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\b \f20 \fs21 \cf0 \fi24 \b \f20 \fs21 \cf0 No \par}{\phpg\posx1430\pvpg\posy1899\absw392\absh493 \sl-283 \b \f20 \fs21 \cf0 {\b0 1 }\par}{\phpg\posx1987\pvpg\posy1899\absw3272\absh498 \b \f20 \fs21 \cf0 \fi734 \b \f20 \fs21 \cf0 Diagnosa Keperawatan \par}{\phpg\posx1987\pvpg\posy1899\absw3272\absh498 \sl-287 \b \f20 \fs21 \cf0 NYERI AKUT \par}{\phpg\posx1987\pvpg\posy2455\absw1485\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 Definisi : \par}{\phpg\posx1987\pvpg\posy2455\absw1485\absh489 \sl-278 \f20 \fs21 \cf0 menyenangkan \par}{\phpg\posx3522\pvpg\posy2455\absw812\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 sensori \par}{\phpg\posx3522\pvpg\posy2455\absw812\absh489 \sl-278 \f20 \fs21 \cf0 \fi364 dan \par}{\phpg\posx4553\pvpg\posy2455\absw521\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 yang \par}{\phpg\posx6074\pvpg\posy1899\absw7445\absh498 \b \f20 \fs21 \cf0 \fi1632 \b \f20 \fs21 \cf0 Tujuan/NOC \par}{\phpg\posx6074\pvpg\posy1899\absw7445\absh498 \sl-283 \b \f20 \fs21 \cf0 {\b0 Setelah}{\b0 dilakukan}{\b0 tindakan}{\b0 keperawatan}{\b0 selama} MANAJEMEN NYERI \par}{\phpg\posx9074\pvpg\posy786\absw7232\absh1240 \f10 \fs32 \cf0 \f10 \fs32 \cf0 NANDA NIC NOC PSIK FIKES UMM{\b 2011 }\par}{\phpg\posx9074\pvpg\posy786\absw7232\absh1240 \sl-328 \par\par\f10 \fs32 \cf0 \fi4297 {\b \f20 \fs21 NIC }\par}{\phpg\posx5364\pvpg\posy2455\absw11306\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 tidak ...... x24 jam pasien dapat mengontrol nyeri Definisi : mengurangi nyeri dan menurunkan tingkat \par}{\phpg\posx4688\pvpg\posy2734\absw3167\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 pengalaman dengan indikator: \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \f20 \fs21 \cf0 \f20 \fs21 \cf0 emosional yang muncul secara aktual \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-278 \f20 \fs21 \cf0 atau potensial, kerusakan jaringan atau \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-273 \f20 \fs21 \cf0 menggambarkan adanya kerusakan.. \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-278 \f20 \fs21 \cf0 \fi62 {\b Batasan}{\b karakteristik} : \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-274 \f20 \fs21 \cf0 \fi76 {\f10 {\f63 \u61607\'3f}} Laporan secara verbal atau non \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-278 \f20 \fs21 \cf0 \fi451 verbal \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-273 \f20 \fs21 \cf0 \fi76 {\f10 {\f63 \u61607\'3f}} Fakta dan observasi \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-278 \f20 \fs21 \cf0 \fi76 {\f10 {\f63 \u61607\'3f}} Gerakan melindungi \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-273 \f20 \fs21 \cf0 \fi76 {\f10 {\f63 \u61607\'3f}} Tingkah laku berhati-hati \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-278 \f20 \fs21 \cf0 \fi76 {\f10 {\f63 \u61607\'3f}} Gangguan tidur (mata sayu, \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-273 \f20 \fs21 \cf0 \fi451 tampak capek, sulit atau gerakan \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-278 \f20 \fs21 \cf0 \fi451 kacau, menyeringai) \par}{\phpg\posx1987\pvpg\posy3008\absw4023\absh3220 \sl-273 \f20 \fs21 \cf0 \fi76 {\f10 {\f63 \u61607\'3f}} Tingkah laku distraksi (jalan-jalan, \par}{\phpg\posx2438\pvpg\posy6600\absw1755\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 menemui orang \par}{\phpg\posx2438\pvpg\posy6600\absw1755\absh485 \sl-273 \f20 \fs21 \cf0 berulang-ulang) \par}{\phpg\posx2064\pvpg\posy7150\absw1461\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Respon }\par}{\phpg\posx2064\pvpg\posy7150\absw1461\absh487 \sl-273 \f10 \fs21 \cf0 \fi374 {\f20 perubahan }\par}{\phpg\posx3466\pvpg\posy7152\absw958\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 autonom \par}{\phpg\posx4371\pvpg\posy6600\absw481\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 lain, \par}{\phpg\posx5032\pvpg\posy6600\absw895\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 aktivitas \par}{\phpg\posx6525\pvpg\posy3006\absw4328\absh1234 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Mengenali}{\f20 faktor}{\f20 penyebab }\par}{\phpg\posx6525\pvpg\posy3006\absw4328\absh1234 \sl-278 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Mengenali}{\f20 onset}{\f20 (lamanya}{\f20 sakit) }\par}{\phpg\posx6525\pvpg\posy3006\absw4328\absh1234 \sl-273 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Menggunakan}{\f20 metode}{\f20 pencegahan }\par}{\phpg\posx6525\pvpg\posy3006\absw4328\absh1234 \sl-278 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Menggunakan}{\f20 metode}{\f20 nonanalgetik }\par}{\phpg\posx6525\pvpg\posy3006\absw4328\absh1234 \sl-274 \f10 \fs21 \cf0 \fi374 {\f20 untuk}{\f20 mengurangi}{\f20 nyeri }\par}{\phpg\posx6525\pvpg\posy4389\absw1794\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Menggunakan }\par}{\phpg\posx6525\pvpg\posy4389\absw1794\absh487 \sl-273 \f10 \fs21 \cf0 \fi374 {\f20 kebutuhan }\par}{\phpg\posx8747\pvpg\posy4391\absw975\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 analgetik \par}{\phpg\posx10104\pvpg\posy4391\absw688\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 sesuai \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \f20 \fs21 \cf0 \f20 \fs21 \cf0 nyeri yang dirasakan pasien. \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 Intervensi : \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} lakukan pengkajian nyeri secara komprehensif \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \fi638 termasuk lokasi, karakteristik, durasi, frekuensi, \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \fi638 kualitas dan faktor presipitasi \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-274 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} observasi reaksi non verbal dari \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \fi638 ketidaknyamanan \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} gunakan teknik komunikasi terapeutik untuk \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \fi638 mengetahui pengalaman nyeri pasien \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} kaji kultur yang mempengaruhi respon nyeri \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} evaluasi pengalaman nyeri masa lampau \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} evaluasi bersama pasien dan tim kesehatan lain \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \fi638 tentang ketidakefektifan kontrol nyeri masa \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \fi638 lampau \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} bantu pasien dan keluarga untuk mencari dan \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \fi638 menemukan dukungan \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-278 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} kontrol lingkungan yang dapat mempengaruhi \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \fi638 nyeri seperti suhu ruangan, pencahayaan dan \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-279 \f20 \fs21 \cf0 \fi638 kebisingan \par}{\phpg\posx10913\pvpg\posy2734\absw5638\absh4958 \sl-273 \f20 \fs21 \cf0 \fi263 {\f10 {\f63 \u61607\'3f}} kurangi faktor presipitasi \par}{\phpg\posx11177\pvpg\posy8254\absw4275\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 pilih}{\f20 dan}{\f20 lakukan}{\f20 penanganan }\par}{\phpg\posx11552\pvpg\posy8530\absw1395\absh490 \f20 \fs21 \cf0 \f20 \fs21 \cf0 (farmakologi, \par}{\phpg\posx11552\pvpg\posy8530\absw1395\absh490 \sl-278 \f20 \fs21 \cf0 personal) \par}{\phpg\posx13134\pvpg\posy8530\absw428\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 non \par}{\phpg\posx13767\pvpg\posy8530\absw1245\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 farmakologi \par}{\phpg\posx15206\pvpg\posy8530\absw393\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 dan \par}{\phpg\posx15778\pvpg\posy8256\absw582\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 nyeri \par}{\phpg\posx15778\pvpg\posy8256\absw582\absh485 \sl-273 \f20 \fs21 \cf0 \fi51 inter \par}{\phpg\posx6525\pvpg\posy4941\absw3830\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Mencari}{\f20 bantuan}{\f20 tenaga}{\f20 kesehatan }\par}{\phpg\posx6525\pvpg\posy5215\absw1614\absh491 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Melaporkan }\par}{\phpg\posx6525\pvpg\posy5215\absw1614\absh491 \sl-278 \f10 \fs21 \cf0 \fi374 {\f20 kesehatan }\par}{\phpg\posx8381\pvpg\posy5217\absw655\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 gejala \par}{\phpg\posx9283\pvpg\posy5217\absw504\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 pada \par}{\phpg\posx10065\pvpg\posy5217\absw705\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 tenaga \par}{\phpg\posx6525\pvpg\posy5767\absw4316\absh737 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Menggunakan}{\f20 sumber-sumber}{\f20 yang }\par}{\phpg\posx6525\pvpg\posy5767\absw4316\absh737 \sl-278 \f10 \fs21 \cf0 \fi374 {\f20 tersedia }\par}{\phpg\posx6525\pvpg\posy5767\absw4316\absh737 \sl-273 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Mengenali}{\f20 gejala-gejala}{\f20 nyeri }\par}{\phpg\posx6525\pvpg\posy6598\absw1574\absh487 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Mencatat }\par}{\phpg\posx6525\pvpg\posy6598\absw1574\absh487 \sl-273 \f10 \fs21 \cf0 \fi374 {\f20 sebelumnya }\par}{\phpg\posx8420\pvpg\posy6600\absw1185\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 pengalaman \par}{\phpg\posx10200\pvpg\posy6600\absw580\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 nyeri \par}{\phpg\posx4617\pvpg\posy7152\absw1320\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 (diaphoresis, \par}{\phpg\posx6525\pvpg\posy7150\absw3917\absh240 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 Melaporkan}{\f20 nyeri}{\f20 sudah}{\f20 terkontrol }\par}{\phpg\posx3969\pvpg\posy7425\absw828\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 tekanan \par}{\phpg\posx5254\pvpg\posy7425\absw655\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 darah, \par}{\phpg\posx2064\pvpg\posy7704\absw8826\absh735 \f20 \fs21 \cf0 \fi374 \f20 \fs21 \cf0 perubahan pola nafas, nadi dan Setelah dilakukan tindakan keperawatan selama \par}{\phpg\posx2064\pvpg\posy7704\absw8826\absh735 \sl-273 \f20 \fs21 \cf0 \fi374 dilatasi pupil) \par}{\phpg\posx2064\pvpg\posy7704\absw8826\absh735 \sl-278 \f20 \fs21 \cf0 {\f10 {\f63 \u61607\'3f}} Tingkah laku ekspresif (gelisah, nyeri dengan indikator: \par}{\phpg\posx6074\pvpg\posy7978\absw4775\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ...... x24 jam pasien dapat mengetahui tingkatan \par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \f20 \fs21 \cf0 \fi374 \f20 \fs21 \cf0 marah, menangis, merintih, \par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-278 \f20 \fs21 \cf0 \fi374 waspada, napas panjang, iritabel) \par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-273 \f20 \fs21 \cf0 {\f10 {\f63 \u61607\'3f}} Berfokus pada diri sendiri \par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-278 \f20 \fs21 \cf0 {\f10 {\f63 \u61607\'3f}} Muka topeng \par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-273 \f20 \fs21 \cf0 {\f10 {\f63 \u61607\'3f}} Fokus menyempit (penurunan \par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-278 \f20 \fs21 \cf0 \fi374 persepsi pada waktu, kerusakan \par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-273 \f20 \fs21 \cf0 \fi374 proses berfikir, penurunan interaksi \par}{\phpg\posx2064\pvpg\posy8530\absw3998\absh1980 \sl-278 \f20 \fs21 \cf0 \fi374 dengan orang dan lingkungan) \par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 melaporkan}{\f20 adanya}{\f20 nyeri }\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-278 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 luas}{\f20 bagian}{\f20 tubuh}{\f20 yang}{\f20 terpengaruh }\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-273 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 frekuensi}{\f20 nyeri }\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-278 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 panjangnya}{\f20 episode}{\f20 nyeri }\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-273 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 pernyataan}{\f20 nyeri }\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-278 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 ekspresi}{\f20 nyeri}{\f20 pada}{\f20 wajah }\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-273 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 posisi}{\f20 tubuh}{\f20 protektif }\par}{\phpg\posx6525\pvpg\posy8528\absw3805\absh1982 \sl-278 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 kurangnya}{\f20 istirahat }\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \f10 \fs21 \cf0 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 kaji}{\f20 tipe}{\f20 dan}{\f20 sumber}{\f20 nyeri}{\f20 untuk}{\f20 menentukan }\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-278 \f10 \fs21 \cf0 \fi374 {\f20 intervensi }\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-273 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 ajarkan}{\f20 tentang}{\f20 teknik}{\f20 non}{\f20 farmakologi }\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-278 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 berikan}{\f20 analgetik}{\f20 untuk}{\f20 mengurangi}{\f20 nyeri }\par}{\phpg\posx11177\pvpg\posy9080\absw5284\absh1891 \sl-273 \f10 \fs21 \cf0 {\f63 \u61607\'3f}{\f20 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