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Nursing Diagnosis Nyeri akut berhubungan dengan cemas, takut akan prosedur dan alat medis,kesedihan,trauma jaringan,zat
kimia,perubahan suhu, kerusakan fungsional organ tubuh ,kerusan fungsional jaringan tubuh ( Acute pain
related to anxiety, fear of medical procedures and tools, sadness, tissue trauma, chemicals, changes of body temperature,
functional organ damage, functional damage to body tissue )
Tanggal/ Jam :
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Nursing Diagnosis Nyeri akut berhubungan dengan cemas, takut akan prosedur dan alat medis,kesedihan,trauma jaringan,zat
kimia,perubahan suhu, kerusakan fungsional organ tubuh ,kerusan fungsional jaringan tubuh ( Acute pain related to
anxiety, fear of medical procedures and tools, sadness, tissue trauma, chemicals, changes of body temperature, functional
organ damage, functional damage to body tissue )
4. Control factor lingkungan yang dapat meningkatkan respon Measurement Scale ( Skala pengukuran )
ketidaknyamanan pasien ,contoh temperature ruangan, cahaya dan
1= never demonstrated ( Tidak pernah menunjukan )
keributan ( control environmental factor that may influence the
patient response to discomport ,e.g room temperature, lighting, 2= rarely demonstrated ( Jarang menunjukan )
noise)
5. Posisi sejajar tubuh yang tepat untuk mengurangi tekanan pada saraf 3= sometimes demonstrated ( kadang Menunjukan )
dan jaringan( Position the body aligned the right to reduce the pressure on
4= often demonstrated ( Sering menunjukan )
the nerves and tissues )
6. Melakukan tindakan PCA ( implement the use patient controlled 5= consistently demonstrated ( Konsisten menunjukan )
analgecia)
Education
7. Memberikan informasi tentang penyebab nyeri,berapa lama
terjadinya dan antisipasi ketidaknyamanan dari prosedur ( provide
information about the pain, causes of the pain, how long it and
anticipated discomports from procedure)
8. Ajarkan prinsip dari manajemen nyeri ( teach principles of pain
management)
Nursing Diagnosis Nyeri akut berhubungan dengan cemas, takut akan prosedur dan alat medis,kesedihan,trauma jaringan,zat
kimia,perubahan suhu, kerusakan fungsional organ tubuh ,kerusan fungsional jaringan tubuh ( Acute pain
related to anxiety, fear of medical procedures and tools, sadness, tissue trauma, chemicals, changes of body temperature,
functional organ damage, functional damage to body tissue )
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Patient Goal Nyeri hilang/ berkurang ( no pain/reduce )
(……………………….) (……………………)
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