komunikasi keperawatan klien dewasa

IMPL_ME Flktegfmsg Bmimk Fdpdrmxmme pmbm figde Bdxmsm bdehme Rgebmfme Pdkodrgme Gealrkmsg demeh Igehftehme bme Pdrmtrme _tkmj Smfg

Bgstste Lidj > Fdilkplf 4

=% ?% 3% 2% 4%

Dkdrdesgmem Ntgm Emmigs Gehd Prmgxg Fmmrgem Ktjmkkmb Maeme Mhts Ptrelkl Sdiqw Xgibm Smrg

*07' *=3' *=2' *=7' *?2'

P_LBG S= FDPD_MXMRME SDFLIMJ RGEHHG GIKT FDSDJMRME XGIIGMK XGIIG MK OLLRJ ST_MOMWM ?0==,?0=?

OMO G PDEBMJTITME

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Flesdp Bmsmr Flktegfmsg Pmbm Lrmeh Bdxmsm =%=%= Bdagegsg Flktegfmsg Flktegfmsg kdrtpmfme mim wmeh dadfga tetf kdkpdehmrtjg gehfmj imft kmetsgm) sdjgehhm flktegfmsg bgfdkomehfme bme bgpdigjmrm sdcmrm

drts

kdedrts%

Flktegfmsg

odrtntme

tetf

kdktbmjfme)

kdimecmrfme) kdimfsmemfme fdhgmme+fdhgmme drdet bmimk rmehfm kdecmpmg tntme lpgkmi) omgf flktegfmsg bmimk igehftp pdfdrnmme kmtpte jtotehme memr kmetsgm% Pmbm lrmeh bdxmsm) kdrdfm kdkptewmg sgfmp) pdehdmjtme bme fdrmkpgime wmeh imkm kdedmp bmimk bgrgewm sdjgehhm tetf kdrtomj pdrgimftewm smehm stig% lidj sdomo gt pdrit fgrmewm stmt klbdi flktegfmsg wmeh dpm mhmr tntme flktegfmsg bmpm drcmpmg bdehme dadfga% Odrlimf bmrg jmi drsdot fmkg kdeclom kdkotm kmfmimj wmeh kdeclom tetf kdedrmpfme klbdi flesdp flretegfmsg wmeh dpm pmbm figde bdxmsm%

=%?

Rtntme Rgebmfme =%?%= Pdkodrgme Gealrkmsg demeh Igehftehme Igehftehme m% Kdehdmjtg igehftehme wmeh mbm bg rtkmj smfg o% Kdkpdrktbmj pdehdemime rtmehme rtmehme wmeh mbm bg rtkmj smfg =%?%? Pdrmtrme _tkmj _tkmj Smfg m% Tetf kdehdmjtg pdrmtrme wmeh mbm bg rtkmj smfg o% Kdemmg pdrmtrme wmeh mbm bgrtkmj smfg

=%3

Prlsdbtr Rgebmfme =%3%= Pdrsgmpme mim tetf pdkodrg gealrkmsg demeh igehftehme bme pdrmtrme rtkmj smfg + Otft cmmme + Pdem

=%3%? Pdrsgmpme pmsgde tetf pdkodrg pdkodrg gealrkmsg demeh igehftehme bme pdrmtrme rtkmj smfg + Ndimsfme fdpmbm pmsgde demeh igehftehme bme pdrmtrme wmeh mbm bg rtkmj smfg + Otmimj pmsgde ewmkme bme kdehdrg demeh pdendimsme wmeh pdrmxm smepmgfme =%3%3 Imehfmj+imehfmj Imehfmj+imehfmj Rgebmfme m% Kdkodrg mjt igehftehme bg rtkmj smfg + Smimk + Kdkpdrfdemifme bgrg + Kdendimsfme gebmfme wmeh mfme bgimftfme + Kdendimsfme tntme bmrg gebmfme wmeh bgimftfme + Kdecgpmfme stmsmem wmeh ewmkme + Kdndimsfme Igehftehme wmeh mbm bg rtkmj smfg + Odrmewm fd pmbm pmsgde mpm stbmj kdehdrg + Kdemxmrfme bgrg ngfm pmsgde pdrit sdstmt + Smimk o% Kdkodrg mjt pdrmtrme bg rtkmj smfg + Smimk + Kdkpdrfdemifme bgrg + Kdendimsfme gebmfme wmeh mfme bgimftfme + Kdendimsfme tntme bmrg gebmfme wmeh bgimftfme + Kdecgpmfme stmsmem wmeh ewmkme + Kdndimsfme pdrmtrme wmeh mbm bg rtkmj smfg s mfg + Odrmewm fd pmbm pmsgde mpm stbmj kdehdrg + Kdemxmrfme bgrg ngfm pmsgde pdrit sdstmt + Smimk =%2

Amflr+ amflr wmeh Kdkpdehmrtjg =%2%= kdecgpmfme igehftehme wmeh ewmkme =%2%= fdkmkptme pdrmxm pdrmxm bmimk odrflktegfmsg =%2%? sgfmp pmsgde =%2%3 fdkmkptme pmsgde tetf kdedrgkm pdendimsme bmrg pdrmxm

OMO GG SR_MRDHG PDIMFSMEMME

?%= Prlsds Fdpdrmxmme ?%=%= Flebgsg Pmsgde Ew% Z odrtktr %%%% mjte) omrt kmstf rtkmj smfg bdehme smts plspmrts bme sdstbmj kdimjgrfme memf wmeh %%%%%%%%

?%=%? Bgmhelsm Fdpdrmxmme Plspmrts jmrg fd%%%%%%%% odrjtotehme odrjtotehme bdehme prlsds pdrsmigeme%

?%=%3 Rtntme Fjtsts + figde kdehdrg demeh pdrmtrme rtkmj smfg + figde kdemmg pdrmtrme rtkmj smfg + Rgbmf mbm fdsmimjpmjmkme memrm figde bdehme pdrmxm +Rgbmf mbm fdsmimjpmjmkme memrm figde bme fditmrhm bdehme pdrmtrme rtkmj smfg

?%? Srmdhg Pdimfsmemme ?%?%=

Prm Gedrmfsg m% Kdkomcm cmmme fdpdrmxmme kdbgs figde o% Pdrmxm kdkqmigbmsg,kdkmjmkg kdkqmigbmsg,kdkmjmkg fdidogjme bme fdftrmehmeewm fdftrmehmeewm c% Kdewgmpfme mim+mim wmeh bgpdritfme * ptipde )fdrms)idkomr pdrmtrme wmeh mbm bg rtkmj smfg '

?%?%?

Lrgdemsg

+ Smimk drmpdtgf  ’Sdimkm pmhg Got) pdrfdemifme emkm smwm Stsdr D% Odemrfmj Got odremkm Ew Z < omhmgkmem smwm kdkmehhgi Got< Omgfimj) smwm mbmimj pdrmxm rtmehme geg wmeh bgems pmhg% Fmimt Ew Z kdrmsm mbm fditjme ogsm bgsmkpmgfme fdpmbm smwm‛% + Dqmitmsg qmigbmsg

Omhmgkmem fdmbmme fdmbmme got sdoditk fd rtkmj smfg < + Flermf  

Rlpgf  Ew Z )pmbm fdsdkpmme geg fmkg kmjmsgsxm bme kmjmsgsxg sgfds Xgigmkolj gehfm = sdkdsdr ? mfme kdendimsfme demeh pdrmtrme bme igehftehme wmeh mbm bg _tkmj Smfg Xgigmkolj Xgi gmkolj %



Xmft Ew Z )fmkg kdkottjfme xmft ftrmeh idogj =4 kdeg tetf  kdimfsmemfme kdimfsmemfme gebmfme geg %



Rdkpm Bg rtmeh __C*_tmeh pdrsmigeme '

?%?%3 Fdrnm Pdrkgsg Ew Z ) smwm mfme kdktimg pdendimsme odrgft ododrmpm fddetme bg rtkmj smfg xgigmkolj sdoditk bg rmxm bg rtmeh gemp > =% _tmehme m%rtmeh pdrmxmme QGP xmngo kdkomwmr tmeh ktfm _p 4%400%000 o%fdims = xmngo kdkomwmr tmeh ktfm _p 3 :00%000 c fdims ? xmngo kdkomwmr tmeh ktfm _p ?%400%000 b%fdims 3 xmngo kdkomwmr tmeh ktfm _p 800%000 d% rtmeh GCT xmngo kdkomwmr _p 3%000%000 a rtmeh gslimsg xmngo kdkomwmr _p =%000%000 ?% Kdewdrmjfme Kdewdrmjfme allclpw FRP mmt fmrt pdsdrm pdsdrm mstrmesg mmt mmt fmrt gbdegms imgeewm wmeh kmsgj odrimft 3% Mpmogim ogmwm pdrmxmme pmsgde dimj kdidogjg pimale wmeh dimj bg detfme drsdot bg mms kmfm pmsgde bg xmngofme tetf kdkomwmr tmeh ktfm fd omhgme mbkgegsrmsg mmt fmsgr tetf fdimentme pdkodrgme gebmfme fdpdrmxmme 2% Mpmogim pmsgde kdkehmomgfme fddetme geg ) kmfm pmsgde bg xmngofme

tetf

kdkomwmr

temg

dridogj

bmjtit

sdgmp

gebmfmefdpdrmxmme fjtstsewm pdkodrgme lom bme pdkdrgfsmme pdetenmeh kdbgs imge+imge wmeh mfme bg odrgfme 4% Fjtsts omhg pmsgde wmeh odrmsmi bmrg mstrmesg mmt pdrtsmjmme mmt gesmesg wmeh dimj odfdrnmsmkm bdehme rtkmj smfg xgigmkolj strmomwm mfme bg odomsfme bmrg pdkomwmrme tmeh ktfm ogmwm pdrmxmme mpmogim kdketjg pdrswmrmme wmeh kdigptg > 

Kdewdrmjfme Kdewdrmjfme strm nmkgeme bmimk xmft = z ?2 nmk



Allclpw FRM bme FRP wmeh kmsgj odrimft



Kdkdetjg fddetme sdstmg pdrnmengme fdrnmsmkm Kmfm ogim gbmf kdkdetjg fddetme geg pmsgde mfme bg odrimftfme sdomhmg pmsgde tktk

1% Pmsgde wmeh dimj kdewdidsmgfme pdrmxmme bg rtmeh rmxm gemp bme jdebmf ptimeh ) bg xmngofme tetf kditemsg sditrtj ogmwm pdrmxmme *fdctmig pmsgde bdehme pdrnmengme fdrnmsmkm' % 8% Imwmeme mbkgegsrmsg mmt fmsgr pditemsme ogmwm pdrmxmme pmsgde bgimfsmemfme bgimfsmemfme smkpd bdehme ptfti =3%00 XGO :% _tkmj smfg xgigmkolj gbmf odrmehhteh nmxmo mms fdjgimehme omrmeh+omrmeh omrmeh+omrmeh odrjmrhm kgigf kgig f pmsgde 7% Nmk odrftenteh mbmimj =0%00 +=?%00 bme =1%00 +?0%00 XGO =0% Pdenmhm pmsgde bg xmngofme tetf kdehhtemfme fmrt g~ge tehht *smt pmsgde smt fmrt '

?%?%2 Rdrkgemsg ?%?%2%= Dqmitmsg Mpmfmj Ew Z stbmj kdehdrg kdehdrg demeh pdrmtrme wmeh wmeh stbmj bg  ndimsfme <

?%?%2%? Dqmitmsg Lowdfga  Kdehlosdrqmsg Kdehlosdrqmsg dfsprdsg ktfm pmsgde%

?%?%2%3 Rgebmf iment

Fmrdem got dimj kdehdrg bme kdkmjmkg pdrmtrme wmeh mbm bg rtkmj smfg )kmfm bg jmrmpfme pdrmtrme drsdot bg mmg % Fmimt

odhgt

fmkg

fdkomig

fd

fmkpts

odrjtoteh

xmft

flermfewm stbmj stbmj sdidsmg% Mpmogim Mpmogim Ew Z kdkdritfme sdstmt sdstmt mmt ftrmeh ndims bdehme pdrmtrme wmeh dimj bg ndimsfme jmrmp kdedfme odi mmt kdehjtotehg pdrmxm rtmehme%

?%?%2%2 Flermf  

Xmft Ew Z xmft fmkg dimj sdidsmg



Rlpgf  Pdendimsme sdimentewm mpmogim got kdehjtotehg pdrmxm fmrdem mbm wmeh ftrmeh bg kdehdrg



Rdkpm _tmehme __C * rtmeh odrsmige '

?%3

Rdfegf+dfegf bmimk flktegfmsg + Kdebdehmr > smm smm pmsgde odrogcmrm odrogcmrm pdrmxm kdebdehmrfme% kdebdehmrfme% + Pdrmewmme drotfm drotfm > omhmgkmem fdmbmme fdmbmme got sdoditk fd mrmtkmj mrmtkmj Smfg < + Fimrgagfmsg > mpmfmj mpmfmj Ew Z stbmj kdehdrg kdehdrg bdehme pdendimsme drsdot < + Kdkalftsfme > Ew Z smwm mfme mfme kdendimsfme demeh pdrmtrme wmeh wmeh mbm bg rtkmj smfg xgigmkolj + Gealrkgeh > _tmehme m%rtmeh pdrmxmme QGP xmngo kdkomwmr tmeh ktfm _p 4%400%000 o%fdims = xmngo kdkomwmr tmeh ktfm _p 3 :00%000 c fdims ? xmngo kdkomwmr tmeh ktfm _p ?%400%000 b%fdims 3 xmngo kdkomwmr tmeh ktfm _p 800%000 d% rtmeh GCT xmngo kdkomwmr _p 3%000%000 a rtmeh gslimsg xmngo kdkomwmr _p =%000%000 ==% Kdewdrmjfme Kdewdrmjfme allclpw FRP mmt fmrt pdsdrm pdsdrm mstrmesg mstrmesg mmt fmrt gbdegms imgeewm wmeh kmsgj odrimft

=?% Mpmogim ogmwm pdrmxmme pmsgde dimj kdidogjg pimale wmeh dimj bg detfme drsdot bg mms kmfm pmsgde bg xmngofme tetf kdkomwmr tmeh ktfm fd omhgme mbkgegsrmsg mmt fmsgr tetf fdimentme pdkodrgme gebmfme fdpdrmxmme =3% Mpmogim pmsgde kdkehmomgfme fddetme geg ) kmfm pmsgde bg xmngofme tetf kdkomwmr temg dridogj bmjtit sdgmp gebmfme fdpdrmxmme fjtstsewm fjtstsewm pdkodrgme lom bme pdkdrgfsmme pdetenmeh kdbgs imge+imge wmeh mfme bg odrgfme =2% Fjtsts omhg pmsgde wmeh odrmsmi bmrg mstrmesg mmt pdrtsmjmme mmt gesmesg wmeh dimj odfdrnmsmkm bdehme rtkmj smfg xgigmkolj strmomwm mfme bg odomsfme bmrg pdkomwmrme tmeh ktfm ogmwm pdrmxmme mpmogim kdketjg pdrswmrmme wmeh kdigptg > 

Kdewdrmjfme Kdewdrmjfme strm nmkgeme bmimk xmft = z ?2 nmk



Allclpw FRM bme FRP wmeh kmsgj odrimft



Kdkdetjg fddetme sdstmg pdrnmengme fdrnmsmkm Kmfm ogim gbmf kdkdetjg fddetme geg pmsgde mfme bg odrimftfme sdomhmg pmsgde tktk

=4% Pmsgde wmeh dimj kdewdidsmgfme pdrmxmme bg rtmeh rmxm gemp bme jdebmf ptimeh ) bg xmngofme tetf kditemsg sditrtj ogmwm pdrmxmme *fdctmig pmsgde bdehme pdrnmengme fdrnmsmkm' % =1% Imwmeme mbkgegsrmsg mmt fmsgr pditemsme ogmwm pdrmxmme pmsgde bgimfsmemfme bgimfsmemfme smkpd bdehme ptfti =3%00 XGO =8% _tkmj smfg xgigmkolj gbmf odrmehhteh nmxmo mms fdjgimehme omrmeh+omrmeh omrmeh+omrmeh odrjmrhm kgigf kgig f pmsgde =:% Nmk odrftenteh mbmimj =0%00 +=?%00 bme =1%00 +?0%00 XGO =7% Pdenmhm pmsgde bg xmngofme tetf kdehhtemfme fmrt g~ge tehht *smt pmsgde smt fmrt '

?%2

Fdjmbgrme Agsgf bme Psgflilhgs Pdrmxm ?%2%= Fdjmbgrme agsgf 



Flemf kmm > smm odrogcmrm bdehme pmsgde) pdrmxm gbmf kdigjm sdstmt wmeh gbmf pdegeh kgsmi kdigjm itmr%



Sgfmp drotfm > pdrmxm jmrts kdkogcmrmfme demeh pdrmtrme mepm kdewgehhteh pdrmsmme pmsgde



_gidfs > pdrmxm jmrts demeh smm kdehjmbmpg pmsgde) mhmr pmsgde gbmf  kdrmsm dhmeh mmt mft

?%2%? Fdjmbgrme Psgflilhgs Psgflilhgs 

Fdsdnmgme > odrogcmrm bdehme fdstehhtjme mepm kdewmfgg pmsgde) gbmf  kdkodbm+odbmfme kdkodbm+odbmfme pmsgde%



Dkpmg > kmkpt kdkmjmkg pdrmsmme pmsgde) pdrmxm jmrts mehhmp bdehme fdmbmme pmsgde%



_dspdf,jlrkm > pdrmxm jmrts pdbtig bdehme pmsdge sdrm kdehjmrhmg pmsgde) kgsmi nmom mehme%