.
6). Pemanfaatan ruangan
Terdapat 2 buah kamar tidur kecil, dimana salah satunya digunakan oleh
pasangan suami istri, dan kamar sisanya digunakan oleh Ayu Bulan, Bintang,
dan Ny. Jati. Kamar mandi digunakan bersama oleh seluruh anggota keluarga.
Ruang tamu digunakan sebagai tempat berkumpul keluarga, menerima tamu,
sekaligus untuk ruang makan. Tidak terdapat kebun, hanya sebuah garasi untuk
memarkir sepeda motor mereka.
7). Septic tank:
Jenis septic tank yang digunakan keluarga ini adalah septic tank konvensional,
dimana septic tank model ini menampung dan mengendapkan limbah dan
membiarkannya teruai oleh bakteri, cairan hasil dari tanki ini akan diendapkan
ke tanah melalui resapan khusus. Secara berkala septic tank ini akan penuh dan
harus disedot. Klien mengatakan selama tinggal dirumah ini, baru 2 kali mereka
melakukan penyedotan septic tank. Jarak septic tank ke sumber air yang
digunakan < 10m.
8). Sumber air minum
Untuk minum keluarga menggunakan air galon dalam kemasan isi ulang,
apabila tidak memiliki cukup uang, keluarga biasanya meminum air rebus yang
disaring.
9). Kamar mandi/WC
[7]

Kamar mandi keluarga ini adalah 1 kamar mandi yang terletak di dalam rumah
dan digunakan bersama-sama dengan seluruh anggota keluarga lainnya.
10).Sampah.
Biasanya Ny. Rinten akan membuang sampah rumah tangga 3 hari sekali ke
tempat pembuangan sampah yang berada dekat dengan rumah mereka.
11).Kebersihan lingkungan
Lingkungan rumah klien cukup bersih, setiap pagi Ny. Rinten akan menyapu
rumah dan sekitar rumah, lalu pada sore hari Ny. Jati dan Ayu Bulan akan
bergantian membersihkan sekitar rumah.
12).Denah rumah
2. Karakteristik tetangga dan komunitas tempat tinggal

1). Lingkungan fisik
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2). Kebiasaan
[8]

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3). Aturan atau kesepakatan penduduk setempat
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4). Budaya setempat yang mempengaruhi kesehatan
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3. Mobilitas geografis keluarga
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4. Perkumpulan keluarga dan interaksi dengan masyarakat
1). Waktu untuk berkumpul
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[9]

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1). Perkumpulan yang ada
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2). Interaksi keluarga dengan masyarakat
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5. Sistem pendukung keluarga
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IV. STRUKTUR KELUARGA
1.
Pola komunikasi keluarga

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[10]

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2.
Struktur kekuatan keluarga

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3.
Struktur peran
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4.
Nilai dan norma keluarga yang berkaitan dengan

kesehatan
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[11]

V.
FUNGSI KELUARGA
1. Fungsi afektif
1). Perasaan saling memiliki
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1). Dukungan terhadap anggota keluarga
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2). Kehangatan
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3). Saling menghargai
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2. Fungsi sosialisasi
1). Kerukunan hidup dalam keluarga
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[12]

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2). Interaksi dan hubungan dalam keluarga
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3). Anggota keluarga yang dominan dalam pengambilan keputusan
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4). Kegiatan keluarga waktu senggang
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5). Partisipasi dalam kegiatan sosial
[13]

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2. Fungsi perawatan kesehatan
1). Pengetahuan dan persepsi keluarga tentang penyakit/masalah kesehatan
keluarganya
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2). Kemampuan keluarga mengambil keputusan tindakan kesehatan yang tepat
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[14]

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3). Kemampuan keluarga merawat anggota keluarga yang sakit
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4). Kemampuan keluarga memelihara lingkungan rumah yang sehat
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5). Kemampuan keluarga menggunakan fasilitas kesehatan di masyarakat
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3. Fungsi reproduksi
1). Perencanaan jumlah anak
[15]

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2). Akseptor:
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4. Fungsi ekonomi
1). Upaya pemenuhan sandang pangan
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2). Pemanfaatan sumber di masyarakat
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[16]

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VI. STRES DAN KOPING KELUARGA
1. Stresor jangka pendek
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2. Stresor jangka panjang
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.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
3. Respon keluarga terhadap stresor
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
[17]

.................................................................................................................................
.................................................................................................................................
4. Strategi koping
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
5. Strategi adaptasi disfungsional
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
VII. PEMERIKSAAN FISIK
Tanggal pemeriksaan:.................................................................................................
Pemeriksaan
Nama Anggota Keluarga
Vital Sign
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
BB, TB/PB
... ... ... ... ...
... ... ... ... ...
Kepala
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
[18]

... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Mata
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Hidung
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Telinga
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
[19]

... ... ... ... ...
... ... ... ... ...
Mulut
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Leher
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Thorax
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Abdomen
... ... ... ... ...
... ... ... ... ...
[20]

... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Tangan
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Kaki
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
Genitalia
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
... ... ... ... ...
[21]

... ... ... ... ...
... ... ... ... ...
VIII. HARAPAN KELUARGA
1. Terhadap masalah kesehatan
2. Terhadap petugas kesehatan yang ada
Denpasar, . Februari 2012
(......)
[22]

ANALISA DATA
Nama mahasiswa :...............................................................................
Tanggal analisa
No
:...............................................................................
Tgl
Data
Diagnosa Keperawatan
Data Subjektif :
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
_______________________________
______________________________
[23]

SKORING/ PRIORITAS
DIAGNOSIS KEPERAWATAN KELUARGA
Diagnosa Keperawatan :
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
__________
Kriteria
Sifat masalah:
Nilai
Bobot
1
Skoring
Pembenaran
Aktual
___________________________________
Resiko
___________________________________
Potensial
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
Kemungkinan masalah
untuk diubah
Mudah
___________________________________
Sebagian
___________________________________
Tidak dapat
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
[24]

___________________________________
Potensial masalah
untuk dicegah
Tinggi
___________________________________
Cukup
___________________________________
Rendah
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
Menonjolnya masalah
Segera diatasi
Tidak segera
___________________________________
___________________________________
___________________________________
diatasi
Tidak dirasakan
___________________________________
___________________________________
adanya masalah
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
TOTAL
[25]

IMPLEMENTASI
Nama mahasiswa
:.................................................................
No Diagnosa Keperawatan
Tanggal
Implementasi
____________________ _______ _________________________________

____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
[26]
Paraf

EVALUASI
Nama mahasiswa
:.................................................................
No Diagnosa Keperawatan
Tanggal
Evaluasi
____________________ _______ _________________________________

____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
____________________ _______ _________________________________
[27]
Paraf

PERENCANAAN
NO
KRITERIA EVALUASI
KRITERIA
STANDAR

....
........................................
........................................
........................................
DIAGNOSIS
KEPERAWATAN
TUJUAN
[28]
INTERVENSI

KOMPOSISI KELUARGA
Hub dgn
No
Nama
L/P
Pendidika
Umur
Pekerjaan
KK
Keterangan
...
... ...
...
... ...
...
... ...
...
... ...
...
... ...
GENOGRAM
......
..............................................
......
......................................................................................................................................................
......
......
......................................................................................................................................................
......
......
......................................................................................................................................................
......
......
......................................................................................................................................................
......
......
......................................................................................................................................................
......
......
......................................................................................................................................................
......
[29]

......
......................................................................................................................................................
......
......
......................................................................................................................................................
......................................................................................................................................................
................................................
[30]

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January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

ASUHAN KEPERAWATAN KELUARGA

DATA UMUM KELUARGA

Nama : I Gusti Putu Dogler Candra

: Buruh pabrik kapuk

: Bumi Dalung Permai blok FF.33

Gst. Ayu Bulan Candra

Gst. Ayu Komang Jati

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

marah dan akan mengeluh kepalanya pusing dan badannya lemas.

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

Tn. Dogler adalah seorang buruh di sebuah pabrik kapuk. Penghasilan

2). Upaya lain untuk menambah penghasilan

Tabungan Rutin perbulan

Cicilan Rutin perbulan (sepeda motor)

Total Maksimal Pengeluaran perbulan

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

4). Harta benda yang dimiliki (perabot, transportasi dll)

RIWAYAT DAN TAHAP PERKEMBANGAN KELUARGA

lingkungan lebih luas.

2. Tahap perkembangan keluarga yang belum terpenuhi dan kendalanya

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

kesehatan anggota keluarga.

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

4). Sumber pelayanan kesehatan yang dimanfaatkan

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

2). Tipe rumah

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

2. Karakteristik tetangga dan komunitas tempat tinggal

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

Pola komunikasi keluarga

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

Struktur kekuatan keluarga

Nilai dan norma keluarga yang berkaitan dengan

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

Nama Anggota Keluarga

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

2. Terhadap petugas kesehatan yang ada

Denpasar, . Februari 2012

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

____________________ _______ _________________________________

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

____________________ _______ _________________________________

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

January 1, 2014 [ASUHAN KEPERAWATAN KELUARGA]

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