tag:blogger.com,1999:blog-54275765605297641212024-03-11T20:38:35.591-07:00♥ Anira Forever ♥Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.comBlogger475125tag:blogger.com,1999:blog-5427576560529764121.post-62337073178705879252016-05-16T19:55:00.001-07:002016-05-16T19:55:49.206-07:00Makalah Pengarahan<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB I<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar
belakang <o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Organisasi pelayanan keperawatan merupakan salah satu
bagian penting dalam oragnisasi pelayan kesehatan. Organisasi pelayanan
keperawatan memegang kendali dalam menentukan mutu pelayanan kesehatan. Hal
ini, disebabkan jumlah tenaga perawat yang ada mencapai kisaran 40 % dari
jumlah sumber daya manusia yang ada dipelayanan kesehatan (Depkes, 2002).
Bahkan, menurut Huber (2006), pelayanan kesehatan dirumah sakit sebanayk 90 %
berupa pelayanan keperawatan. Pelayanan keperawatan yang ada.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor mausia menjadi titik penting dalam
terselenggaranya roda organisasi pelayanan keperawatan. Manusia merupaakn modal
utama suatu organisasi. Berhasil taupun rusaknya organisasi ditentukan oleh manusianya.
Untuk itu, seorang manejer keperawatan dituntut untuk dapat mengelola sumber
daya manusia yang ada supaya dapat bekerja secara efektif dan efisien dalam
mencapai tujuan yang telah ditetapkan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berbagai upaya dan pendapat relah dilakukan oleh
banyak ahli manajemen tentang bagaimana mengelola sumber daya manusia yang ada
didalam organisasi. Upaay yang telah dilakukan adalah dengancara menggerakkan
orang-orang yanga ad di dalam organisasi.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hal ini dapat dilihat dari beberapa istilah yang telah
dikemukakan oleh ahli maajemen berikut, Henry fayol mengatajkan bahwa bawahan
perlu digerakkan secara otokratis. Dalam tulisannya, Fayol menyebutkan istilah <i>commanding</i>. Ada juga menggunakan istilah
<i>directing</i> sebagi upaya menggerakkan
bawahan (siagian, 2007). Sedangkan, George R. Terry menggunakan istilah <i>actuating</i> sebagai upaya menggerakkan
bawahan. Bahkan, ada yang memeakai istilah motivating dan juga <i>influencing</i>.</span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan
masalah<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
pengertian pengarahan ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
tujuan pengarahan ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
yang terdapat dalam unsur-unsur pengarahan ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimaan
bentuk dari kepuasan kerja ?<o:p></o:p></span></div>
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</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan
tentang definisi pengarahan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelasakan
tujuan pengarahan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan
unsur-unsur yang terdapat dalam pengarahan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan
bnetuk kepuasaan kerja.<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian
pengarahan<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengarahan meruapakan hubungan manusia dalam
kepemimpinan yang mengikat para bawahan agar bersedia mengerti dan
menyumbangkan tenaganya secara efektif serta efisien dalam pencapaian tujuan
suatu organisasi. Di dalam majemen, pengarahan ini bersifat sangat kompleks karena
disamping menyangkut manusia juga, menyangkut berbagai tingkah laku manusia
yang berbeda-beda (Muninjaya, 1999).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
pengarahan <o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut Muninjaya (1999), terdapat lima tuuan dan
fungsi pengarahan yaitu sebagai berikut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengarahan
bertujuan menciptakan kerjasama yang lebih efisien. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengarahan
memungkinkan terjadinya komunikasi antara atasan dan bawahan. Manajer
keperawatan setingkat kepala ruangan yang mampu menggerakkan dan mengarahkan
bawahannya akan memberikan kontribusi dalam meningkatkan efisiensi kerja.
Sebagai contoh, kegiatan supervisi tindakan keperawatan akan dapat mengurangi
atau meminimalisasi kesalahan tindakan sehingga akan dapat meminimalisasi
bahan, alat, atau waktu tindakan bila dibandingkan jika terjadi kesalahan
karena tidak ada supervisi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengeraahan
bertujuan mengembangkan kemampuan dan keterampilan staf.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Banyak
halyang terkait dengan kegiatan pengarahan didalam ruang perawatan akan dapat
memberikan peluang bagi yang diberikan delegasi untuk mengerjakan tugas dan
tanggung tjawab secara otonomi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengarahan
bertujuan menumbuhkan rasa memiliki dan menyukai pekerjaan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perawat
yang diarahkan jika salah, diberi motivasi jika kinerja menurun, dan diberi
apresiasi atas hasil kerja akan memberikan penguatan rasa memiliki dan menyukai
pekerjaannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengarahan
bertujuan mengusahakan suasana lingkungan kerja yang dapat meningkatkan
motivasi dan prestasi kerja staf.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemimpin
yang baik adalah pemimpin yang mampu menciptakan lingkungan kerja yang
kondusif, dan menciptakan hubungan interpersonal yang harmonis. Selain itu,
kepemimpinan yang adil merupakan kunci sukses dalam memberikan motivasi kerja
dan meningkatkan prestasi kerja perawat bawahan.<o:p></o:p></span></div>
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bertujuan membuat organisasi berkembang lebih dinamis.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uraian-uraian
tadi jika mampu diterapkan di ruang perawatan, dapat mengembangkan organisasi
pelayanan keperawatan dinamis.<o:p></o:p></span></div>
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</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Unsur-unsur
pengarahan<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengarahan atau juga disebut “penggerakan” merupakan
upaya memengaruhi bawahan agar melakukan sesuatu untuk mencaapi tujuan yang
telah di tetapkan. Guna mengarahkan atau menggerakakan bawahan, ada beberapa
unsur yang perlu dipahami atau diperhatikan bagi seorang manejer, termasuk
manager keperawatan. Berikut adalah unsur-unsur penggerakan yang dimaksud.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepemimpinan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Harsey, Blanchard dan Johnson (1999 dalam Huber, 2006), kepemimpinan adalah
proses memengaruhi aktivitas individu atau kelompok dalam upaya mencapai tujuan
paad suatu situasi. Sedangkan menurut Hasibuan (2005), kepemimpinan adalah kemampuan
untuk memengaruhi kelompok menuju pencapaian sasaran. Toner (1982) menyatakan
bahwa kepemimpinan adalah suatu proses pengarahan dan pemberian pengaruh pada
kegiatan-kegiatan dari sekelompok anggota yang saling berhubungan tugasnya.
Talbott (1971 dalam Swasnburg, 1993) menyatakan bahwa kepemimpinan adalah bumbu
vita yang mengubah sekelompok orang menjadi suatu organisasi yang berfungsi dan
berguna.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
pengertian-pengertian diatas, dapat disimpulkan bahwa kepemimpinana menyangkut
tiga hal:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepemimpinan
menyangkut orang lain<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Orang
lain disini maksudnya adalah bawahan. Kepemimpinan seorang manejer keperawatan
akan efektif jika bawahan bersedia menerima pengarahan dari pemimpinnya.
Bawahan sangat menetukan kedudukan pemimpin dan menetukan pula jalannya proses
kepemimpinan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepemimpinan
menyangkut pembagian kekuasaan yang tidak seimbang antara pemimpin dan bawahan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seorang
pemimpin berwenang dalam mengarahkan secara langsung terhadap kegiatan bawahan,
tetapi bawahan tidak dapat mengarahkan secara langsung kegiatan pemimpin
walaupun dapat melalui berbagai cara secara tidak langsung.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepemimpinan
menyangkut pengaruhnya kepada bawaahan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seorang
pemimpin tidak hanya dapat memerintah bawahannya, tetapi juga dapat memengaruhi
bawahan agar mau bertindaka atau bekerja dengan baik dan tepat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 67.65pt; mso-add-space: auto; mso-list: l18 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sifat-sifat
kepemimpinan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa
sumber menyebutkan dan beranggapan bahwa sifat-sifat kepemimpinan yang dimiliki
seorang merupakan pembawaab sejak lahir bukan karena dibuat. Artinya, seseorang
dilahirkan sejak lahir bukan karena dibuat. Artinya, seseorang dilahirkan sudah
membawa atau tidak membawa sifat-sifat pemimpin. Akan tetapi, ternyata banyak
keterbatasan tentang pendekatan kesifatan ini. Hal ini terbukti bahwa banyak
tokoh (pemimpin) dunia yang mempunyai sifat kepemimpinan yang berbeda-beda.
Berbagai kasus juga di temuakn bahwa seorang pemimpin sukses pada keadaan
tertentu, tetai gagal pada keadaan yang lain. Dari kenytaan ini, dapat
diartikan bahwa walaupun sifat kepemimpinan ada dalam setiap pemimpin, tidak
semuanya bersifat absolute esensial. Dengan demikian, sifat kepemimpinan dapat
dibuat atau dibentuk ataupun dikembangkan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
edwin ghiselli (1971 dalam Handoko, 1999), seorang manajer dapat menjadi
pemimpin yng efektif jika mempunyai sifat-sifat sebagai berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemimpin
yang efektif mempunyai kemampuan dalam pengawasan (supervisory ability)
pelaksanaan fungsi-fungsi manajemen, terutama fungsi pengarahan dan pengawasan
terhadap pekerjaan yang dilakukan bawahan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemimpin
yang efektif mengerti kebutuhan akan prestasi dalam pekerjaan. Seorang pemimpin
yang efektif bertanggung jawab atas pekerjaannya dan selalu mempunyai keinginan
untuk maju dan sukses.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemimpin
yang efektif mempunyai kecerdasan. Seorang pemimpin yang efektif harus mampu
dalam merumuskan ataupun membuat serta mempunyai pemikiran yang kreatif dan
daya pikir.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemimpin
yang efektif harus mempunyai ketegasan (decisiveness). Ketegasan merupakan
kemampuan dalam membuat keputusan dan memecahkan masalah secara cakap dan
tepat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemimpin
yang efektif harus mempunyai kepercayaan diri. Kepercayaan diri merupakan kemampuan
pemimpin dalam memandang dirinya untuk menghadapi masalah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemimpin
yang efektif mempunyai inisiatif. Inisiatif merupakan kemampuan untuk bertindak
tanpa tergantung orang lain, kemampuan untuk mengembangkan berbagai kegiatan,
dan mampu menemukan cara-cara baru atau inovasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya-gaya
kepemimpinan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya
kepemimpinan diperlukan oleh seorang pemimpin dalam memimpin suatu organisasi.
Seorang pemimpin harus dapat memahami kapan dia harus mempunyai gaya kepemimpinan
tertentu. Jadi dapat dikatakan bahwa gaya kepemimpinan berpengaruh terhadap
efektiitas seorang dalam memimpin. Gaya kepemimpinan yang tepat dapat
meningkatkan produktivitas.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berbagai
macam gaya kepemimpinan yang daapt kita kena. Akan tetapi, secara umum gaya
kepemimpinana dapat dibagi menjadi tiga, yaitu demokratis, otokratis, dan
permisif.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya
kepemimpinan demokratis<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya
kepemimpinan demokratis merupakan gaya kepemimpinan yang menitikberatkan pada
hubungan antar-manusia dan kerja kelompok. Dalam kepemimpinan gaya ini, bawahan
bekerja sama dalam pencapaian tujuan yang yang telah ditetapkan oleh pemimpin.
Selain itu, dalam gaya kepemimpinan ini, seorang pemimpin juga melibatkan
bawahannya dalam proses pengambilan keputusan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya
kepemimpinan otokratis<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya
kepemimpinan otokratis mempunyai ciri bahwa wewenang dan keputusan mutlak pada
pimpinan. Gaya ini bermanfaat atau efektif pada tahap awal beroperasinya suatu
organisasi, atau pada saat terjadi kontroversi/perselisihan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya
kepemimpinan permisif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya kepemimpinan
ini mempunyai ciri bahwa seorang pemimpin memberikan kebebasan kepada bawahan
untuk melakukan tugasnya, dan minimalnya atau bahkan hampir idak ad pemimpina
pengarahan/bimbingan kepada bawahan. Seorang pemimpin akan memberikan
kepemimpinannya saat diminta.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.05pt; text-align: justify; text-indent: 25.1pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pendapat lain mengatakan bahwa gaya
kepemimpinan dibagi menjadi dua, yaitu sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Orientasi
tugas (task-oriented)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; text-align: justify; text-indent: 22.95pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menejer
dengan gaya kepemimpinan task-oriented melakukan pekerjaannya berorientasi pada
tugas untuk mengarahkan dan mengawasi bawahan secara tertutup guna menjamin
bahwa tugas yang dilakukan bawahan sesuai dengan keinginannya. Gaya
kepemimpinan ini lebih berorientasi pada pekerjaan bila dibandingkan
pengembangan dan pertumbuhan organisasi. Terutama pada karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Orientasi
karyawan (employee-oriented)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; text-align: justify; text-indent: 22.95pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memotivasi
bawahan lebih di utamakan bila dibandingkan mengawsi bawahan. Menejer lebih
mendorong bawahan untuk dapat mengembangkan diri dan ikut berpartisipasi dalam
pengambilan keputusan. Suasana pertemanan, saling menghormati, dan saling
mempercayai di antara anggota kelompok selalu diciptakan oleh pemimpin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
kepemimpinan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pendekatan
kesifatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
ini menekankan bahwa sifat kepemimpinan seseorang sudah dibawa sejak lahir,
bukan dibuat. Seseorang yang dilahirkan sudah membawa atau tidak membawa sifat
yang diperlukan oleh seorang pemimpin. Seseorang dilahirkan sudah atau tidak
membawa sifat yang diperlukan seorang pemimpin. Seseorang dilahirkan membawa
karakteristik yang berbeda-beda dengan orang lain. Supardi dan Anwar (2004)
menyebutkan bahwa kepemimpinan adalah suatu fungsi kualitas seseorang dari
suatu individu, bukan dari situasi, teknologi, atau dukungan masyarakat. Teori
ini disebut juga dengan greatman theory. Akan tetapi, teori kontemporer
menyatakan bahwa kepemimpianan yang dibawa dan dimiliki oleh seseorang dapat
dikembangkan sehingga tidak hanya tergantung dari sifat yang dibawa sejak lahir.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l21 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
situasional (pendekatan situasi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
ini menjelaskan bahwa peranan kepemimpinan seorang menejer dipengaruhu
situasi-situasi tertentu. Efektivitas kepemimpinan berhubungan eart denag
situasi yang menguntungkan. Menurut Fiedler, situasi empiris tersebut dibagi
menjadi tiga dimensi, yaitu hubungan pimpinan dengan anggota, tingkat dalam
struktur tugas, dan posisi kekuasaan pemimpin yang didapatkan melalui wewenang
formal. Situasi tersebut diatas akan menguntungkan pemimpin jka mempunyai derjat
tinggi. Akan tetapi, jika sebaliknya, akan tidak menguntungkan. Kombinasi gaya
kepemimpinan yang menyesuaikan dengan situasi menguntungkan akan menetukan
efektivitas organisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Siagian
(2007) menyatakan beberapa situasi yang memengaruhi kepemimpinan seorang
manejer, yaitu (1) kompleksitas pekerjaan; (2) jenis pekerjaan; (3) teknologi
yang digunakan; (4) persepsi,sikap, dan gaya kepemimpinan; (5) nilai dan norma
yang dianut; (6) rentang kendali yang dianggap tepat; (7) ancaman, hambatan dan
gangguan; (8) tingkat stress yang mungkin muncul; (9) iklim organisasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori Path-Goal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori ini mengarah pada
analisis pengaruh kepemimpinan terhadap motivasi dan pelaksanaan kerja bawahan.
Teori ini mengajukan empat tipe gaya kepemimpinan sebagai berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Directive
Leadership (Kepemimpinan Direktif)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Model
kepemimpinan ini mencirikan bahwa tidak adanya partisipasi oleh bawahan
sehingga model ini terjadi pada gaya kepemimpinan otokratik. Komunikasi yang
terjadi pada directive leadership adalah satu arah sehingga hanya berupa
perintah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Supportive
Leadership (Kepemimpinan Suportif)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya
kepemimpinan ini mengarah pada pemberian dukungan dan juga dorongan kepada
bawahan. Selain itu, seorang pemimpin akan berusaha dekat dengan bawahan, tidak
menjaga jarak, dan berusaha untuk mendengarkan keluhan bawahan. Gaya
kepemimpinan ini berpengaruh sangat positif terhadap bawahan yang sedang
frustasi, menghadapi pekerjaan yang banyak tekanan, merasa tidak puas, dan
kurang motivasi. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Participative
Leadership (Kepemimpinan Partisipasi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penekanan
gaya kepemimpinan ini adalah pada partisipasi aktif dari bawahan walaupun
pembuatan keputusan ada di tangan pemimpin. Model kepemimpinan ini mempunyai
hubungan yang positif dengan kepuasan kerja bawahan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Achievement
Oriented Leadrship (Kepemimpinan Berorientasi Prestasi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya
kepemimpinan ini mempunyai ciri, yaitu seorang pemimpin suka memberikan
tantangan yang dapat merangsang bawahan atas pekerjaan yang dilakukan.
Harapannya, bawahan dapat menunjukan kemampuannya untuk bekerja dengan baik.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sebagai
ujung tombak pelayanan kesehatan, pelayanan keperawatan mempunyai peranan yang
sangat penting dalam menentukan mutu pelayanan kesehatan. Dengan demikian,
rendahnya kinerja pelayanan keperawatan akan berpengaruh pada pelayanan
kesehatan secara umum di rumah sakit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berbicara
tentang kinerja, tidak sekedar terlihat dari individu perawat yang bersedia
melakukan suatu tindakan atau tidak, tetapi yang paling penting adalah apakah
individu perawat melakukan suatu tindakan keperawatan didasari adanya
dorongan/motivasi atau hanya sekedar gugur kewajiban/kegiatan rutinitas. Oleh
karena itu, dorongan/motivasi akan memberikan dampak yang langgeng bagi seorang
perawat dalam melakukan tindakan secara efektif dan efisien untuk mencapai
suatu tujuan yang telah ditetapkan. Menurut Hasibuan (2005), motivasi adalah
hal yang menyebabkan, menyalurkan, dan mendukung perilaku manusia supaya mau
bekerja giat dan antusias mencapai hasil yang optimal. Woldkowski (1985)
menyatakan bahwa motivasi adalah suatu kondisi yang menyebabkan atau
menimbulkan perilaku tertentu, dan yang memberi arah serta ketahanan
(persistence) pada tingkah laku tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
merupakan salah satu unsur pengarahan dalam fungsi-fungsi menajeman sehingga
seorang perawat manajer harus mampu melakukannya. Perawat manajer harus dapat
mengenali dan mengetahui motivasi maupun kebutuhan staf yang merupakan faktor
pemicu untuk melakukan asuhan keperawatan kepada pasien yang dirawatnya secara
efektif dan efisien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian
Motivasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
berasal dari kata latin movere berarti dorongan atau menggerakkan. Motivasi
adalah konsep yang menggambarkan kondisi ekstrinsik yang merangasng perilaku
tertentu dan respons intrinsik yang menampakkan perilaku manusia
(Swansburg,1993). Menurut Kreitner dan Kinicki (2000), motivasi adalah proses
psikologi yang meningkatkan dan mengarahkan perilaku untuk mencapai tujuan.
Robbins (2003) menyatakan motivasi sebagai proses yang ikut menentukan
intensitas, arah, dan ketekunan individu dalam usaha mencapai sasaran. Woldkowski
(1985) menyatakan bahwa motivasi adalah suatu kondisi yang menyebabkan atau
menimbulkan perilaku tertentu dan yang memberi arah serta ketahanan
(persistence) pada tingkah laku tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
definisi di atas, dapat disimpulkan bahwa motivasi adalah suatu dorongan proses
psikologi yang menimbulkan perilaku tertentu dan ikut menentukan intensitas,
arah, ketekunan, dan ketahanan pada perilaku tersebut sesuai tujuan yang
ditetapkan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lingkaran
Motivasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seseorang
dalam berperilaku pada umumnya dirangsang oleh keinginan untuk mencapai suatu
tujuan. Setiap perilaku mempunyai satuan dasar yang disebut “kegiatan”.
Artinya, perilaku adalah serangkaian kegiatan-kegiatan untuk mencapai suatu
tujuan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam
dunia pelayanan keperawatan, kegiatan-kegiatan yang dilakukan oleh seorang
perawat mengarah pada kegiatan pemberian asuhan keperawatan pasa pasien.
Seorang perawat akan dapat melakukan kegiatan asuhan keperawatan secara
profesional jika didasari oleh dorongan atau kebutuhan untuk melakukan kegiatan
tersebut. Menurut Luthans (1981), seseorang dalam melakukan suatu kegiatan
didasari oleh tiga unsur, yaitu kebutuhan (need), dorongan (drive), dan tujuan
(goal). Ketiga unsur diatas saling terkait antara unsur satu dan yang lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
merupakan istilah yang sering dipakai silih berganti dengan istilah kebutuhan
(need), keinginan (want), dorongan (drive), maupun impuls (Thoha, 2007). Setiap
orang mempunyai keinginan, dorongan, dan kebutuhan yang berbeda dalam melakukan
tindakan. Kekuatan motivasi seseorang akan menentukan kualitas kegiatan yang
dilakukan. Secara logika, motivasi seseorang akan berbanding lurus dengan
kegiatan yang dilakukan. Motivasi ini pula yang dapat mengendalikan dan
mengarahkan perilaku seseorang.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
Motivasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Manajer
keperawatan sebagai pimpinan dalam
organisasi pelayanan keperawatan harus mampu menciptakan iklim motivasi. Iklim motivasi yang kondusip
akan membawa berbagai dampak yang dapat meningkatkan kepuasan pasien, keluarga
pasien, dan kepuasan perawat. Hal ini sesuai dengan pernyataan Hasibuan (2005)
yang mengatakan bahwa tujuan motivasi dalam suatu organisasi adalah sebagai
berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan meningkatkan moral dan kepuasan kerja karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dorongan,
dukungan, perhatian, dan apresiasi yang diberikan oleh manajer keperawatan kepada bawahan dapat meningkatkan
moral bawahan. Hal ini dapat mempengaruhi motivasi bawahan. Seorang perawat
yang mempunyai motivasi kerja yang baik,
cenderung melaksanakan tugas keperawatan sesuai tanggung jawabnya dan berusaha
memberikan pelayanan secara profesional. Jika hasil yang dikerjakan dapat
diselesaikan dengan baik, akan memberikan kepuasan tersendiri.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan meningkatkan produktivitas kerja karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seseorang
yang diberi dukungan dan apresiasi terhadap hasil kerjanya akan meningkatkan
motivasinya. Tingginya motivasi kerja seorang perawat akan mempengaruhi
kinerjanya dengan asumsi: semakin tinggi motivasi, akan semakin baik pula
kinerjanya sehingga produktivitasnya akan meningkat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l31 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan mempertahankan kestabilan karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Turn
over yang tinggi dan produktivitas yang rendah merupakan salah satu bukti kalau
motivasi kerja orang-orang yang ada dalam organisasi adalah juga rendah.
Kestabilan perawat dalam menjaga produktivitasnya dan rendahnya turn over
perawat tergantung motivasinya. Dengan demikian, seorang menajer keperawatan
harus dapat selalu menjaga kestabilan perawat bawahannya dengan cara selalu
memberikan motivasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l31 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan meningkatkan kedisiplinan karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tingginya
motivasi perawat dalam melakukan pekerjaannya berdampak pada keinginannya untuk
selalu tepat waktu dan penuh rasa tanggung jawab dalam setiap memulai dan
menyelesaikan pekerjaan, bekerja sesuai protap, dan lain-lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l31 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan mengefektifkan kedisiplinan karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seorang
perawat yang bekerja dengan motivasi tinggi akan berusaha untuk bekerja penuh
dedikasi dan rasa tanggung jawab.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l31 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan menciptakan suasana dan hubungan kerja yang baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
tinggi yang tertanam dalam setiap jiwa perawat akan membawa luaran pada tingginya tanggung jawab
pada masing-masing personel dalam menyelesaikan pekerjaannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l31 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan meningkatkan loyalitas, kreativitas, dan partisipasi karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Loyalitas,
kreativitas, dan partisipasi seorang perawat akan berlipat pada saat mempunyai
motivasi tinggi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l31 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan meningkatkan tingkat kesejahteraan karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesejahteraan
karyawan tidak hanya menyangkut kesejahteraan fisik, tetapi juga psikologis,
sosial, dan spiritual. Motivasi akan dapat meningkatkan produktivitas. Tingginya
produktivitas berdampak pada intensif yang lebih sehingga pendapatan meningkat.
Motivasi juga dapat mengangkat moral dan kepuasan karyawan, menciptakan
suasana, dan hubungan kerja yang baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l31 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan mempertinggi rasa tanggung jawab karyawan terhadap tugas-tugasnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pembahasan ini telah
disinggung pada penjelasan di atas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l31 level1 lfo27; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
bertujuan meningkatkan efisiensi penggunaan alat-alat dan bahan baku.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tingginya
rasa tanggung jawab akan berdampak pada keinginan menyelesaikan tugas secara
tepat waktu, bekerja sebaik mungkin, dan sesuai protap yang ada. Dengan
demikian, akan dapat meminimalisasi kesalahan sebagai bidang pemborosan alat
maupun bahan baku.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify; text-indent: 30.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l6 level1 lfo26; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Azas-Azas
Motivasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa azas yang dapat
mempengaruhi motivasi kerja seseorang, antara lain sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 81.8pt; mso-add-space: auto; mso-list: l33 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Partisipasi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 103.65pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan
mengikutsertakan bawahan berpartisipasi dalam kegiatan-kegiatan manajerial,
seperti memberikan kesempatan kepada perawat bawahan untuk menyampaikan ide,
gagasan, maupun masukan dalam proses pembuatan keputusan dapat menumbuhkan
minat bawahan dalam ikut bertanggung jawab atas tercapainya tujuan yang telah
ditetapkan. Hal ini juga akan meningkatkan moral dan gairah kerjanya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 81.8pt; mso-add-space: auto; mso-list: l33 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 103.65pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
dalam suatu organisasi merupakan salah satu kunsi yang dapat menentukan
keberhasilan dalam mencapai tujuan yang telah ditetapkan. Tujuan yang ingin
dicapai, bagaimana cara mengerjakan suatu pekerjaan, kendala-kendala yang dihadapi suatu organisasi, maupun
keberhasilan organisasi dalam mencapai tujuan sangat penting diinformasikan
kepada seluruh anggota organisasi. Seringnya mengomunikasikan hal-hal yang
terjadi di organisasi dengan seluruh anggota akan dapat meningkatkan minat,
perhatian, dan rasa memiliki terhadap
organisasiyang secara otomatis akan berpengaruh pada motivasinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 81.8pt; mso-add-space: auto; mso-list: l33 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kompensasi
dan Penghargaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 103.65pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengakuan
dan penghargaan dengan tepat dan wajar atas prestasi yang dicapai oleh anggota
organisasi akan dapat meningkatkan keinginan dan motivasinya untuk bekerja
lebih baik lagi. Pengakuan dan penghargaan yang diberikan di depan umum
(anggota lain) akan mempunyai dampak ganda. Selain meningkatkan motivasi yang
mendapatkan penghargaan, juga akan menggugah motivasi anggota lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 81.8pt; mso-add-space: auto; mso-list: l33 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Wewenang
yang Didelegasikan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 103.65pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Wewenang
yang didelegasikan memungkinkan bawahan untukdapat mempunyai kebebasan dalam
mengambil keputusan atas tugas-tugas manajer. Pemberian wewenang yang
didelegasikan dapat meningkatkan moral dan kepercayaan diri bawahan. Sebagai
catatan, jika mendelegasikan suatu
wewenang, hal yang harus diperhatikan oleh seorang manajer adalah harus mampu
meyakinkan kepada bawahan yang diberi delegasi bahwa dirinya mampu melakukan
tugas-tugas tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 81.8pt; mso-add-space: auto; mso-list: l33 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perhatian
Timbal Balik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 103.65pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perhatian
timbal balik maksudnya adalah bahwa apa yang dilakukan oleh karyawan menentukan
keberadaan organisasi. Jika organisasi semakin berkembang dan mapan, secara
otomatis akan berdampak pada kesejahteraannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l6 level1 lfo26; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Metode
Motivasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan
memotivasi seseorang dapat dilakukan secara langsung maupun tidak langsung.
Motivasi langsung <i>(direct motivation) </i>adalah
motivasi yang diberikan secara langsung kepada setiap individu untuk memenuhi
kebutuhan maupun kepuasannya. Termasuk metode langsung, antara lain pujian,
penghargaan, bonus, insentif, bintang jasa, tunjangan hari raya, dan lain
sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Motivasi
tidak langsung <i>(indirect motivation) </i>adalah
motivasi-motivasi yang diberikan hanya berupa fasilitas-fasilitas pendukung
yang menunjang gairah kerja atau kelancaran tugas sehingga bawahan semangat
dalam melakukan suatu pekerjaan. Termasuk metode ini adalah ruang kerja yang
nyaman, fasilitas kerja yang mendukung, penempatan yang sesuai dengan
keahliannya, dan lain sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l6 level1 lfo26; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alat-Alat
Motivasi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alat-alat
motivasi yang dapat menjadi perangsang bawahan dalam melakukan suatu
pekerjaan yang optimal adalah insentif
material ddan insentif nonmaterial. Insentif material adalah alat motivasi yang
berupa uang atau barang-barang. Sedangkan, alat insentif nonmaterial adalah
piagam penghargaan, penempatan yang tepat, ruang kerja yang nyaman,pekerjaan
yang terjamin, bintang jasa, dan lain sebagainya. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
Motivasi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Munculnya
teori motivasi modern dilandasi oleh perilaku kebutuhan, penguatan, kesadaran,
karakteristik pekerjaan dan perasaan/emosi (Kreitner dan Kinicki, 2000).<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
Motivasi Kebutuhan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
motivasi kebutuhan muncul didasarkan bahwa individu dalam hidupnya ingin
memenuhi kebutuhannya, baik fisiologis maupun psikologis secara baik/cukup.
Menurut Kreitnar dan Kinicki (2000), kebutuhan diartikan sebagai kekurangan
fisiologis atau psikologis yang mendorong timbulnya perilaku. Beberapa teori
kebutuhan motivasi yang terkenal antara lain sebagai berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
Motivasi Maslow<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
ini dikemukakan oleh Abraham H. Maslow. Teori ini didasarkan pada teori
holistik dinamis yang mencakup kebutuhan fisiologis, kebutuhan rasa aman,
kebutuhan kasih sayang, kebutuhan harga diri, dan kebutuhan aktualisasi. Oleh
karena itu, teori motivasi ini dikenal dengan “Teori Kebutuhan”.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
ini didasarkan pada hierartki kebutuhan mulai dari yang paling dasar menuju
kebutuhan yang lebih tinggi tingkatannya. Artinya, seseorang akan memenuhi
kebutuhan tingkat pertama dulu sebelum mereka memenuhi kebutuhan tingkat kedua
dan seterusnya. Teori kebutuhan ini dapat digambarkan seperti anak tangga.<o:p></o:p></span></div>
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<b><span style="font-family: "Comic Sans MS"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">Gambar 13. Hierarki Teori Kebutuhan A. H. Maslow<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
perkembangannya, teori ini mengalami koreksi, dengan asumsi bahwa manusia
adalah makhluk yang unik, yang dalam memenuhi kebutuhannya tidak hanya
berorientasi pada kebutuhan fisiologi saja, tetapi juga perlu memenuhi
kebutuhan psikologisnya. Secara nyata, individu dalam memenuhi kebutuhannya
berlangsung secara simultan. Artinya, seseorang dalam memenuhi kebutuhan
fisiknya, Pada waktu yang bersamaan seseorang juga ingin merasa aman, mempunyai
teman, dicintai, disayangi, dihargai, dan berkembang. Dengan melihat kenyataan
ini, teori kebutuhan maslow tidak didasarkan lagi atas hierark, tetapi
cenderung mengarah pada rangkaian kebutuhan manusia. Namun deikian, teori
maslow ini sudah menjadi dasar perkembangan teori-teori motivasi selanjutnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
kebutuhan McClland <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
Mc zclleand imni dikenal dengan teori kebutuhan untuk mencapai prestasi yang di
kemukakan oleh david McClland. Teori ini mnyatakan bahwa seorng mempunyai
mootivasi berbeda-beda, sesuai dengan kekuatan kebutuhan seseorang akan
prestasi. Teori ii berfokus pada tiga kebutuhan, yaitu kebutuhan akan prestasi
(n. Ach-need for Achiefment) ; kebutuhan akan kekuasaan (n Pow-need for power);
dan kebutuhan akan kelompok pertemanan /afilasi (nAff-need for Afiliation).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
McClland, karakteristik orang-orang berprestasi tinggi (high achiever) memiliki
tiga ciri umum, yaitu (1) sebah referensi untuk mengerjakan tugas-tugas dengan
derajat kesulitan moderat (2) enyukai situasi-situasi ketika kinerja mereka
timbul karena upaya mereka sendiri (3) menginginkan umpan balik tentang
keberhasilan dan kegagalan mereka, dibandingakan dngan keberhasilan yang
berprestasi rendah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
motivasi Herzberg<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
ini sering dikenal dengan teoori dua faktr, yaitu faktor motivasionall, dan
faktor hygene atau pemeliharaan. Teori ini dikeukakan oleh Frederick herzberg.
Berdasarka teori ini yang dimaksud faktor mutivasional adala segala sesuatu
yang mendorong seseorang berprestasi yang sifatnya interistik atau bersumber
dari dalam dirinya, antara lain pekerjaan seseorang, keberhasilan yang diraih,
kesempatan bertumbuh kemajuan dalam karir, dan pengakuan orang lain. Sedangkan
yang dimaksud dengan faktor hygene atau
pemeliharaan adalah faktor yang bersifat interistik yang bersumber dari luar
diri, yang turut mementuka perilaku seseorang dalam kehidupan seseorang antara
lain status seseorang dalam organisasi, hubungan seorang individu dengan
atasanya, hubungan sseorang dengan rekan-rekan sekerjanya, teknik penyeliaan
yang diterapkan oleh penyelia, kebijakan organisasi, sistem administrasi dala
organisasi, kondisi kerja, dan sistem imbalan yang berlaku.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Salah
satu tantangan dan memahami dan menerpkan teori Herzberg ialah memperhitungkan
dengan tepat faktor mana yang lebih berpengaruh kuat dalam kehidupan seseorang,
apakah yang bersifat intrinsik maupun ekstrinsik.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
ERG dari Clyton Alderfer<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
ERG ini dikemukakan oleh Zzclyton Alderfer. Akronim ERG dalam teori Alderfer
merupakan huruf-huruf pertama dari tiga istilah E=existence (kebutuhan akan
eksistensi) R= relatedness (kebutuhan
ntuk berhubungan dengan pihak lain ) G=Growth (kkebutuhan akan pertumbuhan).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Secara
konseptual terdapat persamaan antara teori atau model yang di keukakan oleh
maslow dan Alderfer. Existence dapat dikatakan identik dengan hierarki
pertama (psicological need) dann kedua (safety need) dalam teori maslow ;
relatedness identik dengan hierarki kebutuhan ketiga (love need) dan keempatt (
esteem needs) menurut konsep maslsow dan growth mengandung makna self
actualization menurut maslow ; dan teori Alderfer menekankan bahwa berbagai
jeni kebutuhan mausia itu diusahakan pemuasanya secara serentak.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apabila
teori alderfer disimak lebih lanjut, menurut robbins (2003) akan tampak bahwa
semakin tidak terpenuinya suat kebutuhan tertentu, semakin besar pula keinginan
untuk memuaskannya. Apabila kbutuhan yang lebih rendah telah di dipuaskan,
semakin kuat keinginan memuaskan kebuthan yang lebih tinggi. Namun sebaliknya,
semakin sulit memuaskan kebutuhan yang tingkatnya lebih tinggi semakin besar keinginan
untuk memuaskan kebutuhan mendasar. Tampaknya, pandangan ini di dasarkan pada
sifat pragmatisme manusia, artinya, karena menyadari keterbatasanya, seorang
dapat menyesuaikan diri pada kondisi objectiv yang dihadapinya dengan
memusatkan perhatiannya kepada hal-hal yang memungkinkan untuk di capainya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
penguatan <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Thorndike
dan skinner berpendapat bawa perilaku individu di kendalikan oleh
konsekuensinya. Individu akan mengulangi perilaku yang diikuti oleh konsekuensi
yang mendukung dan menghindari perilaku yang mengakibatkan konsekuensi yang
tidak mendukung. Artinya, seseorang yang dapat melakukan pekerjaan secara
maksimal sampai akhirnya mengalami kepuasan kerja dapat menjadi motivasi
seseorang untuk melakukan pekerjaan yang lebi baik lagi. Bahkan, penghargaan
dari organisasi juga dapat mempengaruhi motivasi individu dalam kinerjanya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
keadilan <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teori
keadilan mengemukakan bahwa individu dalam organisasi akan cendeung
membandingkan antara segala sesuatu yang dia berikan kepada organisasi dan
hasil/ penghargaan yang dia dapatkan atau dia terima. Individu juga akan membandingkan penghargaan
yang dia terima dan yang diterima individu lain dalam pekerjaan dan tanggung
jawab yang sama. Individu mempunyai motivasi tinggi jika penghargaan yang dia
terima atas pekerjaan dan tanggung jawabnya dirasa memnuhi keadilan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">faktor
–faktor yang mempengaruhi Motivasi kerja<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut herzberg,
motivasi kerja seseorang dipengaruhi oleh faktor ekstrinsik (Stamps, 1997).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
Intrinsik<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berbagai faktor
ekstrinsik yang dapat memengaruhi motivasi seseorang, diantaranya adalah
sebagai berikut<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Otonomi
<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Otonomi
adalah kebebasan untuk memilih tindakan tanpa kendali dari luar. Artinya, jika
seorang perawat elakukan tindakan
keperawatan, paa saat itu tidak ada intrvensi dari perawat lain, .
otonomi merupakan salah satu komponen yang penting dari disiplin profesional,
yaitu penetapan mekanisme untuk pengaturan sendiri dan penyelenggaraan mandiri.
Deinisi lain mengatakan bahwa otonomi
merupakan kebebasan seseorang dalam melakukan tindakan yang akan di lakukan dan kemampua dala mengatasi
masalah yang ada,. Kondisi semacam ini dapat membantu meningkatkan motivasi
dalam kepuasan kerja. Penelitian yang dilakukan Eisenstat dan Afelner pada 168
pekerja menunjukkan bahwa kebebasan dalam bekerja dan kontrol terhadap
pekerjaan yang baik memuat seserang memounyai perencanaan kedepan dan kepuasan
kerja meningkat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Status
profesional<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Status
profesional adalah keterampilan professional, kegunaan pekerjaan, status
pekerjaan dan harga diri terhadap profesi keperawatan. Menurut Maslow dan
Hezberg, menigkatnya harga diri atau status individu akan menigkatkan kebutuhan
psikologis sehingga motivasi menjadi meningkat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tututan
tugas<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
slavitt, tuntutan tugas adalah tugas yang harus dilakukan sesuai dengan
pekerjaan dan kemampuan yang merupakan tanggung jaab dan kewajibannya d\atau
segala macam tugas atau kegiatan yang harus di selesaikan sebagai bagian
reguler dari pekerjaan. Timulty mengatakan bahwa rendahya kemampuan dalam
mengelola tugas yang diberikan akana berdampak pada motivasi dan ketidakpuasan.
Penyebabnya adalah karena tidak mampu mengatur wktu dengan baik sehingga waktu
untuk ke pasien berkurang da kurangnya waktu untuk berdiskusi tntang
permasalahan menajemen dengan manajer perawat (Flercher, 2001)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pencapaian
<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pencapaian
hasil kerja secara maksimal atau sesuai denganang di inginkan dapat menjadi
pemicu munculnya motivasi dan kepuasan kerja. Jika seorang perawat mempu
mengatasi permasalahan yang terjadi pada pasien, hal ini akan dapat memberikan
semangat berlipat untuk dapat melaukan pekerjaan yang lebih baik lagi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penguatan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seorang
yang dapat melakukan pekerjaan secara maksimal sampai akhirnya megalai kepuasan
kerja dapat menjadi kotivasi seseorang untuk melakukan pekerjan yang lebih baik
lagi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
intrinsik<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berbagai faktor
ekstrinsik yang dapat memengaruhi motivasi seseorang, antara lain sebagai
berikut.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaji/Upah
dan Kompensasi <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Upah
adalah pembayaran dalam bentuk barng atau uan dan keuntungan-keuntungan yang di
terima oleh individu karena telah bekerja esuai dengan pekerjaannya. Upah
merupakan salah satu faktor yang menyebabkan seorang merasa puas setelah
melakukan pekerjaan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perhatian
pihak manajemen tentang cara memberikan kopensasi kepada para kariawan atau
perawat akan memberikan pengaruh terhadap otivasi kerjanya ]. Kompensasi yang
di maksud conthnya adalah memberikan jaminan pengobatan (perawatan di tmpat
kerja / rumah sakit) secaragratis kepada perawat dan keluarganya jika mengalami
sakit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kondisi
tempat kerja<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kondisi
tempat kerja yang sehat, aman, nyaman dan kondsif mempengaruhi motivasi seseorang
sehingga akan berdampak pada hasil produktivitas kerja.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keselamatan
kerja<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
keselamatan kerja memungkinkan seseorang dapa bekerja ecara maksimal, atau juga
memungkikan pekerja mengalami kecelakaan atau penyakit akibat kerja. Faktor
penjaminan keselamatan kerja akan meningkatkan motivasi seorang dalam bekerja<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Peraturan
dan prosedur kerja<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Peraturan
dan prosedur kerja angat di perlukan
diketahui oleh semua pekerja. Peraturan dan prosedur kerja yang jelas dan
terperinci aan memudahkan seseorang dalam melakukan pekerjaannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hubungan
Interpersonal<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hubungan
interpersonal adalah kebtuhan akan kerja sama secara timbal balik antara
perawat dan atasan, teman sekerja, tim kesehatan lain, dan pasien. Semakin baik
hubungan interpersonal seseorang, semakin terbuka untuk mengungkapkan dirinya
dan semakin cermat memersepsikan tentang oran glain dan diri sendiri sehingg
semakin efektif komunikasi yang berlangsung antara ndividu.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
arnold P. Goldstein, ada tiga prinsip metode peningkatan hubungan, yaitu, (a)
semakin embaik hubunga n interpersonal , semakin terbuka seoorang mengungkapkan
erasaannya (b) semakin baik hubungan interpersonal, semakin cenderung ia
meneliti perasaannya secara mendalam beserta penolongya (perawat) (c) semakin
baik hubunfan interpersonal , semakin cenderung ia mendengar dengan penuh
perhatian dan bertindak atas nasihat yang diberikan kepada penolongnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Interaksi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Interaksi
adalah kesempatan dan kemampuan individu dalam melakukan percakapan , baik
formal maupun informal selama bekerja. Interaksi di perlukan untuk selalu
melakukan tindakan dengan benar. Interksi yang dilakukan dengan benar dapat :<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">(a) Meurunkan konflik
diantara tenaga kesehatan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">(b) meningkatkan
partisipasi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">(c) meningkatkan
eterampilan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Supervisi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Supervior
yang baik berarti bukan mencari kesalahan bawhan, melainkan mau menghargai
pekerjaan bawahannya. Jika ada kesalahan maupun kendal dalam menyelesaikan
pekerjaan, supervisor harus sering di anggap sebagai pengayom dan sekaligus
atasannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pekerjaan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Karyawan
cenderung menyukai pekerjaan pekerjaan yang memberi mereka kesempatan untuk
menggunakan ketermpilan dan kemempuan mereka atau menawarkan tugas, kebebasan ,
dan umpan balik mengenai bertapa baik mereke mengerjakan. Karakteristik ini
membuat mereka bekerja secara mental menantang. Pekerjaan yang terlalu kuran
gmenantang menciptakan kebosanan, tetapi yang terlal banyak menantang dapat
menciptakan frustasi dan perasaan gagal,. Pada kondisi tantangan yang sedang,
kebanyakan karyawan mengalami kesengangan dan kepuasan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Peran
Manajer Dalam Menciptakan Iklim Motivasi <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Manajer
keperawatan yang baik harus mencirpakan iklim motivasi di lingkungan kerjanya.
Keberadaan manajer keperawatan sangat menentuka keberhasilan staf dalam
melakukan suatu pekerajaan secara epektif dan efisien. Salah satu unsur penting
yang harus dimiliki oleh seorang manajer keperawatan adalah keterampilan dalam
memotivasi staf. Berikut adalh kegiatan d]yang dapat di lakukan manajer
keperawatan dalam memotivasi staf ( Nursalam, 2002).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempunyai harapan yang jelas terhadap
stafnya dan komunikasikan harapan tersebut kepada staf-stafnya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adil dan konsisten<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pembuatan keputusan secara tepat, cepat
dan sesuai<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengembangkan konsep dan tim kerja<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Akomodasikan kebuthan dan keinginan staf
terhadap tujuan organisasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tunjukkan kepada staf bahwa anda memahami
perbedaan dan keunikan dari masing-masing staf<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hindarkan kelompok-kelompok / perbedaan
antar staf<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Deri kesematan kepada staf untuk
menyelesaikan pekerjaan/ tugasnya dan melaksanakan tantangan-tantangan yang
akan memberikan pengalaman bermakna<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mintalah tanggapan, saran dan masukan
kepada staf terhadap eputusa yang akan di buat oraganisasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pastikan
bahwa staf menghetahui dampak dari
keputusan an tindakan yang dilakukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beri
kesempatan kepada setiap staf untuk mengambil keptusan sesuai tugas limpah yang
di emban<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menciptakan
situasi saling percaya dan kekeluargaandengan staf<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">13)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berikan
kesempatan kepada staf untuk melakukan koreksi dan pengawasan terhadap tugas
yang dilakukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">14)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadilah
role model bagi staf<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">15)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berikan
dukungan yang positif terhadap staf<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">16)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadilah
sebagai coach (pelatih) bagi seluruh staf (penulis)<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Komunikasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
merupakan unsur penting dalam menggerakkan sesuatu atau mengarahkan bawahan.
Dalam organisasi pelayanan keperawatn, menurut keliat, dkk. (2006), ada bebrapa
bentuk kegiatan pengarahan yang di dalamnya terdapat aplikasi kkomunikasi,
antaralain sebagai berikut.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo33; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">suatu
kegiatan komunikasi yang bertujua mengoperkan asuhan keperawatan kepada shift
berikutnya. Kegiatan operan ini di pimpin oleh manajer ruangan (kepala ruang)
atau penanggung jawab shift jika tidak ada kepala ruang. Pemimpin oeran
bertugas dalam mengatuur kegiatan operan, sekaligus juga memberikan
penguatan-penguatan yang bertujuan untuk menggerakkan perawat bawanhannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo33; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pre-confrence<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">komunikasi
ketua tim/ penaggung jawab shift dengan pearwat pelaksana setelah selesai
operan. Kegatan ini di laiukan paa masing-masing tim. Krgiatan pre-confrence di
pimpin oleh ketua tim/perawat primer, penanghung jawabnya. Isinya adalah ketua
tim /perawat primer. Penanggung jawan shift memberikn arahan (pembagian
penangung jawabmasing-masing pasen, menanyakan rencana harian, dan lain-lain)
kepada perawat pelaksana sebelum terjun kepasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo33; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Post
confrence<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">komunikasi
ketua tim /perawat peimer/penanggung jawab shift dengan perwat pelaksana
sebelum timbng terima /operan/ mengakhiri dinas dilakuakn. Kegiatan ini juga
dilakukan pada msing-masing tim. Isi komunikasi
dalam kegiatan. Ini membahas segala hal yang telah di laksanakan dalam
asuhan keperawatan kepaa pasien, apasaja yang belum di laksanakan dan prlu
disamppaikan kepada shift berikutnya, apasaja yang perlu di laporka terkait
dengan kondisi pasien, kendala-kendala yang dialami selama memberikan aushan
keperawatan, dan lain-lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo33; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pendelegasian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">kegiatan
melakukan pekerjaan melalui orang lain yang bertujua agar aktivitas organisasi
dapat tetap berjalan sesuai tujua yang di tetapkan. Bentuk delgasi di ruangan
prawatan antara lain kepala ruang endelegasikan tugas kepada ketua tim/ perawat
primer atau penagung jawab shift. Sedangkan, ketua tim/ perawat primer
mendelegasikan keada perawat pelaksana. Agar kegiatan pendelegasian dapt berjalan
sesuai tujuan yang di inginkan, harus dilakukan komunikasi dngan baik, baik
secara lisan maupun tulisan antar person yang mamberika delgasi person yang
diberikan delagasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l25 level1 lfo33; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Supervisi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Merupakan
bentuk komunikasi yang bertujuan untuk memastikan kegiatan yang dilaksanakan
sesuai dengan tujuan dengan cara melakukan pengawasan terhadap pelaksanaan
kegiatan tersebut. Supervisi dilakukan untuk memastikan kegiatan yang
dilaksanaka sesuai dengan standar yang telah di tetapkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam
supervisi keperawatan fokus utamanya bukan pada kegiatan pemeriksaan yang
mencari-cari kesalahan, melainkan pada kegiatan supervisi ini lebih mengarah
pada pengawasan parisipatif. Kegiatan supervisi keoerawatan memungkinkan
terjadinya pemberian penghargaan, diskusi, dan juga bimbingan yang bertujuan
untuk mencari jalan keluar jika terjadi kesulitan dalam tingakan keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan
supervisi keperawatan dilaksanakan secara yterjadwal dengan sebagi berikut :
tanggal akan dilaksanakan supervisi, siapa suprvisornya, siapa yang disupervisi,
dan materi/kegiatan apa yang akan di supervisi. Maksud pembuatan jadwal
supervisi adalah karena tujuan supervisi keperawatan bukan untk mencari
kesalahan, melainkan lebih pada kegiatan pengawasan partisipatif kedua belah
pihak yang terlibat dalam kegiatan supervisi ama-sama sudah mempersiapkan diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Secara
struktur, supervisi d alam ruang perawatan terjadi secara berjenjang tergantung
metode penugasan yang diterapkan diruangan. Berikut atah contoh jenjang
supervisi dsalam ruangan yang menerapkan metode tim/perawatan primer dan
perawat pelaksana, sedangkan ketua tim / perawat primer mensupervisi prawat
pelaksana, materi supervisinya juga disesuaikan dengan uraian tugas dari
masing—masing posisi. Sebagai contoh seorang ketua tim / perawat perimer di
supervisi oleh kepala ruang tentang pengelolaan dimasing-masing timnya dan
pelaksanaan asuhan keperawatan, kepala ruang mendupervisi perawat pelaksana
hanya terfokus pada pelaksanaan asuhan keperawatan saja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l25 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Manajemen
konflik Dalam ruangan Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ruang
perawatan merupakan suatu sistem tepat manusia beriteraksi . interaksi yang
terjadi dalam ruang perawatan mempunyai kemungkinan tejadinya konflik. Konflik
dapat terjadi antara individu dan individu, individu dan kelompok, atau juga
kelompok dengan kelompok.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ruang
perawatan merupakan sistem yang terdiri di individu profeiaonal dan
non-profesional, kelompok profesianal dan non-profesional, dan kelompok
pengguna atau konsumen. Interaksi antar-individu maupun kelompok yang
memungkinkan terjadinya konflik dalam pelayanan kesehatan di ruang perawatan
antara lain perawat dengan perawat, perawat dengan tim kesehatan lain, perawat
dengan staf administrasi, perawat dengan pasien ataupun keluarga pasien, dan
lain sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Robbins (2003), konflik mutlak diperlukan agar dapat meningkatkan kinerja
secara efektif. Konflik dalam organisasi dapat memberikan dampak negatif
ataupun positif. Konflik akan memberikan dampak negatif jika tidak dikelola
dengan baik. Akan tetapi, konflik dapat memberikan dampak positif jika dikelola
dengan baik. Menurut Swansburg (1993), konflik dapan menjadi sumber energi dan
kreativitas yang positif dan membangun jika dikelola dengan baik. Namun jika
tidak, konflik dapat mengganggu fungsi dan menghancurkan, menghabiskan energi,
serta mengurangi keefektifan organisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Munculnya
konflik dalam organisasi pelayanan keperawatan harus selalu diantisipasi oleh
manajer keperawatan. Peran manajer keperawatan sangat menentukan hasil akhir
pelayanan yang dipengaruhi konflik. Dengan demikian, manajer keperawatan harus
dapat mengenali konflik sejak awal munculnya konflik. Penyelesaian konflik
secara konstruktif sangat diperlukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian Konflik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Thomas (1992 dalam Robbins, 2003)
mendefinisikan konflik merupakan proses yang bermula ketika satu pihak
merasakan bahwa pihak lain telah memengaruhi secara negatif atau akan segera
memengaruhi secara negatif. Marquis dan Huston (1998) mengatakan konflik adalah
masalah internal dan eksternal yang terjadi sebagai akibat perbedaan pendapat,
nilai-nilai, atau keyakinan dua orang atau lebih. Sedangkan, menurut Handoko
(1999), konflik adalah segala macam interaksi pertentangan atau antagonistik
antara dua pihak atau lebih.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan definisi di atas, dapat
disimpulkan bahwa konflik merupakan proses yang bermula ketika interaksi pihak
satu dengan yang lain memunculkan masalah internal maupun eksternal sebagai
akibat perbedaan pendapat, nilai-nilai, atau keyakinan-keyakinan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyebab atau Sumber Konflik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Munculnya konflik dalam organisasi
pelayanan keperawatan tidak terlepas dari penyebab atau sumber konflik. Manajer
organisasi pelayanan keperawatan harus mampu mengenali sumber konflik sehingga
pemecahan masalah dapat dilakukan secara efektif. Sumberkonflik dapat
dikategorikan menjadi tiga macam, yaitu variabel komunikasi, variabel struktur,
dan variabel pribadi.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Variabel Komunikasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyampaian informasi yang tidak
jelas akibat kesalahan semantik, saluran informasi yang terganggu, dan
kemampuan komunikan menerima pesan dapat menyebabkan kesalahpahaman yang menjadi
potensi konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Variabel Struktur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Konflik yang didasarkan atas variabel
struktur adalah konflik yang terjadi antara bagian satu dan bagian yang lain,
bukan didasarkan atas konflik pribadi. Menurut Robbins (2003), struktur yang
digunakan dalam konteks ini mencakup variabel ukuran kelompok, derajat
spesialisasi dalam tugas yang diberikan ke anggota kelompok, kecocokan anggota,
gaya kepemimpinan, sistem imbalan, dan derajat ketergantungan antar-kelompok.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Semakin besar ukuran kelompok,
sebakin besar pula potensi konflik. Hal tersebut disebabkan semakin besar
kelompok, semakin banyak ide dan kemauan sehingga semakin sulit untuk
disatukan. Kelompok muda menpunyai potensi konflik lebih besar dibandingkan
kelompok tua karena kelompok muda lebih idealis dan lebih menyukai tantangan.
Ketidakjelasan peran dan tanggung jawab juga dapat meningkatkan konflik dalam
organisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gaya kepemimpinan menentukan pula
timbulnya konflik. Gaya kepemimpinan tertutup dan pengamatan ketat secara
terus-menerus dapat meningkatkan potensi konflik. Akan tetapi, gaya
kepemimpinan yang terlalu mengandalkan partisipasi juga dapat merangsang
konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketidakadilan dalam sistem imbalan
juga dapat meningkatkan potensi konflik. Kelompok yang sangat tergantung dengan
kelompok lain (tidak salang tergantung) merangsang timbulnya konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Variabel Pribadi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sistem nilai dan karakteristik yang
dimiliki setiap individu dapat menyebabkan timbulnya perbedaan antar-individu
yang secara nyata dapat menyebabkan timbulnya konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jenis Konflik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Konflik dalam kehidupan berorganisasi
dibagi menjadi lima jenis sebagai berikut.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam Diri Individu (Intrapersonal)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Konflik
yang terjadi dalam diri individu dapat terjadi karena adanya ketidakcocokan
antara keinginan dan kenyataan, status pekerjaan yang tidak pasti, ketidakmampuan
individu untuk berbuat sesuai tanggung jawabnya, dan lain-lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo9; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Antara Individu dan Individu
(Interpersonal)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesalahpahaman,
pertentangan, dan perbedaan pendapat antar-individu dapat menyebabkan konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo9; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Antara Individu dan Kelompok<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Konflik
ini dapat terjadi jika ada ketidakcocokan atau pertentangan antara keinginan
individu dan kelompok. Individu melanggar kesepakatan kelompok juga dapat
menyebabkan konflik ini.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Antara Kelompok dan Kelompok (Intergroup)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Konflik
ini dapat terjadi karena kesalahpahaman, pertentangan, dan juga perbedaan
pendapat antar kelompok.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Antara Organisasi dan Organisasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Konflik
ini dapat timbul karena adanya persaingan terhadap produk-produk yang
dihasilkan oleh organisasi. Dengan adanya konflik ini, akan berdampak ke arah
pengembangan produk yang dihasilkan. Organisasi akan bersaing untuk
menghasilkan produk yang berkualitas, efisien dan terjangkau.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Proses Konflik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Proses konflik terdiri dari lima
tahap berikut.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo10; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap I: Potensi Oposisi atau
Ketidakcocokan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap
pertama dalam proses konflik adalah adanya kondisi yang menciptakan kesempatan
timbulnya konflik. Pada tahap ini, kondisi yang memengaruhi timbulnya konflik
adalah variabel komunikasi, struktur, dan variabel individu, seperti pada
penjelasan pada sumber konflik. Variabel-variabel tersebut mendorong terjadinya
konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo10; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap II: Kognisi dan Personalisasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap
kedua merupakan wujud adanya oposisi dan ketidakcocokan pada kondisi anteseden.
Pada tahap ini, terdapat dua macam konflik, yaitu konflik yang dipersepsikan dan
konflik yang dirasakan. Kesadaran individu diperlukan untuk dapat memersepsikan
adanya konflik. Menurut Robbins (2003), konflik yang dipersepsikan muncul jika
adanya kesadaran salah satu pihak atau lebih atas adanya kondisi yang
menciptakan peluang terjadinya konflik. Konflik yang dipersepsikan belum tentu
konflik tersebut dipersonalisasikan (dirasakan sebagai kecemasan, ketegangan)
karena tidak memengaruhi atau berdampak pada perasaannya. Konflik yang
dirasakan terjadi jika individu-individu menjadi terlibat secara emosional
sampai munculnya kecemasan, ketegangan, frustasi, atau permusuhan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo10; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap III: Menentukan Maksud<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Maksud
(keinginan, niat) merupakan keputusan untuk bertindak dalam cara tertentu guna
menangani konflik yang dirasakan. Penanganan konflik yang dirasakan dan sengaja
dimunculkan untuk dicari solusinya dapat dilakukan dengan cara bersaing, kerja
sama, berkompromi, menghindar, atau mengakomodasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo10; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap IV: Perilaku<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap
ini merupakan upaya-upaya nyata dari individu-individu yang mengalami konflik.
Upaya ini dapat berupa pernyataan, tindakan, atau juga reaksi terhadap
terjadinya konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo10; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap V: Hasil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ð<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap
ini menghasilkan konsekuensi yang telah dibuat oleh pihak yang terlibat
konflik. Hasil yang diperoleh dapat bersifat fungsional (meningkatkan kinerja)
atau disfungsional (merintangi kinerja kelompok).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
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<b>Bagan 14. Proses
Konflik<o:p></o:p></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<br /></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Manajemen Konflik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seperti yang telah
diuraikan di atas, konflik dapat terjadi dalam organisasi manapun, tidak
terkecuali dalam pelayanan keperawatan. Untuk menantisipasi munculnya konflik
yang merugikan manajer keperawatan dan orang-orang yang terlibat dalam
pelayanan kesehatan di ruang perawatan harus membudayakan upaya-upaya
mengantisipasi dan mengatasi konflik yang terjadi sesegera mungkin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pendekatan
penanganan konflik yang dilakukan adalah <i>problem
solving</i>(Keliat, dkk., 2006) yang selalu mengedepankan upaya <i>win-win solution</i>dengan langkah sebagai
berikut.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo11; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identifikasi akar permasalahan yang
terjadi dengan mengklarifikasi kepada pihak-pihak yang terlibat konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo11; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identifikasi penyebab timbulnya konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo11; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identifikasi alternatif-alternatif
penyelesaian masalah yang mungkin dapat dilakukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo11; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pilih alternatif penyelesaian masalah yang
terbaik untuk diterapkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo11; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terapkan solusi yang dipilih.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo11; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Evaluasi hasil penyelesaian konflik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penanganan Konflik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penanganan konflik dapat dilakukan
dengan beberapa maksud, antara lain sebagai berikut.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo12; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Persaingan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; tab-stops: 3.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Persaingan
merupakan penanganan konflik yang mempunyai keinginan untuk memuaskan keinginan
seseorang tanpa memedulikan dampak pada pihak lain dalam konflik tersebut.
Penanganan konflik ini sering disebut <i>win-lose
solution</i>. Persaingan dilakukan jika suatu persoalan memerlukan tindakan
secara cepat dan tegas, atau juga dapat dilakukan jika persoalannya vital
dianggap darurat untuk segera dipecahkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo12; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kolaborasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; tab-stops: 3.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam
proses kolaborasi ini, pihak-pihak yang terlibat konflik melakukan kerja sama
untuk memecahkan konflik. Kolaborasi merupakan penanganan konflik yang
menitikberatkan pada situasi yang mana pihak-pihak yang berkonflik sepenuhnya
saling memuaskan kebutuhan semua pihak. Penanganan konflik ini disebut <i>win-win solution</i>.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; tab-stops: 3.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penanganan
konflik ini dilakukan untuk mencari pemecahan masalah secara bersama-sama dan
terintegrasi. Hal ini dilakukan dengan alasan karena kedua pandangan atau
kepentingan sama-sama sangat penting sehingga tidak memungkinkan untuk
dilakukan kompromi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo12; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghindaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; tab-stops: 3.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Konflik
yang terjadi disadari oleh pihak-pihak yang berkonflik, tetapi penanganan yang
dipilih adalah dengan cara menghindar/ ingin menarik diri dari konflik/
mengabaikan konflik/ tidak menyelesaikan konfliknya. Penghindaran dilakukan
jika persoalan dianggap tidak terlalu penting bila dibandingkan persoalan
lainnya, efek negatif lebih besar dibandingkan manfaat dari pemecahan masalah,
dan tidak memberikan kepuasan pada kepentingan individu yang terlibat konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo12; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Akomodasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; tab-stops: 3.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Akomodasi
adalah penanganan konflik bila salah satu pihak berusaha memuaskan atau
memenangkan pihak lain yang terlibat konflik. Kemungkinan ada kesediaan dari
satu pihak dalam konflik untuk memperlakukan kepentingan pesaing/ lawan di atas
kepentingan sendiri. Penanganan konflik ini bertolak belakang dengan persaingan.
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; tab-stops: 3.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Akomodasi
dilakukan jika individu menyadari dan merasa bahwa pandangannya adalah salah,
padahal individu masih ingin mendapatkan posisi untuk dihargai dan didengar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo12; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kompromi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; tab-stops: 3.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kompromi
merupakan penanganan konflik, yaitu masing-masing pihak yang terlibat konflik
bersedia mengorbankan sesuatu dan sepakat untuk kepentingan bersama. Penanganan
ini sering disebut <i>lose-lose situation</i>.
Penanganan konflik secara kompromi ini dapat dilakukan untuk mencapai pemecahan
masalah secara sementara terhadap masalah yang kompleks.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo12; tab-stops: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Negosiasi/
Perundingan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 3.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perundingan/negosiasi
sering dilakukan sebagai cara untuk mengurangi benang kusut atau permasalahan
yang terjadi pada suatu organisasi. Dengan demikian, manajer keperawatan harus
mempunyai keterampilan melakukan perundingan/ negosiasi secara baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian
Negosiasi/Perundingan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut Wall
(1985), perundingan merupakan proses ketika dua pihak atau lebih bertukar
barang atau jasa yang berupaya menyepakati nilai tukar barang dan jasa
tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
pengertian di atas, tidak serta-merta perundingan hanya terbatas pada
tukar-menukar barang/jasa, tetapi juga dapat digunakan untuk menyepakati
hal-hal lain untuk memecahkan suatu permasalahan/konflik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pendekatan
Perundingan/Negosiasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut Walton dan
McKersie (1965 dalam Robins, 2003), perundingan/ negosiasi dapat dilakukan
menggunakan dua pendekatan berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tawar-menawar
Distributif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tawar-menawar
distributif adalah suatu bentuk pendekatan yang menghasilkan kesepakatan dengan
prinsip atau kondisi menang-kalah. Artinya, setiap keuntungan dari hasil
negosiasi karena ada pihak yang dikorbankan/dikalahkan. Sebagai contoh, pada
saat kita menawar harga baju, kemudian si pihak penjual mau menurunkan harga
sesuai atau mendekati penawaran kita, secara tidak sengaja keadaan tersebut
mengorbankan pihak penjual dan memenangkan pihak pembeli.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tawar-menawar
Integratif <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tawar-menawar
integratif merupakan bentuk pendekatan yang menghasilkan kesepakatan dengan
prinsip atau kondisi menang-menang. Artinya, keuntungan hasil negosiasi diperoleh
oleh kedua belah pihak yang berunding.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perundingan/
negosiasi sedapat mungkin dilakukan oleh pihak-pihak yang bersangkutan. Akan
tetapi, jika perundingan/ negosiasi tidak mencapai kesepakatan, dapat
menggunakan pihak ketiga yang disebut mediator. Mediator adalah pihak ketiga
netral yang memfasilitasi penyelesaian perundingan dengan menggunakan penalaran
dan persuasi serta menyarankan alternatif-alternatif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seperti telah
dibahas di atas, perundingan memunculkan kemungkinan terjadi pihak
menang-kalah. Jika ini terjadi, mediator harus mempertimbangkan beberapa hal,
antara lain sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo15; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memaksimalkan
kemenangan kedua pihak untuk mencapai tujuan bersama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo15; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Meminimalkan
kekalahan dan bagi yang kalah tetap dapat mengikuti tujuan bersama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo15; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Membuat
kedua pihak mencapai kepuasan atas hasil negosiasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l28 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepuasan
Kerja<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa pendapat mengatakan bahwa motivasi kerja
individu terkait dengan kepuasan kerja yang dirasakan. Dengan adanya hubungan
antara motivasi kerja dan kepuasan kerja, dalam kesempatan ini perlu juga
dibahas kepuasan kerja.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kreitner
dan Kinicki (2000) mendefinisikan kepuasan kerja sebagai suatu efektivitas atau
respons emosional terhadap berbagai aspek pekerjaan. Menurut Hasibuan (2005),
kepuasan kerja adalah sikap emosional yang menyenangkan dan mencintai
pekerjaannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
kedua pengertian di atas, dapat ditarik suatu kesimpulan bahwa yang disebut
kepuasan kerja adalah suatu respons emosional seseorang terhadap pekerjaan yang
dilakukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor-faktor
yang Memengaruhi Kepuasan Kerja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setiap individu mempunyai
ukuran tingkat kepuasan kerja yang berbeda-beda. Kepuasan kerja individu
dipengaruhi oleh beberapa hal, antara lain sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo16; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemenuhan
Kebutuhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor ini
menjelaskan bahwa kepuasan ditentukan oleh karakteristik pekerjaan yang
memungkinkan individu terpenuhi kebutuhannya. Oleh karena itu, jika individu
dalam bekerja tidak mendapatkan kebutuhan yang cukup, individu akan merasa
tidak puas. Kenyataan ini dapat membuat individu keluar dari pekerjaanya.
Sebaliknya, jika individu terpenuhi kebutuhannya, dia akan merasa puas dengan
pekerjaannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo16; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketidakcocokan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepuasan akan
terjadi jika antara harapan dan kenyataan sesuai, atau bahkan kenyataan
melampaui harapan. Akan tetapi, jika harapan lebih besar nilainya bila dibandingkan
dengan kenyataan, individu akan tidak puas. Bahkan, beberapa penelitian
menyatakan bahwa harapan yang terpenuhi secara signifikan berhubungan dengan
kepuasan kerja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo16; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pencapaian
Nilai<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepuasan berasal
dari persepsi terhadap suatu pekerjaan yang memungkinkan individu terpenuhinya
nilai-nilai kerja yang penting. Sebaliknya, jika individu dalam bekerja tidak
mencapai nilai yang diinginkan, akan membuat individu tidak puas. Nilai-nilai
kerja dapat terpenuhi dengan memberikan pengakuan maupun penghargaan atas
hasil, wewenang, dan tanggung jawab yang dilakukan pekerja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo16; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Persamaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepuasan dalam
model persamaan ini terfokus pada keadilan yang diterima oleh pekerja. Individu
yang diperlakukan adil dalam imbalan maupun promosi akan membuat individu puas.
Beberapa penelitian mendukung model ini yang menyatakan bahwa karyawan
merasakan keadilan terhadap upah dan promosi secara signifikan berkorelasi
dengan kepuasan kerja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo16; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Genetik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepuasan kerja
dapat dipengaruhi oleh sifat pribadi dan faktor genetik. Hal ini dapat diamati
saat ada individu yangmerasakan kepuasan pada situasi apapun dilingkungan
kerja, sedangkan ada oranglain yang merasa tidak puas. Ada penelitian yang
menyatakan bahwa ada hubungan yang positif dan signifikan antara sifat pribadi
dan kepuasan kerja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo16; tab-stops: 1.0cm; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepemimpinan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepuasan kerja
banyak dipengaruhi sikap pemimpin dalam kepemimpinannya. Model kepemimpinan
partisipatif memberikan peluang kepada karyawan untuk inut aktif dalam
menyampaikan pendapatnya dalam menentukan kebijakan-kebijakan organisasi sehingga
kepuasan kerja karyawan akan terpenuhi. Sedangkan, model kepemimpinan otoriter
atau juga permisif akan memengaruhi kepuasan kerja karyawan menjadi menurun
atau tidak merasakan kepuasan dalam kerjanya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: center; text-indent: 21.25pt;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: center; text-indent: 21.25pt;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: center; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l15 level1 lfo34; tab-stops: 1.0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Pengarahan adalah suatu tindakan
untuk mengusahakan agar semua anggota kelompok berusaha untuk mencapai sasar
sesuha organisasiai perencanaan manajerial dan usaha-usaha organisasi.
Melakukan kegiatan untuk memengaruhi orang lain agar agar mau an suka bekerja
dalam rangka menyelesaiakn tugas. Motivasi adalah aktivitas pokok dalam
manajemen yang mendorong dan menjuruskan semua bawahan agar berkeinginan,
bertujuan bergerak untuk mencapai tujuan yang telah di tentuakn denagn rencana
usaha organisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l15 level1 lfo34; tab-stops: 1.0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Saran<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Seorang pemimpin harus mampu
menciptakan suasana yang baik, serta aman dan nyaman untuk anggota kelompoknya
dalam menjalankan tugas dalam untuk mencapai suatu tujuan yang efektif.
Tanggung jawab akan tercipta jika pemimpin memberikan wewenang serta pengarahan
dan motivasi yang baik kepada anggota kelompok, sehingga tercipta kerja sama
yang saling mendukung dalam suatu organisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Daftar
pustaka <o:p></o:p></span></b></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Asmuji.
(2012). <i>MANAJEMEN KEPERAWATAN: Konsep dan
Aplikasi</i>. </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Jogjakarta : Ar-Ruzz Media.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-24463813480281697502016-05-16T15:17:00.000-07:002016-05-16T15:17:14.465-07:00Makalah pengoranisasian pada managemen keperawatan<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">BAB I<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l10 level1 lfo27; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">LATAR
BELAKANG<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Rencana
yang telah kita susun sedemikian rupa tidak akan ada artinya jika tidak segera
dilaksanakan. Pelaksanaan rencana tadi dilakukan oleh oleh satuan-satuan kerja
yang merupakan bagian dari organisasi. Mau tidak mau setelah dibuat suatu
rencana, langkah selanjutnya adalah pengorganisasian. Efektivitas dan efesiensi
pelaksanaan kegiatan yang akan dikerjakan dipengaruhi oleh bagaimana
individu-individu yang ada di dalam satuan kerja tadi bekerja secara maksimal
sesuai tanggung jawab dan wewenangnya. Untuk itu, pengorganisasian menjadi
langkah penting setelah kegiatan perencanaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">System
didefinisikan sebagai sebuah kelompok individu yang berinteraksi secara
berkesenambungan, memiliki hubungan yang saling tergantung (interdependensi)
satu sama lainnya di bawah kumpulan peraturan, ide, prinsip, dan dokrin yang
umumnya dimaksudkan untuk menjelaskan susunan dari keseluruhan organisasi (Webster,
1977). System adalah kumpulan dari bagian-bagian yang berhubungan dan membentuk
satu kesatuan yang majemuk, yang masing-masing bagian bekerja sama secara bebas
dan terkait untuk mencapai sasaran kesatuan dalam suatu situasi yang majemuk
pula. System juga diartikan sebagai suatu kesatuan yang utuh dan terpadu dari
berbagai elemen yang berhubungan serta saling mempengaruhi yang dengan sadar
dipersiapkan untuk mencapai tujuan yang telah ditetapkan (Sumijatun, dkk,
2005).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dalam
keperawatan system lebih terfokus pada pengorganisasian, interaksi,
interdependensi dan integrasi dari bagian-bagian dan elemen yang ada.
Organisasi pelayanan kesehatan biasa dipandang sebagai sebuah system dengan
sub-sistem individu dan grup atau kelompok profesi yang secara bersama-sama
bekerja untuk mencapoai tujuan yang disepakati. Pemahaman dan komitmen tentang
kekompakan kelompok menjadi penting dan sangat berpengaruh pada proses
pencapaian tujuan tersebut, oleh karena itu pola interaksi yang efektif harus
diciptakan diantara individu atau grup baik internal maupun ekternal maupun
eksternaldari system yang telah ada.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Keperawatan
sebagai ilmu terus berkembang, beberapa upaya perbaikan pelayanan disetiap
tatanan kesehatan telah dilaksanakan termasuk pada tindakan di lapangan, serta
menggunakan model-model dalam system manajemen pelayanan dan pembuatan
keputusan yang terkait dengan pasien, walaupun demikian para manajer
keperawatan masih menganggap bahwa hasil kurang optimal, sehingga upaya-upaya lainnya terus dilakukan untuk
peningkatan kualitas.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l10 level1 lfo27; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">RUMUSAN
MASALAH <o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Apa
pengertian pengorganisasian ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
konsep pengoranisasian pada management keperawatan ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
langkah-langkah pengorganisasian ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Sebutkan
tipe-tipe pengorganisasian ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
Struktur Organisasi Pelayanan Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Deskripsikan
Saluran komunikasi dalam organisasi pelayanan kesehatan/keperawatan ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Sebutkan
Faktor-faktor yang mempengaruhi Efektivitas Komunikasi dalam organisasi
Pelayanan Keperawatan ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l10 level1 lfo27; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">TUJUAN
<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dapat
menjelaskan pengertian pengorganisasian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dapat
menyelaskan konsep pengoranisasian pada management keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dapat
menjelaskan langkah-langkah pengorganisasian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dapat
menyebutkan tipe-tipe pengorganisasian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dapat
menjelaskan Struktur Organisasi Pelayanan Keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo29; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dapat
mendeskripsikan Saluran komunikasi dalam organisasi pelayanan kesehatan/keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dapat
menyebutkan Faktor-faktor yang mempengaruhi Efektivitas Komunikasi dalam
organisasi Pelayanan Keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">PENGERTIAN
<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pengorganisasian
adalah pengelompokkan aktivitas-aktivitas untuk mencapai tujuan objektif, penugasan
suatu kelompok manajer dengan otoritas pengawasan setiap kelompok, dan
menentukan cara pengoordinasian aktivitas yang tepat dengan unit lainnya, baik
cara vertical maupun horizontal yang bertanggung jawab mencapai tujuan
organisasi (Swansburg, 1993).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pengorganisasian
adalah proses pengelompokkan kegiatan terhadap tugas, wewenang, tanggung jawab
dan koordinasi kegiatan, baik vertical maupun horizontal yang dilakukan oleh
tenaga keperawatan untuk mencapai tujuan ditetapkan. Fungsi ini mencakup penetapan
tugas-tugas yang harus dilakukan, siapa yang harus melakukan, seperti apa
tugas-tugas dikelompokkan, siapa yang melaporkan ke siapa, dan di mana dan
kapan keputusan harus diambil oleh seorang perawat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pengorganisasian
adalah keseluruhan pengelompokan orang-orang, alat-alat, tugas-tugas,
kewenangan dan tanggung jawab sedemikian rupa sehingga tercipta suatu
organisasi yang dapat digerakkan sebagai suatu kegiatan kesatuan yang telah
ditetapkan (Siagian,1983 dalam Juniati).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pengorganisasian
adalah proses pengelompokan orang, alat-alat, tugas-tugas, kewenangan dan
tanggung jawab yang seimbang dan sesuai dengan rencana operasional sehingga
suatu organisasi dapat digerakkan sebagai suatu kesatuan dalam rangka mencapai
tujuan yang telah ditetapkan (Subur, 1997).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Unsur-unsur dasar yang
membentuk organisasi yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">1.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Adanya tujuan bersama</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Adanya
kerjasama dua orang atau lebih</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Adanya
pembagian tugas</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l13 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Adanya
kehendak untuk bekerja sama</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">KONSEP
</span></b><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dalam menganalisa pengaruh pola formal organisasional pada
sifat dasar komunikasi antara para pekerja, perlu untuk mengerti konsep sebagai
berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Peran</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Peran
diartikan sebagai suatu set perilaku dan sikap yang diharapkan dari seseorang
oleh mereka yang berinteraksi dengannya. Peran seseorang diartikan oleh
harapan-harapan orang lain, individu tersebut sangat bergantung pada harapan
mereka bagi aspek identitas pribadinya. Sepanjang hidupnya seseorang memegang
serangkaian peran, yang berubah dengan perubahan keadaan hidupnya. Sebagai
pekerja sebuah departemen keperawatan, perawat dapat memegang beberapa peran
jabatan pada waktu yang sama. Kepala perawat tertentu merupakan bawahan bagi
atasannya, seorang supervisor bagi staf perawatnya, rekan kerja kepala perawat
lainnya dan mungkin kepala panitia atau konsultan bagi para pekerja di divisi
lain dalam organisasinya. Karena perbedaan sikap dan perilaku diperlukan dalam
pelaksanaan masing-masing peran, kepala perawat yang telah diuraikan di atas
harus sering "merubah seragam" selama hari kerjanya, penyesuaian dan
penyesuaian ulang ekspresi wajah, bahasa tubuh, nada suara dan bahasa untuk
memenuhi harapan pihak yang berkepentingan lainnya yang telah mengartikan
setiap peran.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kekuasaan</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kekuasaan
merupakan kemampuan untuk mempengaruhi orang lain agar bersikap sesuai dengan
harapan seseorang. Karena kekuasaan tumbuh dari interaksi manusia, kekuasaan
tidak bersifat statis, tetapi terus menerus berubah. Perolehan kekuasaan oleh
perawat perorangan tampaknya memudahkan perolehan kekuasaan yang lebih besar
dalam situasi yang sama. Kemungkinan karena meningkatnya jumlah komunikasi dengan yang lain atau
perubahan dalam kualitas komunikasi tersebut. Begitu juga sebaliknya,
kehilangan kekuasaan seorang pekerja bisa mengubah hubungan timbal baliknya dengan
yang lain sehingga membuatnya terus menerus kehilangan kekuasaan seiring dengan
waktu. Kekuasaan terdiri dari beberapa jenis yaitu: kekuasaan memberikan
penghargaan (Reward power) adalah kesanggupan untuk memberikan penghargaan
terhadap yang lain, kekuasaan paksaan (Coercive power) adalah kesanggupan untuk
menerapkan hukuman kepada yang lain. Menejer perawat dapat menghukum seorang
pegawai melalui penurunan pangkat, skors, atau pemecatan. Kekuasaan referensi
(Referent power) adalah kemampuan mengilhami kebanggaan tertentu pada yang lain
sehingga mereka berharap untuk mengidentifikasikan diri mereka sendiri dengan
obyek kekaguman mereka. Kekuasaan ahli (Expert power) merupakan kemampuan untuk
meyakinkan yang lain supaya seseorang
memiliki derajat pengetahuan dan keahlian tinggi dalam area spesialisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Status</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Konsep
status berhubungan erat dengan konsep kekuasaan. Status dapat diartikan sebagai
urutan penganugerahan suatu kelompok kepada seseorang yang sesuai dengan
penilaian mereka atas pekerjaan dan sumbangsihnya. Derajat status yang diberikan
kepada pekerjaan tertentu erat kaitannya dengan jarak dari hierarki organisasi
tingkat atas, jumlah keahlian yang diperlukan dalam melaksanakan tugas kerja
tersebut, derajat pelatihan khusus, atau pendidikan yang diperlukan bagi posisi
tersebut, tingkat tanggung jawab dan otonomi yang diharapkan dalam pelaksanaan
kerja dan gaji yang didapat dari jabatan tersebut. Status masing - masing
perawat tergantung pada posisi dari departemen kesehatan dalam tabel organisasi
unit kerjanya. Status sebuah kelompok dikaitkan dengan kemampuannya dalam
mendapatkan sumber daya yang dibutuhkan untuk mencapai tujuan kelompok.
Kebanyakan perawat percaya bahwa tujuan keperawatan bagi perawatan klien dan
kesembuhannya sama pentingnya dengan kesejahteraan klien seperti juga dengantujuan
pengobatan medis atau tujuan administrasi keuangannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Wewenang</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Konsep
wewenang secara berbelit-belit dihubungkan dengan konsep tanggung jawab.
Jabatan pada hierarki keperawatan puncak dihubungkan dengan lapisan atas dari
tanggung jawab dan wewenang. Jadi status yang tinggi dihubungkan dengan
wewenang yang memberi status pekerjaan tinggi bagaimanapun dapat diserahkan
pada jabatan di lapisan rendah struktur organisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepusatan ( Centrality )</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Konsep
sentralisasi / kepusatan organisasi mengacu pada kenyataan bahwa beberapa
jabatan ditempatkan sedemikian rupa dalam struktur organisasi sehingga
melibatkan si pemegang jabatan ke dalam seringnya komunikasi dengan sejumlah
besar pekerja lainnya. Sebaliknya, jabatan lainnya ditempatkan sedemikian rupa
sehingga terjadi sedikit komunikasi di antara pemegang jabatan dengan yang
lainnya. Dengan menggunakan skema organisasi lembaga tersebut, adalah mungkin
untuk menghitung jumlah langkah atau pertukaran
pembicaraan yang diperlukan guna menyampaikan informasi kepada jabatan
yang diberikan dari setiap posisi lain dalam jaringan kerja tersebut. Jumlah
langkah bagi orang atau jabatan tertentu disebut total jarak organisasi.
Penambahan jarak perseorangan bagi semua pegawai dalam organisasi dan
membaginya dengan jumlah pegawai akan menghasilkan jarak rata-rata organisasi (Average
organizational distance) bagi semua jabatan dalam struktur itu. Dengan
membandingkan total jarak organisasi seseorang dengan jarak rata-rata bagi
seluruh struktur, seseorang dapat menentukan setiap jarak relatif organisasi (Relative
organizational distance) pegawai. Para pegawai dengan jarak relatif organisasi
yang terkecil adalah yang paling pokok
dalam struktur tersebut. Mereka lebih banyak menerima informasi yang
berhubungan dengan kerja di banding pekerja pokok. Terhadap pekerja yang
berpengetahuan, informasi adalah bahan mentah untuk produksi. Karena pekerja
yang lebih terpusat secara organisasi seharusnya lebih produktif dibanding
pekerja yang kurang terpusat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi ( Communication )</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Semua
pekerjaan dalam sebuah kelompok manusia dilakukan melalui dan karena komunikasi
antar pekerja. Komunikasi biasa diartikan sebagai pengiriman informasi dan
opini antar manusia. Diperlukan pendahuluan pesan oleh si pengirim dan persepsi
pesan yang sama oleh si penerima pesan. Kebanyakan ahli komunikasi percaya
bahwa penangkapan pesan tersebut merupakan aspek yang lebih kritis dari proses
dan usaha memperbaiki kualitas serta akurasi komunikasi sebaiknya dimulai
dengan mengajari manusia bagaimana mendengar secara bersungguh - sungguh dan
kritis terhadap semua aspek pesan yang dikirim. Adalah mungkin untuk melatih
pengirim pesan agar mengatur, mengulang, dan merangkum informasi sehingga
memaksimalkan pengertian oleh si penerima pesan. Pengirim pesan dapat
diajari memperkuat isi verbal setiap
pesan dengan ekspresi yang sesuai dan gerak isyarat untuk menekankan konsep
kunci serta untuk mendapatkan masukan dari si penerima pesan sebagai tanda atas
keefektifan komunikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 20.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">LANGKAH-LANGKAH
PENGORGANISASIAN<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Tujuan
organisasi harus dipahami oleh staf. Tujuan organisasi sudah di susun pada saat
fungsi perencanaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Membagi
habis pekerjaan dalam bentuk kegiatan-kegiatan pokok untuk mencapai tujuan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menggolongkan
kegiatan pokok kedalam satuan kegiatan yang praktis (elemen kegiatan).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menetapkan
kewajiban yang harus dilaksanakan oleh staf dan menyediakan fasilitas pendukung
yang diperoleh untuk melaksanakan tugasnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Penugasan
personal yang cakap yaitu memilih dan mendapatkan staf yang dipandang mampu melaksanakan
tugas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mendelegasikan
wewenang dalam pembagian tugas harus diperhatikan adanya keseimbangan antara
wewenang dan tnggung jawab staf, untuk organisasi seperti puskesmas yang
mempunyai jumlah tenaga yang terbatas tetapi ruang lingkup kerja dan kegiatannya
cukup luas, prinsip kerjasama yang sifatnya integrative perlu diterapkan karena
prinsip kerja integrasi diharapkan semua kegiatan pokok puskesmas dapat
diselesaikan.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">D.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">TIPE-TIPE
ORGANISASI<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pengorganisasian
di ruang perawatan harus menyesuaikan dengan metode penugasan yang diterapkan
di ruangan perawatan. Berikut akan dijelaskan beberapa tipe organisasi dilihat
dari strukturnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Struktur
Organisasi secara umum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Struktur Organisasi di ruangan
menyesuaikan dengan metode penugasan yang dijalankan di ruang perawatan. Akan
tetapi, secara umum organisasi dibagi menjadi tiga macam , antara lain sebagai
berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Organisasi
Lini<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Bentuk organisasi lini
merupakan yang tertua di dunia. Organisasi lini mencirikan bahwa pembagian
tugas dan wewenang terdapat perbedaan yang nyata antara satuan organisasi
pimpinan dan satuan organisasi pelaksana. Peran pimpinan sangat dominan, segala
kendali ada di tangan pimpinan, dan dalam melaksanakan kegiatan yang diutamakan
adalah wewenang dan perintah.<o:p></o:p></span></div>
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<!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<div class="MsoNormal" style="line-height: 150%; tab-stops: 148.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 148.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> Bagan
3. Organisasi Lini<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Organisasi lini lebih cocok digunakan
untuk organisasi dengan jumlah karyawan sedikit, sarana dan prasarana yang
terbatas, serta tujuan dan kegiatan yang sederhana. Bentuk organisasi lini
mempunyai keuntungan pengambilan keputusan dapat dilaksanakan dengan cepat,
kesatuan arah dan perintah lebih terjamin
serta koordinasi dan pengawasan lebih mudah. Sedangkan, kelemahannya
adalah keputusan sering kurang sempurna, dibutuhkan pemimpin yang benar-benar
dapat memegang kendali dan berwibawa, dan unsur manusiawi seiring terabaikan.
Berdasarkan penjelasan di atas, organisasi lini sangat cocok diterapkan di
ruang perawatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Organisasi Staf.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Organisasi
staf merupakan pengembangan dari organisasi lini. Organisasi staf dicirikan
bahwa dalam pengorganisasian dikembangkan satuan organisasi staf yang berperan
sebagai pemantu pimpinan. Orang yang duduk dalam suatu organisasi staf adalah
individu ahli yang disesuaikan dengan kebutuhan organisasi. Hal ini terjadi
karena pimpinan organisasi menghadapi permasalahan yang kompleks dan kesulitan
untuk memecahkan permasalahan yang ada sehingga dibutuhkan orang yang sanggup
dan mampu membantu pimpinan dalam memecahkan masalah organisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 148.5pt; text-align: justify;">
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> Bagan 4.
Organisasi Staf <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dalam organisasi staf, fungsi staf
hanyalah sebagai pembantu. Pengambilan keputusan tetap berada di tangan
pimpinan. Keuntungan organisasi staf adalah pengambilan dapat lebih baik.
Kerugiannya adalah pengambilan keputusan membutuhkan waktu yang lebih lama
dibandingkan organisasi lini.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Organisasi Lini dan Staf<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Bentuk Operasi lini dan staf merupakan
pengembangan dari organisasi staf. Pada bentuk organisasi ini, staf tidak hanya
diplot sebagai penasihat, tetapi staf juga diberikan tanggung jawab untuk
melaksanakan nasihat tersebut. Organisasi ini staf diterapkan jika permasalah
nasihat tersebut. Organisasi lini staf diterapkan jika permasalahan organisasi
sangat kompleks sehingga staf tidak hanya diharapkan memberikan buah pikirannya,
tetapi staf juga harus membantu pelaksanaannya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Keuntungan organisasi lini staf adalah
pengambilan keputusan lebih baik karena pengambilan keputusan telah dipikirkan
oleh sejumlah orang, tanggung jawab pimpinan berkurang karena pimpinan dapat
lebih memusatkan perhatiannya pada masalah yang lebih penting, serta
pengembangan bakat dan kemampuan dapat dilakukan sehingga mendorong tanggung
jawab kerja yang baik. Kelemahanyya adalah pengambilan keputusan memakan waktu
yang lebih lama lagi, dapat menimbulkan kebingungan pelaksana jika staf tidak
menegetahui batas-batas wewenangnya. Bagan organisasi lini staf dapat dilihat
dalam gambar berikut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Seperti disampaikan pada kalimat di atas,
struktur organisasi pelayanan keperawatan di ruang rawat menyesuaikan dengan
metode penugasan yang diterapkan. Berikut adalah bagan struktur organisasi
pelayanan di ruang perawatan yang mengacu pada model pemberian asuhan
keperawatan (Gillies, 1989).<o:p></o:p></span></div>
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<br />
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> Bagan
5. Oeganisasi Lini Staf<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">E.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">STRUKTUR
ORGANISASI PELAYANAN KEPERAWATAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode
Kasus<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> Metode
kasus merupakan metode penugasan yang paling tua karena metode ini adalah
metode pemberian asuhan keperawatan yang pertama kali digunakan. Pada metode
ini, seorang perawat bertugas dan bertanggung jawab merawat satu pasien selama
periode dinas (Sitorus, 2006). Metode ini biasa diterapkan di ruang perawatan
intensif.<o:p></o:p></span></div>
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<tbody>
<tr>
<td height="7" width="65"></td>
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<tr>
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<!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> Bagan
6. Oraganisasi Metode Primer<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level1 lfo19; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode
Fungsional<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode penugasan fungsional merupakan
metode pemberian asuhan keperawatan yang menekankan pada penyelesaian tugas dan
prosedur (Sitorus, 2006). Prioritas utama metode ini adalah pemenuhan kebutuhan
fisik sehingga kurang memerhatikan kebutuhan manusia secara holistic dan
komprehensif.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span lang=EN-US
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<span lang=EN-US
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<span lang=EN-US
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<span lang=EN-US
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<span lang=EN-US
style='font-family:"Times New Roman",serif'>Pasien</span><span lang=EN-US><o:p></o:p></span></p>
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<span lang=EN-US><o:p> </o:p></span></p>
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</v:rect><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 251793920;"><span style="height: 180px; left: 0px; left: 51px; position: absolute; top: -28px; width: 515px;"><img height="180" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image005.png" v:shapes="_x0000_s1187 _x0000_s1188 _x0000_s1189 _x0000_s1190 _x0000_s1191 _x0000_s1192 _x0000_s1193 _x0000_s1194 _x0000_s1195 _x0000_s1196 _x0000_s1197 _x0000_s1198 _x0000_s1199 _x0000_s1200 _x0000_s1201 _x0000_s1202 _x0000_s1203 _x0000_s1204" width="515" /></span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 118.5pt; text-align: justify;">
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<br /></div>
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<br /></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 118.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> Bagan
7. Organisasi metode Fungsional<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 118.5pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 118.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pada metode penugasan fungsional, seorang
kepala ruang membawahi secara langsung perawat-perawat pelaksana yang ada di
ruang tersebut. Metode ini menggambarkan bahwa satu-satunya pemegang kendali
manajerial dan laporan klien adalah kepala ruang, sedangkan perawat lainnya
hanya sebagai perawat pelaksana tindakan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 118.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Peran perawat pada metode ini adalah
melakukan tindakan sesuai dengan spesifikasi/spesialisasi yang dimilikinya, setiap
perawat mempunyai tugas dan tanggung jawab untuk memberikan tindakan
keperawatan sebanyak satu atau dua jenis tindakan. Jenis tindakan lainnya
diberikan oleh perawat yang lainnya. Berdasarkan struktur di atas, trgambar
dengan jelas bahwa ada pembagian tugas perawat, yaitu ada perawat yang tugasnya
hanya memberikan obat ada perawat yang tugasnya hanya merawat luka dan
lain-lain. Namun demikian, guna mengurangi beban tanggung jawab kepala ruang
yang besar, pihak rumah sakit dapat memodifikasi struktur tersebut dengan
menempatkan wakil kepala ruang untuk membantu tugas kepala ruang. Selain
mengurangi beban kerja kepala ruang, dengan adanya wakil kepala ruang,
harapannya dapat meningkatkan efektivitas dan efisiensi pekerjaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 118.5pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; tab-stops: 118.5pt; text-align: justify;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">KELEBIHAN
DAN KELEMAHAN METODE FUNGSIONAL<o:p></o:p></span></b></div>
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<tbody>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kelebihan <o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 314.45pt;" valign="top" width="419"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; tab-stops: 118.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kelemahan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.45pt;" valign="top" width="214"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l17 level1 lfo6; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Efisiensi,
terutama untuk ruangan yang mempunyai jumlah tenaga perawat minimal/sedikit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l17 level1 lfo6; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat
mempunyai keahlian/spesialisasi tindakan tertentu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 314.45pt;" valign="top" width="419"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l2 level1 lfo7; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepala
ruang kurang waktu untuk dapat memberikan masukan kepada perawat-perawatnya
tentang bagaimana cara memberikan asuhan keperawatan yang terbaik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l2 level1 lfo7; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Setiap
perawat tidak dapat memberikan asuhan seara komprehensif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l2 level1 lfo7; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
antar-perawat sangat terbatas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l2 level1 lfo7; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Prioritas
hanya kebutuhan fisik sehingga tidak komprehensif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l2 level1 lfo7; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pemberian
asuhan keperawatan terfragmentasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l2 level1 lfo7; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepuasan
pasien sulit tercapai<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 24.95pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l2 level1 lfo7; tab-stops: 118.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepuasan
perawat selaku pemberi asuhan sulit tercapai<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 118.5pt; tab-stops: 118.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"><br clear="all" />
Tabel 4. Kelebihan dan kelemahan metode Fungsional<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode
Tim<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menurut Douglas (1992), metode tim adalah
metode pemberian asuhan keperawatan yang mencirikan bahwa sekelompok tenaga
keperawatan yang memberikan asuhan keperawatan dipimpin oleh seorang perawat
profesional yang sering disebut dengan “Ketua tim”. Selain itu, Sitorus (2006)
juga menyampaikan bahwa dengan metode penugasan tim, setiap anggota
kelompok/tim mempunyai kesempatan untuk berkontribusi dalam merencanakan dan
memberikan asuhan keperawatan sehingga pada perawat timbul motivasi dan rasa
tanggung jawab yang tinggi.<o:p></o:p></span></div>
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<span lang=EN-US
style='font-family:"Times New Roman",serif'>TIM II<o:p></o:p></span></p>
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</v:rect><![endif]--><!--[if !vml]--><span style="mso-ignore: vglayout; position: relative; z-index: 251594240;"><span style="height: 264px; left: 0px; left: 109px; position: absolute; top: -1px; width: 406px;"><img height="264" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image006.png" v:shapes="Rectangle_x0020_29 Straight_x0020_Arrow_x0020_Connector_x0020_28 Rectangle_x0020_27 Rectangle_x0020_26 Rectangle_x0020_15 Straight_x0020_Arrow_x0020_Connector_x0020_16 Straight_x0020_Arrow_x0020_Connector_x0020_23 Straight_x0020_Arrow_x0020_Connector_x0020_17 Rectangle_x0020_19 Rectangle_x0020_20 Rectangle_x0020_21 Straight_x0020_Arrow_x0020_Connector_x0020_18 Rectangle_x0020_22 Straight_x0020_Arrow_x0020_Connector_x0020_24 Rectangle_x0020_25" width="406" /></span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 396.75pt; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; tab-stops: 396.75pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> Bagan
8. Organisasi Metode Tim<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Guna
menunjang tercapainya asuhan keperawatan yang efektif dan efisien, tugas pokok
dan fungsi masing-masing, posisi harus jelas dan dipahami oleh masing-masing
personel perawat. Keliat, dkk (2006) menguraikan secara rinci tugas pokok dan
fungsi masing-masing posisi yang tergambar dalam struktur organisasi metode
penugasan tim sebagai berikut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepala
Ruangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pendekatan
Manajemen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi Perencanaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun visi, misi, dan
filosofi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun rencana jangka
pendek (harian, bulanan, dan tahunan).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi Pengorganisasian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun struktur
organisasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun jadwal dinas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Membuat daftar alokasi
pasien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi Pengarahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Memimpin operan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menciptakan iklim
motivasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mengatur pendelegasian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan supervise<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi Pengendalian<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mengevaluasi indikator
mutu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan audit
dokumentasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan survey kepuasan
pasien, keluarga pasien dan perawat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan survey masalah
kesehatan/keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Compensatory Reward<o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan penilaian
kinerja kettua tim dan perawat pelaksana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Merencanakan dan
melaksanakan pengembangan staf keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">c)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Hubungan
Profesional<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Memipin rapat keperwatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Memipin konferensi kasus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan rapat tim
kesehatan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan kolaborasi
dengan dokter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">d)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Asuhan
keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mampu melaksanakan
asuhan keperawatan kepada pasien (disesuaikan dengan spesifikasi ruangan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Ketua
Tim<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l4 level1 lfo10; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pendekatan Manajemen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi
Perencanaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun rencana jangka
pendek (harian dan bulanan )<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> Fungsi Pengorganisasian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun jadwal dinas
bersama kepala ruangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Membuat daftar alokasi
pasien kepada perawat pelaksana<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi Pengarahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Memimpin Pre-Conference
dan post-conference<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menciptakan iklim
motivasi di dalam timnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mengatur pendelegasian
dalam timnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan supervise
kepada anggota timnya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi Pengendalian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan observasi
terhadap pelaksanaan asuhan keperawatan kepada pasien yang dilakukan oleh
perawat pelaksana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Memberikan umpan balik
kepada perawat pelaksana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l4 level1 lfo10; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Compensatory Reward<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan penilaian
kinerja perawat pelaksana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l4 level1 lfo10; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">c)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Hubungan Profesional<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melaksanakan konferensi
kasus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan kolaborasi
dengan dokter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l4 level1 lfo10; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">d)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Asuhan Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mampu
melaksanakan asuhan keperawatan kepada pasien (disesuaikan dengan spesifikasi
ruangan).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo20; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawata Pelaksana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo11; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pendekatan Manajemen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi
Perencanaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun rencana jangka
pendek (harian)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo11; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Asuhan keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mampu melaksanakan asuhan
keperawatan kepada pasien (disesuaikan dengan spesifikasi ruangan)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dengan melihat dan menyimak penjelasan di
atas, secara jelas terdapat perbedaan uraian tugas dari kepala ruang, ketua
tim, dan perawat pelaksana. Berdasarkan uraian di atas, tergambar bahwa kepala
ruang dan ketua tim menjalankan tugas manajerial dan asuhan keperawatan,
sedangkan perawat pelaksana murni menjalankan asuhan keperawatan. Batasan ini
harus dipahami secara benar oleh masing-masing posisi sebagai acuan untuk
melaksanakan tugas limpah (pendelegasian).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Seperti halnya metode penugasan yang lain,
metode penugasan tim mempunyai kelebihan dan kelemahan. Berikut adalah
kelebihan dan kelemahan metode penugasan tim.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 54.0pt; text-align: justify; text-indent: 36.0pt;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">KELEBIHAN
DAN KELEMAHAN METODE TIM<o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 26.7pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 633px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.7pt;" valign="top" width="284"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kelebihan <o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.15pt;" valign="top" width="350"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 54.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.7pt;" valign="top" width="284"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pelayanan
keperawatan yang komprehensif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Proses
Keperawatan dapat diterapkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode
tim memungkinkan untuk dapat bekerja lebih efektif dan efisien <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode
tim memungkinkan untuk dapat bekerja sama antar-tim<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode
tim memungkinkan tingginya kepuasan pasien terhadap pelayanan keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode
tim meningkatkan motivasi dan kepuasan perawat sebagai pemberi pelayanan
keperawatan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.15pt;" valign="top" width="350"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kegiatan-kegiatan
konferen memerlukan waktu yang cukup lama sehingga kegiatan konferen tidak
akan dapat dilaksanakan jika dalam kondisi sibuk.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo13; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Jika
jumlah perawat sedikit, menyebabkan pre-conference dan post-conference
mungkin tidak dapat dilaksanakan. Untuk kegiatan pre-conference dan
post-conference, setiap tim minimal terdiri dari dua orang.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 54.0pt; text-align: justify;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> </span></b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Tabel
5. Kelebihan dan Kelemahan Metode Tim<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l9 level1 lfo21; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode
Keperawatan Primer <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; tab-stops: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Metode Keperawatan Primer adalah suatu
metode pemberian asuhan Keperawatan yang mempunyai karakteristik kontinuitas
dan komprehensif dalam pemberian asuhan keperawatan yang dilakukan oleh seorang
perawat yang bertanggung jawab dalam merencanakan, melakukan, dan mengoordinasi
selama pasien dirawat di ruang perawatan. Perawat yang bertanggung jawab selama
24 jam atas pasien-pasiennya tadi disebut”Perawat Primer”. Perawat primer
biasanya bertanggung jawab antara 4-6 pasien. Berikut akan dijelaskan secara
rinci tugas pokok dan fungsi masing-masing posisi dan struktur organisasi
metode keperawatan perimer.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l26 level1 lfo22; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Tugas Pokok dan Fungsi
Perawat Primer<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer menerima
dan mengorientasikan pasien yang masuk di ruang perawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer mengkaji
secara komprehensif dan merumuskan diagnosis keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">c)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer membuat
rencana keperawatan (tujuan, criteria hasil, rencana tindakan, dan rasional)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">d)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer mengadakan
komunikasi dan koordinasi dengan perawat lain dan tenaga kesehatan yang lain
atas rencana yang telah dibuat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">e)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer
melaksanakan rencana yang telah dibuat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">f)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer melakukan
evaluasi terhadap hasil yang telah dicapai<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">g)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer membuat
rencana pulang pasien (termasuk rencana penyuluhan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">h)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat Primer melakukan
rujukan kepada pekerja social dan kontak degan lembaga social di masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">i)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer membuat
jadwal perjanjian klinik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l1 level1 lfo14; tab-stops: 54.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">j)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perawat primer mengadakan
kunjungan rumah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; tab-stops: 54.0pt; text-align: justify;">
<br /></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="2" width="94"></td>
</tr>
<tr>
<td></td>
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<span lang=EN-US
style='font-family:"Times New Roman",serif'>Perawat Primer<o:p></o:p></span></p>
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<span lang=EN-US
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<span lang=EN-US
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<!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; tab-stops: 408.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 408.0pt; text-align: justify;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> </span></b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Bagan
9. Organisasi Metode Primer <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l26 level1 lfo22; tab-stops: 408.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Tugas Pokok dan Fungsi
Kepala Ruang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; tab-stops: 408.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menurut
penulis, tugas pokok dan fungsi kepala ruang pada metode primer tidak jauh
berbeda dengan yang dilakukan pada metode penugasan tim seperti yang
disampaikan oleh kandidat, dkk (2006) sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l16 level1 lfo15; tab-stops: 408.0pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pendekatan Manajemen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; tab-stops: 408.0pt; text-align: justify; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi
Peencanaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 408.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun visi, misi dan
filossofi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; tab-stops: 408.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun rencana jangka
pendek (harian, bulanan, dan tahunan)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi Pengorganisasian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun struktur
organisasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menyusun jadwal dinas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Membuat daftar alokasi
pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; text-align: justify; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi
Pengarahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Memimpin operan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menciptakan iklim
motivasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mengatur pendelegasian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan supervise<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; text-align: justify; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Fungsi
pengendalian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Mengevaluasi indikator
mutu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan audit
dokumentasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan survey kepuasan
pasien, keluarga pasien, perawat, dan nakes lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan survey masalah
kesehatan/keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Compesatory
Reward<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan penilaian
kinerja ketua tim dan perawat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Merencnakan dan
melaksanakan pengembangan staf<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">c)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Hubungan
Profesional<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Memimpin rapat keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melakukan rapat tim kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Selain menjalankan tugas di atas, ada salah satu tugas
yang harus dijalankan oleh kepala ruang adalah menjadi konsultan jika perawat
mengalami kendala dalam menjalankan tugasnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l26 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Tugas
Pokok dan Fungsi Perawat Asosiat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Melaksanakan
tindakan keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo16; text-align: justify; text-indent: 4.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Menerima
delegasi dari primer primer<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">KELEBIHAN
DAN KELEMAHAN METODE KEPERAWATAN PRIMER<o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 26.7pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 633px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kelebihan
<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 290.6pt;" valign="top" width="387"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kelemahan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.25pt;" valign="top" width="246"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Akuntabilitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Otonomi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Advokasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kontinuitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komprehensif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Koordinasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">8.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kolaborasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">9.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komitmen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">10.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepuasan
pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">11.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepuasan
perawat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">12.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepuasan
dokter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">13.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kepuasan
rumah sakit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">14.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Penghargaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">15.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Kesempatan
untuk mengembangkan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 290.6pt;" valign="top" width="387"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Dibutuhkan
perawat yang benar-benar mempunyai pengalaman, pengetahua, sikap, dan
kemampuan (skill) yang mumpuni<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Tabel
6. Kelebihan dan kelemahan Metode Keperawatan Primer<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Selain
pembuatan struktur organisasi, menurut keliat, dkk (2006) kegiatan lain fungsi
pengoorganisasian dalam ruang perawatan adalah sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 22.5pt; mso-add-space: auto; mso-list: l0 level1 lfo23; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pembuatan Daftar Dinas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 22.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Daftar dinas
merupakan bagian penting dalam pengorganisasian yang berisi jadal dinas (shift
pagi, siang, malam), perawat yang libur, dan perawat yang cuti. Daftar dinas
ini biasanya dibuat untuk kurun waktu dinas selama satu bulan. Pembuat daftar
dinas adalah kepala ruang yang dbantu ketua tim/ perawat primer.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 22.5pt; mso-add-space: auto; mso-list: l0 level1 lfo23; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pembuatan Daftar Alokasi
Pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 22.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Daftar alokasi
pasien dibuat guna mengetahui jumlah dan nama pasien, jumlah dan nama pasien
jenis penyakit, dokter, serta distribusi perawta terhadap pasien yang terdapat
di ruangan. Daftar pasien berisi nama pasien, dokter yang bertanggung jawab,
perawat dalam tim (jika menerapkan metode penugasan tim), perawat yang dinas,
dan perawat yang bertanggung jawab tiap shift.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 22.5pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">F.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">SALURAN
KOMUNIKASI DALAM ORGANISASI PELAYANAN KESEHATAN/KEPERAWATAN<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi yang
terjadi dalam organisasi pelayanan keseahtan/keperawatan adalah komunikasi
formal. Saluran-saluran komunikasi terbentuk dalam komunikasi formal terbentuk.
Saluran komunikasi formal ditentukan oleh struktur organisasi. Saluran
komunikasi formal dibagi menjadi 3, yaitu veretikal, lateral, dan
diagonal(Handoko,1999)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l20 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
vertical<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
vertical terjadi dari atas kebawah atau sebaliknya sesuai garis perintah.
Komunikasi dari atas kebawah terjadi dimulai dari manajemen puncak kemudian
menuju bawah melalui tingkatan-tingkatan manjemen sampai dengan personalpaling
bawah. Tujuan utama komunikasi kebawah
adalah memeberi pengarahan, informasi, instruksi, saran, masukan, dan
penilaian. Informasi yang disampaikan kebawah dapat berupa tujuan-tujuan organisasi
dan juga kebijakan organisasi. Sedangkan, bentuknya dapat berupa tulisan
ataupun lisan. Komunikasi ke atas berfugnsi untuk memberikan informasi ataupun
umpan balik kepada tingkatan manajemen atas tentang hal-hal yang terjadi
tingkat bawah (robbins,2013). Informasi yang disampaikan dapat berupa laporan hasil kerja, gagasan/ide, penjelasan , maupun
permintaan. Komunitas ke atas dapat
dapat disebut juga sebagai umpan balik ke manajemen ats terkait kebijakan, pengarahan , instruksi
dan pengaturan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
vertical yang terjadi pada tingkat ruang perawatn dapat digambarkan sebagai
berikut : komunikasi antara kepala ruang dan
ketua tim/perawat primer dan atau
perawat pelaksana; ketua tim/perawat primer dengan perawat pelaksana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l20 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
lateral/horizontal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
lateral terjadi pada antar-departemen pada antar-anggota dalam kelompok
kerja/selevel dan juga terjadi pada antar-departement pada tingakatan
organisasi yang sama. Komunikasi yang terjadi
adalah pimpinan dengan pimpinan, bawahan dengan bawahan.komunikasi ini
bersifat koordinatif. Komunikasi lateral/horizontal yang terjadi pada tingkat
ruang perawatn adalah antar-kepala ruang, abtar-ketua tim/perawat primer. Dan
antar –perawat pelaksana.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l20 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">c)<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
Diagonal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Komunikasi
diagonal adalah komunikasi yang memotong atau menyilang diagonal garis perintah
organisasi. Komunikasi ini dilakukan antara dua orang pada tingkat kedudukan
yang berbeda, pada tugas dan fungsi yang berbeda, dan tidak mempunyai wewenang
langsung terhadap piuhak yang lain. Komunikasi diagonal yang terjadi pada
tingkat ruang perawatan adalah komunikasi antara perawat dan tim kesehatan lain
(dokter, fisioterapi, ahli gizi dan lain-lain).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">G.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">FAKTOR-FAKTOR
YANG MEMPENGARUHI EFEKTIVITAS KOMUNIKASI DALAM ORGANISASI PELAYANAN KEPERAWATAN<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Organisasi
pelayanan keperawatan merupakan bagian integral dari organisasi pelayanan
kesehatan. Di dalamnya merupakan tempat padat tenaga kerja yang terdiri dari
individu-individu yang saling berinteraksi dan berkomunikasi dalam rangka untuk
mencapai tujuan yang diinginkan. Penyampaian pesan secara akurat dan efektif
juga sangat diperlukan dalam kehidupan berorganisasi ini. Namun, menurut
Lesikar (dalam Handoko 1999), efektivitas komunikasi dalam organisasi
dipengaruhi oleh empat factor berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Saluran
Komunikasi Formal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Saluran
komunikasi formal memengaruhi efektivitas komunikasi dalam dua cara, yaitu
secara Berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l11 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Liputan
saluran formal akan semakin melebar sesuai perkembangan organisasi.
Perkembangan dan pertumbuhan organisasi menjadi factor penyebab semakin
sulitnya mengadakan komunikasi secara efektif. Apalagi, kalau organisasi sudah
mempunyai banyak cabang yang menyebar. Maka, hal ini akan menyulitkan untuk
menciptakan komunikasi yang efektif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l11 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Saluran
Komunikasi formal dapat menghambat aliran informasi antar-tingkatan organisasi.
Sebagai contoh, perawat pelaksanan selalu dapat mengkomunikasikan
masalah-masalah yang dihadapi di ruangan dengan ketuam tim atau kepala ruangan.
Akan tetapi, tidak dapat mengkomunikasikan informasi secara langsung dengan
wakil direktur bidang pelayanan. Padahal, informasi tersebut seharusnya juga
didapat wakil direktur. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Struktur
Organisasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Perbedaan
kekuasaan dan kedudukan dalam organisasi akan menentukan pihak-pihak yang
berkomunikasi dengan seorang serta isi dan ketepatan dalam berkomunikasi.
Terdapat adab dan aturan tertentu jika bawahan harus berkomunikasi dengan
direktur. Hal ini karena dibatasi formalitas dan kesopanan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">Ketepatan
komunikasi cenderung bila melalui rantai perintah<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">Ka. Ruang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">Ka. Ruang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">Waka. Ruang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">Perawat Primer/ Ka. Tim<o:p></o:p></span></div>
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<td height="5"></td>
</tr>
<tr>
<td height="24"></td>
<td colspan="4"></td>
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<tr>
<td height="1"></td>
</tr>
<tr>
<td height="3"></td>
</tr>
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<td height="38"></td>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">Perawat Pelaksana<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , serif;">Perawat Pelaksana<o:p></o:p></span></div>
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<span lang=EN-US
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<span lang=EN-US><o:p> </o:p></span></p>
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<span lang=EN-US
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<span lang=EN-US
style='font-family:"Times New Roman",serif'>Waka. Ruang<o:p></o:p></span></p>
<p class=MsoNormal>
<span lang=EN-US><o:p> </o:p></span></p>
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<span lang=EN-US
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<!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Bagan 12. Rantai
Komunikasi dalam Organisasi Pelayanan Kesehatan/Keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l25 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Spesialisasi
Jabatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Spesialisasi
jabatan akan mempermudah komunikasi antar-individu dalam kelompoknya. Anggota
suatu kelompok yang sama akan cenderung berkomunikasi dengan istilah, tujuan,
tugas, waktu dan gaya yang sama. Sedangkan komunikasi antar kelompok yang
berbeda cenderung akan mengalami hambatan..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pemilikian
informasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Adanya
individu-individu yang mempunyai informasi khusus dan pengetahuan tentang
pekerjaanya. Sebagai comntoh, perawat ruang anak mempunyai pengalaman yang
lebih dalam informasi-informasi perawatan anak. Kepala ruang perawatan juga
mempunyai informasi yang lebih tentang bagaimana cara mengatasi konflik di
ruangan yang dia pimpin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">KESIMPULAN
<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 150%;">Pengorganisasian
adalah pengelompokkan aktivitas-aktivitas untuk mencapai tujuan objektif,
Penugasan suatu kelompok manajer dengan otoritas pengawasan setiap kelompok,
dan menentukan cara pengoordinasian aktivitas yang tepat dengan unit lainnya,
Baik cara vertical maupun horizontal yang bertanggung jawab mencapai tujuan
organisasi (Swansburg, 1993).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Unsur-unsur dasar yang
membentuk organisasi yaitu adanya tujuan bersama, adanya kerjasama dua orang
atau lebih, adanya pembagian tugas, adanya kehendak untuk bekerja sama.<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Asmuji. (2012). <i>Manajemen Keperawatan: Konsep dan Aplikasi</i>. Ar-Ruzz Media:
Jogjakarta.<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-indent: -24.55pt;">
<span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12pt; line-height: 150%;">Sumijatun. (2009). <i>Manajemen Keperawatan Konsep Dasar dan
Aplikasi Pengambilan Keputusan Klinis</i>. CV. Trans Info Media: Jakarta.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-18021102662061022162016-05-16T08:57:00.003-07:002016-05-16T08:57:28.607-07:00Makalah perencanaan dalam manajemen keperawatan<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
1<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar Belakang<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan
merupakan fungsi dasar manajemen. Perencanaan adalah pandangan ke depan dan
merupakan fungsi yang paling penting tentang suatu rencana kegiatan yang berisi
tujuan apa yang harus dicapai, bagaimana cara mencapainya, tempat kegiatan
tersebut dilaksanakan, bagaimana indicator/tolak ukur untuk mencapai tujuan,
serta kegiatan apa yang harus dilakukan selanjutnya atau berkelanjutan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan
dalam keperawatan merupakan upaya dalam meningkatkan profesionalisme pelayanan
keperawatan sehingga mutu pelayanan keperawatan dapat dipertahankan, bahkan
ditingkatkan. Dengan melihat pentingnya fungsi perencanaan, dibutuhkan
perencanaan yang baik dan professional. Perencanaan yang baik harus berdasarkan
sasaran, bersifat sederhana, mempunyai standar, fleksibel, seimbang, dan
menggunakan sumber-sumber yang tersedia terlebih dahulu secara efektif dan
efisien (Swansburg, 1993).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan Masalah<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
latar belakang diatas, kami dapat mengambil rumusan masalah sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa yang dimaksud dengan
perencanaan?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana perencanaan
dalam manajemen keperawatan?<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
rumusan masalah diatas, kami dapat mengambil tujuan sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan pengertian
perencanaan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan perencanaan
dalam manajemen keperawatan.</span></div>
<a name='more'></a><o:p></o:p><br />
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
2<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian Perencanaan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan
merupakan usaha sadar dan pembuatan keputusan yang telah diperhitungkan secara
matang tentang hal-hal yang akan dikerjakan di masa depan dalam dan oleh suatu
organisasi dalam rangka pencapaian tujuan yang telah ditetapkan (Siagian,
2007). Perencanaan adalah sejumlah keputusan yang menjadi pedoman untuk
mencapai suatu tujuan tertentu (Hasibuan, 2005).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan dalam
Manajemen Keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perumusan Visi, Misi,
Filosofi, dan Tujuan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perumusan
Visi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Istilah lain dari visi
adalah mimpi, cita-cita. Visi merupakan dasar untuk membuat suatu perencanaan
sehingga harus disusun secara singkat, jelas, dan mendasar, serta harus ada
batasan waktu pencapaiannya. Visi merupakan pernyataan yang berisi tentang
mengapa organisasi pelayanan keperawatan dibentuk. Contoh visi ruang perawatan
“Menjadi Ruang Anak yang Mampu Menyelenggarakan Pelayanan Keperawatan Secara
Profesional Tahun 2015”.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perumusan
Misi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Misi adalah uraian yang
berisi pernyataan-pernyataan operasional guna mencapai visi yang telah
ditetapkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh misi ruang
perawatan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memberikan
asuhan keperawatan secara komprehensif<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perumusan
Filosofi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Filosofi adalah
nilai-nilai dan keyakinan yang menyangkut administrasi keperawatan dan praktik
keperawatan dalam suatu organisasi (Swansburg, 1993).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh filosofi ruang
perawatan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pasien
adalah manusia sebagai individu yang unik bermartabat<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perumusan
Tujuan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan merupakan sesuatu
yang ingin dicapai. Tujuan memberikan arah bagi organisasi untuk menentukan apa
yang harus dilakukan, bagaimana cara mencapainya, dan bagaimana cara
menilainya. Perumusan tujuan dalam organisasi pelayanan keperawatan merupakan
hal yang mutlak untuk dilakukan. Untuk merumuskan suatu tujuan organisasi
pelayanan keperawatan yang baik, ada beberapa persyaratan yang harus
diperhatikan.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jenis Perencanaan dalam
Manajemen Keperawatan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan perencanaan dalam manajemen keperawatan
adalah membuat perencanaan jangka panjang, jangka menengah, dan jangka pendek.
Perencanaan jangka pendek atau disebut juga “perencanaan operasional” adalah
perencanaan yang dibuat untuk kegiatan satu jam sampai dengan satu tahun;
perencanaan jangka menengah adalah perencanaan yang dibuat untuk kegiatan satu
hingga lima tahun (Marquis & Huston, 1998); sedangkan perencanaan jangka
panjang atau sering disebut “perencanaan strategis” adalah perencanaan yang
dibuat untuk kegiatan tiga sampai dengan 20 tahun (Swansburg, 1993).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam ruang perawatan, perencanaan biasanya hanya
dibuat untuk jangka pendek. Menurut Keliat, dkk (2006), rencana jangka pendek
yang dapat diterapkan di ruang perawatan adalah rencana harian, rencana
bulanan, dan rencana tahunan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rencana Harian<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rencana harian adalah
rencana yang berisi kegiatan masing-masing perawat yang dibuat setiap hari
sesuai perannya. Rencana harian ini dibuat oleh kepala ruang, ketua tim/perawat
primer, dan perawat pelaksana.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rencana Bulanan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rencana bulanan adalah
rencana yang berisi kegiatan dalam satu bulan. Rencana bulanan ini harus
disinkronkan dengan rencana harian. Rencana bulanan dibuat oleh kepala ruang
dan ketua tim/perawat primer.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rencana Tahunan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rencana tahunan adalah
rencana yang dibuat setiap tahun sekali. Rencana tahunan disusun berdasarkan
hasil evaluasi kegiatan tahun sebelumnya. Rencana tahunan dibuat oleh kepala
ruang.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan SDM
Keperawatan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan perencanaan yang tidak kalah penting dalam
manajemen keperawatan adalah perencanaan SDM keperawatan. Perencanaan SDM
keperawatan sangat menentukan efektivitas dan efisiensi kegiatan dalam
organisasi pelayanan keperawatan.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan SDM adalah
kegiatan merencanakan tenaga kerja agar sesuai dengan kebutuhan organisasi
serta efektif efisien dalam membantu terwujudnya tujuan (Hasibuan, 2005).
Perencanaan SDM kesehatan adalah proses estimasi terhadap jumlah SDM
berdasarkan tempat, keterampilan, dan perilaku yang dibutuhkan untuk memberikan
pelayanan kesehatan (Ilyas, 2004).<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dasar
Perencanaan SDM Keperawatan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam membuat perencanaan
SDM tentu harus ada yang mendasari. Berikut adalah beberapa hal yang mendasari
pembuatan perencanaan SDM keperawatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan tidak akan
timbul dengan sendirinya, tetapi perencanaan timbul didasari oleh hasil
pemikiran yang bersumber dari hasil-hasil penelitian. Perencanaan tidak boleh
hanya mengandalkan asumsi. Tanpa data yang factual dan valid, perencanaan yang
dibuat tidak akan dapat digunakan untuk menjawab permasalahan yang dihadapi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan mutlak harus
memiliki keberanian mengambil keputusan dengan segala resikonya. Perencanaan
yang kita buat tidak hanya sekedar berupa sebuah rencana. Rencana dibuat harus
ada dasarnya. Perencanaan dibuat untuk dikerjakan. Apa pun resikonya, seorang
manajer keperawatan harus berani mengambil keputusan terhadap perencanaan yang
dibuat dan akan dikerjakan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Orientasi suatu rencana
adalah masa depan. Artinya, rencana diibaratkan suatu titik yang akan kita tuju
dan kita capai. Rencana harus mempunyai arah ke depan, maju, dan realistis.
Sebagai contoh: dalam lima tahun ke depan berapa jumlah SDM keperawatan yang
dibutuhkan dan lain-lain.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rencana harus mempunyai
makna. Artinya, janganlah membuat suatu rencana yang tidak jelas arah dan tujuannya.
Janganlah hanya berpikiran “daripada tidak mempunyai rencana” karena pekerjaan
yang sudah kita lakukan akan sia-sia. Dengan dukungan data dan fakta yang
objektif, akan memunculkan masalah yang actual sehingga perencanaan yang dibuat
akan bermakna. Jika dilaksanakan, akan mempermudah usaha yang akan dilakukan
dalam pencapaian tujuan organisasi.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
Perencanaan SDM Keperawatan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut Hasibuan (2005),
tujuan perencanaan SDM keperawatan adalah sebagai berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menentukan kualitas dan
kuantitas tenaga keperawatan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan yang baik
akan menghasilkan suatu draf yang memunculkan kualifikasi SDM keperawatan
seperti apa yang dibutuhkan. Contoh kebutuhan SDM berdasarkan tingkat
pendidikan (D3 Keperawatan atau S1 Keperawatan), kebutuhan SDM berdasarkan
spesialisasi (perawat anak, perawat medical bedah, perawat kegawatdaruratan,
perawat maternitas, dan lain-lain). Selain itu, draf yang ada juga memuat
berapa jumlah kebutuhan SDM keperawatan yang sudah ada dan berapa
kekurangannya. Hal ini semua dapat dijadikan dasar untuk melakukan pengembangan
tenaga keperawatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">The
right man on the right place and the right man on the right job </span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">(efektivitas
dan efisiensi).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penempatan SDM
keperawatan sesuai minat, spesialisasi, dan kualifikasi pendidikannya akan
meningkatkan efektivitas dan efisiensi pelaksanaan tugas-tugas keperawatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjamin tersedianya
tenaga keperawatan masa sekarang maupun masa mendatang.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan SDM
keperawatan harus dibuat secara cermat dan teliti. Data-data penunjang harus
tersedia dengan cukup, antara lain dalam hal apakah dalam waktu dekat atau
beberapa tahun kemudian ruang perawatan akan dikembangkan, berapa jumlah tenaga
keperawatan yang kira-kira dibutuhkan, dan berapa jumlah tenaga keperawatan
yang pension tahun ini atau tahun-tahun berikutnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menghindari tumpang
tindih pelaksanaan tugas.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan yang cermat
akan menghasilkan hitung-hitungan yang matang dalam hal SDM. Dengan demikian,
tidak sampai terjadi penggendutan ataupun kekurangan SDM pada spesifikasi area
tertentu atau area secara keseluruhan yang menjadi penyebab tumpang tindihnya
pelaksanaan tugas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempermudah koordinasi,
integrasi, dan sinkronisasi (KIS).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjadi pedoman dalam
menetapkan program penarikan, seleksi, pengembangan, kompensasi,
pengintegrasian, pemeliharaan, kedisiplinan, dan pemberhentian karyawan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjadi pedoman dalam
melaksanakan mutasi dan pensiun tenaga keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kebutuhan
Tenaga Keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut Depkes (2002),
kebutuhan tenaga keperawatan di rumah sakit berada di ruangan antara lain:
rawat inap, gawat darurat, <i>critical care</i>,
kamar operasi, dan rawat jalan. Penghitungan kebutuhan SDM keperawatan di
masing-masing ruangan ini mempunyai rumus yang berbeda.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ruang
Rawat Inap<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
kebutuhan tenaga keperawatan di ruang rawat inap berdasarkan Rumus Depkes
adalah sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan klasifikasi
pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan tingkat
ketergantungan pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
kebutuhan tenaga keperawatan di ruang rawat inap berdasarkan klasifikasi pasien
adalah sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cara penghitungannya
didasarkan atas:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tingkat ketergantungan
pasien berdasarkan jenis kasus;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rata-rata pasien per
hari;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jam perawatan yang
diperlukan/hari/pasien;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jam perawatan yang
diperlukan/ruangan/hari;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jam kerja efektif setiap
perawat 7 jam/hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">RATA-RATA JAM PERAWATAN PASIEN PER HARI<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BERDASARKAN JENIS KASUS<o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 72.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" width="38">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">No.<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.9pt;" width="113">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jenis/kategori<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 67.5pt;" width="90">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rata-rata pasien/hr<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.95pt;" width="167">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rata-rata jam perawatan
px/hr<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.3pt;" width="112">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jmlh jam perawatan/hr<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" width="38">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.9pt;" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Px Interne<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 67.5pt;" width="90">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">10<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.95pt;" width="167">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3,5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.3pt;" width="112">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">35<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" width="38">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.9pt;" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Px Bedah<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 67.5pt;" width="90">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">8<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.95pt;" width="167">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.3pt;" width="112">
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">32<o:p></o:p></span></div>
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<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" width="38">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.9pt;" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Px Gawat<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 67.5pt;" width="90">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.95pt;" width="167">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">10<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.3pt;" width="112">
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">10<o:p></o:p></span></div>
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<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.9pt;" width="113">
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Px Anak<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 67.5pt;" width="90">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.95pt;" width="167">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4,5<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 84.3pt;" width="112">
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">13,5<o:p></o:p></span></div>
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<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Px Kebidanan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1<o:p></o:p></span></div>
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<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2,5<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2,5<o:p></o:p></span></div>
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<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">23<o:p></o:p></span></div>
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<br /></div>
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<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">93<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif;">Tabel 1. Rata-Rata
Jam Perawatan Pasien Per Hari Berdasarkan Jenis Kasus <o:p></o:p></span></b></div>
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style='mso-spacerun:yes'> </span></span><span lang=EN-US style='font-size:
12.0pt;line-height:150%;font-family:"Times New Roman",serif'>13 perawat<o:p></o:p></span></p>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
menghitung jumlah tenaga tersebut, perlu ditambah dengan faktor koreksi yang
berupa <i>loss day </i>(hari libur, cuti,
hari besar). Penghitungannya menggunakan rumus sebagai berikut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perlu
diketahui bahwa perawat tidak hanya mengerjakan tugas-tugas keperawatan, tetapi
juga mengerjakan tugas-tugas non keperawatan. Dengan demikian, perlu dihitung
pula jumlah perawat guna mengerjakan tugas-tugas non keperawatan tadi. Rumus
yang digunakan adalah sebagai berikut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tugas-tugas non
keperawatan diperkirakan sebesar 25% dari jam pelayanan keperawatan.<o:p></o:p></span></div>
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style='font-size:12.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span>… orang<o:p></o:p></span></p>
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text-align:justify;line-height:150%'>
<span lang=EN-US style='font-size:
12.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span></span><span lang=EN-US style='font-size:
16.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span></span><![if supportFields]><span
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150%;font-family:"Times New Roman",serif'><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>QUOTE </span><span lang=EN-US
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12.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span><span style='mso-element:field-separator'></span></span><![endif]><span
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equationxml="<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <?mso-application progid="Word.Document"?> <w:wordDocument xmlns:aml="http://schemas.microsoft.com/aml/2001/core" xmlns:wpc="http://schemas.microsoft.com/office/word/2010/wordprocessingCanvas" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:mc="http://schemas.openxmlformats.org/markup-compatibility/2006" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:m="http://schemas.openxmlformats.org/officeDocument/2006/math" xmlns:v="urn:schemas-microsoft-com:vml" xmlns:w10="urn:schemas-microsoft-com:office:word" xmlns:w="http://schemas.microsoft.com/office/word/2003/wordml" xmlns:wx="http://schemas.microsoft.com/office/word/2003/auxHint" xmlns:wne="http://schemas.microsoft.com/office/word/2006/wordml" xmlns:wsp="http://schemas.microsoft.com/office/word/2003/wordml/sp2" xmlns:sl="http://schemas.microsoft.com/schemaLibrary/2003/core" w:macrosPresent="no" w:embeddedObjPresent="no" w:ocxPresent="no" xml:space="preserve"><w:ignoreSubtree w:val="http://schemas.microsoft.com/office/word/2003/wordml/sp2"/><o:DocumentProperties><o:Version>14</o:Version></o:DocumentProperties><w:docPr><w:view w:val="print"/><w:zoom w:percent="100"/><w:doNotEmbedSystemFonts/><w:hideSpellingErrors/><w:defaultTabStop w:val="720"/><w:punctuationKerning/><w:characterSpacingControl w:val="DontCompress"/><w:optimizeForBrowser/><w:allowPNG/><w:validateAgainstSchema/><w:saveInvalidXML w:val="off"/><w:ignoreMixedContent w:val="off"/><w:alwaysShowPlaceholderText w:val="off"/><w:compat><w:breakWrappedTables/><w:snapToGridInCell/><w:wrapTextWithPunct/><w:useAsianBreakRules/><w:dontGrowAutofit/></w:compat><wsp:rsids><wsp:rsidRoot wsp:val="00464397"/><wsp:rsid wsp:val="00000777"/><wsp:rsid wsp:val="000B4F42"/><wsp:rsid wsp:val="000C0B95"/><wsp:rsid wsp:val="001566EB"/><wsp:rsid wsp:val="001852AC"/><wsp:rsid wsp:val="001C00DE"/><wsp:rsid wsp:val="001C6928"/><wsp:rsid wsp:val="00234D13"/><wsp:rsid wsp:val="003A18AC"/><wsp:rsid wsp:val="003C1ED4"/><wsp:rsid wsp:val="00402C40"/><wsp:rsid wsp:val="00464397"/><wsp:rsid wsp:val="00466368"/><wsp:rsid wsp:val="004935A1"/><wsp:rsid wsp:val="0056060A"/><wsp:rsid wsp:val="005D794A"/><wsp:rsid wsp:val="00605E38"/><wsp:rsid wsp:val="00630EB5"/><wsp:rsid wsp:val="00853F14"/><wsp:rsid wsp:val="009A4D1F"/><wsp:rsid wsp:val="009D0E6A"/><wsp:rsid wsp:val="009E6790"/><wsp:rsid wsp:val="00A532F2"/><wsp:rsid wsp:val="00A942B3"/><wsp:rsid wsp:val="00AB7C8B"/><wsp:rsid wsp:val="00B405E4"/><wsp:rsid wsp:val="00B728E4"/><wsp:rsid wsp:val="00BF3880"/><wsp:rsid wsp:val="00C32038"/><wsp:rsid wsp:val="00C924EA"/><wsp:rsid wsp:val="00D76600"/><wsp:rsid wsp:val="00D76834"/><wsp:rsid wsp:val="00DD0723"/><wsp:rsid wsp:val="00E26777"/><wsp:rsid wsp:val="00E83D0E"/><wsp:rsid wsp:val="00EB6E46"/><wsp:rsid wsp:val="00F3572E"/><wsp:rsid wsp:val="00F45CB8"/><wsp:rsid wsp:val="00F70C95"/><wsp:rsid wsp:val="00FB108C"/><wsp:rsid wsp:val="00FE31A3"/></wsp:rsids></w:docPr><w:body><wx:sect><w:p wsp:rsidR="00000000" wsp:rsidRDefault="009A4D1F" wsp:rsidP="009A4D1F"><m:oMathPara><m:oMath><m:f><m:fPr><m:ctrlPr><w:rPr><w:rFonts w:ascii="Cambria Math" w:h-ansi="Cambria Math"/><wx:font wx:val="Cambria Math"/><w:i/><w:sz w:val="28"/><w:sz-cs w:val="28"/></w:rPr></m:ctrlPr></m:fPr><m:num><m:r><w:rPr><w:rFonts w:ascii="Cambria Math" w:h-ansi="Cambria Math"/><wx:font wx:val="Cambria Math"/><w:i/><w:sz w:val="28"/><w:sz-cs w:val="28"/></w:rPr><m:t>13+3,5 x 25</m:t></m:r></m:num><m:den><m:r><w:rPr><w:rFonts w:ascii="Cambria Math" w:h-ansi="Cambria Math"/><wx:font wx:val="Cambria Math"/><w:i/><w:sz w:val="28"/><w:sz-cs w:val="28"/></w:rPr><m:t>100</m:t></m:r></m:den></m:f><m:r><w:rPr><w:rFonts w:ascii="Cambria Math" w:h-ansi="Cambria Math"/><wx:font wx:val="Cambria Math"/><w:i/><w:sz w:val="28"/><w:sz-cs w:val="28"/></w:rPr><m:t>=</m:t></m:r></m:oMath></m:oMathPara></w:p><w:sectPr wsp:rsidR="00000000"><w:pgSz w:w="12240" w:h="15840"/><w:pgMar w:top="1440" w:right="1440" w:bottom="1440" w:left="1440" w:header="720" w:footer="720" w:gutter="0"/><w:cols w:space="720"/></w:sectPr></wx:sect></w:body></w:wordDocument>">
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style='mso-element:field-end'></span></span><![endif]><span lang=EN-US
style='font-size:14.0pt;mso-bidi-font-size:12.0pt;line-height:150%;
font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span></span><span lang=EN-US style='font-size:
12.0pt;line-height:150%;font-family:"Times New Roman",serif'>4,1 orang<o:p></o:p></span></p>
<p class=MsoNormal align=center style='text-align:center'>
<span lang=EN-US><o:p> </o:p></span></p>
</div>
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</tr>
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<!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah tenaga keperawatan
dibutuhkan adalah sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah tenaga keperawatan
= tenaga tersedia + faktor koreksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 180.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> = 16,5 + 4,1 = 20,6 orang (dibulatkan
menjadi 21 <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 180.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> perawat).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadi, jumlah tenaga yang
dibutuhkan diruangan tersebut adalah 21 orang perawat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
kebutuhan SDM keperawatan berdasarkan tingkat ketergantungan pasien dibedakan
menjadi beberapa kategori, antara lain sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Asuhan keperawatan
minimal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Asuhan keperawatan sedang
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Asuhan keperawatan agak
berat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Asuhan keperawatan
maksimal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berikut
adalah contoh kasus diruang rawat inap. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-indent: 36.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">RATA-RATA JAM PERAWATAN PASIEN PER-HARI<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-indent: 36.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BERDASARKAN TINGKAT KETERGANTUNGAN<o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 32.4pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">No.<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.3pt;" valign="top" width="162">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kategori Tingkat
Ketergantungan**)<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.15pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rata-Rata Jumlah
Pasien/Hari*)<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.15pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah Jam Perawatan
/Hari<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.2pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah Jam
Perawatan/Hari<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4. <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.3pt;" valign="top" width="162">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Askep Minimal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Askep Sedang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Askep Agak Berat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Askep Maksimal<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.15pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">11<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.15pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3,08<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4,15<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6,16<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.2pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">14<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">21,56<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">45,65<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6,16<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td colspan="2" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.3pt;" valign="top" width="198">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.15pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">26<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.15pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.2pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">87,37<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-indent: 36.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif;">Tabel 2.
Rata-Rata Jam Perawatan Pasien Per-Hari Berdasarkan Tingkat Ketergantungan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif;">Keterangan: *)
berdasarkan penelitian diluar negeri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif;"> **) penjelasan terlampir<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah perawat yang dibutuhkan adalah
sebagai berikut.<o:p></o:p></span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="6" width="140"></td>
</tr>
<tr>
<td></td>
<td><img alt="Rounded Rectangle: jumlah perawat
" height="120" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image012.png" v:shapes="Rounded_x0020_Rectangle_x0020_1" width="421" /></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
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style='mso-spacerun:yes'> </span>jumlah perawat</span><span lang=EN-US
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk menghitung
jumlah SDM keperawatan yang dibutuhkan, perlu ditambah dengan faktor koreksi
dengan rumus sebagai berikut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hasil penghitungan
diatas tadi perlu ditambah lagi dengan kegiatan perawat yang menjalankan
tugas-tugas non-keperawatan diperkirakan 25% dari jam pelayanan keperawatan.<o:p></o:p></span></div>
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<!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
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<br />
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah tenaga keperawatan
dibutuhkan adalah sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah tenaga keperawatan
= tenaga tersedia + faktor koreksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">= 15,9 + 3,9 = 19,8 orang
(dibulatkan menjadi 20 perawat).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadi
jumlah tenaga yang dibutuhkan diruangan tersebut adalah 20 orang perawat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
kebutuhan SDM keperawatan berdasarkan Rumus Douglas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Selain penghitungan
Depkes (2002), ada cara penghitungan lain, yaitu dari Douglas (1992), ini
mengacu pada klasifikasi pasien berdasarkan tingkat ketergantungan sebagai
berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">KLASIFIKASI PASIEN BERDASARKAN TINGKAT <o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 31.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">KETERGANTUNGAN<o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 36.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td rowspan="3" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pasien
<o:p></o:p></span></div>
</td>
<td colspan="9" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 380.65pt;" valign="top" width="508">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klasifikasi
Pasien<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td colspan="3" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 137.95pt;" valign="top" width="184">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Minimal<o:p></o:p></span></div>
</td>
<td colspan="3" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.35pt;" valign="top" width="162">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Parsial<o:p></o:p></span></div>
</td>
<td colspan="3" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.35pt;" valign="top" width="162">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Total<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.0pt;" valign="top" width="57">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pagi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.15pt;" valign="top" width="67">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Siang<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Malam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pagi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.75pt;" valign="top" width="56">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Siang<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Malam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pagi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.75pt;" valign="top" width="56">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Siang<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Malam<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.0pt;" valign="top" width="57">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,17<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.15pt;" valign="top" width="67">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,14<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,07<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,27<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.75pt;" valign="top" width="56">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,15<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,10<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,36<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.75pt;" valign="top" width="56">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,30<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,20<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.0pt;" valign="top" width="57">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,34<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.15pt;" valign="top" width="67">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,28<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,14<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,54<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.75pt;" valign="top" width="56">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,30<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,20<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,72<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.75pt;" valign="top" width="56">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,60<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,40<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.0pt;" valign="top" width="57">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,51<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.15pt;" valign="top" width="67">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,42<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,21<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,81<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.75pt;" valign="top" width="56">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,45<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.8pt;" valign="top" width="60">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,30<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.8pt;" valign="top" width="46">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1,08<o:p></o:p></span></div>
</td>
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<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,90<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">0,60<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif;">Tabel 3.
Klasifikasi Pasien Berdasarkan Tingkat Ketergantungan<o:p></o:p></span></b></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh Kasus:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ruang inap X dengan
jumlah pasien sebanyak 20 orang dengan klasifikasi sebagai berikut : 5 orang
pasien dengan klasifikasi minimal, 12 orang pasien dengan klasifikasi parsial,
dan 3 orang pasien dengan klasifikasi total. Jumlah perawat yang dibutuhkan di
ruangan tersebut adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah perawat dinas pagi<o:p></o:p></span></div>
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x 0,17 = 0,85<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah perawat dinas
siang<o:p></o:p></span></div>
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x 0,14 = 0,70<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">12 x 0,15 = 1,80 = 3,4 orang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3 x 0,30 = 0,90<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah perawat dinas
malam<o:p></o:p></span></div>
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" adj="609" strokecolor="#4a7ebb"/><![endif]--><!--[if !vml]--><span style="height: 67px; left: 0px; margin-left: 247px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 24px; z-index: 251665920;"><img height="67" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image021.png" v:shapes="Right_x0020_Brace_x0020_11" width="24" /></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5
x 0,07 = 0,35<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">12 x 0,10 = 1,20 = 2,15 orang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3 x 0,20 = 0,60<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dengan demikian, jumlah
perawat yang dibutuhkan setiap hari adalah 5,17+3,4+2,15= 10,72 (dibulatkan
menjadi 11 orang). Hasil tersebut ditambah lagi dengan perawat yang libur atau
cuti sebanyak lebih kurang 4 orang, 1 orang kepala ruang, dan 2 orang ketua
tim/perawat primer. Jumlah perawat yang dibutuhkan diruang rawat tersebut
adalah 18 orang.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
kebutuhan tenaga perawat berdasarkan rumus Gillies.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perhitungan jumlah
perawat yang dibutuhkan berdasarkan formula Gillies (1989) menggunakan rumus
sebagai berikut.<o:p></o:p></span></div>
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<!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<br /></div>
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<br /></div>
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<br />
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keterangan:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BOR : <i>bed
occupancy rate<o:p></o:p></i></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">TT : tempat tidur<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah hari libur = <i>loss day</i> (hari minggu + cuti + hari
besar) dalam satu tahun sekitar 78 hari.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jam kerja efektif = 7 jam
per shif <o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh kasus:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ruang A mempunyai jumlah
tempat tidur sebanyak 25 buah dengan BOR 80%, rata-rata jam perawatan per hari adalah
4 jam. Jumlah perawat yang dibutuhkan Ruang A: <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadi, kebutuhan perawat
di Ruang A adalah 15 orang. <o:p></o:p></span></div>
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125% = jlh prwt</span><span lang=EN-US><o:p></o:p></span></p>
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<br />
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keterangan :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">TT = tempat tidur<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BOR = <i>Bed
occupancy rate<o:p></o:p></i></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh kasus.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ruang A mempunyai jumlah
tempat tidur sebanyak 25 buah dengan BOR 80%, rata rata jam perawatan perhari
adalah 4 jam. Berapa jumlah perawat yang di butuhkan ruang A :<o:p></o:p></span></div>
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style='font-size:12.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span>x 125% = 22,2 (dibulatkan menjadi 22
orang)<o:p></o:p></span></p>
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<span lang=EN-US><o:p> </o:p></span></p>
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<!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
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<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadi kebutuhan jumlah
perawat di ruang A adalah 22 orang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
jumlah perawat antara rumus Gillies dan rumus PPNI menghasilkan nilai yang
berbeda. Rumus Gillies menghasilkan nilai yang selalu lebih kecil karena Gillies
mengasumsikan bahwa perawat di AS sudah profesional sehingga bekerja lebih
efektif dan efisien.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
penghitungan menggunakan rumus PPNI, hasil penghitungan di kalikan dengan 125%.
Hal ini di asumsikan karena tingkat produktivitas perawat di Indonesia adalah
75% sehingga nilai yang di dapatkan selalu lebih besar di bandingkan rumus Gillies.<u><o:p></o:p></u></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
kebutuhan perawat berdasarkan rumus Ilyas.<u><o:p></o:p></u></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
kebutuhan jumlah perawat berdasarkan rumus Ilyas (2004) adalah sebagai berikut.<o:p></o:p></span></div>
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style='font-size:12.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span>= jumlah perawat<o:p></o:p></span></p>
<p class=MsoNormal>
<span lang=EN-US><o:p> </o:p></span></p>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<br clear="ALL" />
<br />
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keterangan :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">255 = hari kerja efektif
perawat/tahun<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">(365 – (12 hr libur
nasional + 12 hari cuti tahunan) x ¾ = 255 hari)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah ¾ adalah indeks
yang berasal dari karakteristik jadwal kerja perawat di rumah sakit pemerintah
dan swasta yang berbentuk yayasan. Indeks ini diperoleh dari setiap empat hari
kerja efektif jaga malam, perawat mendapat libur satu hari.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ruang
Gawat Darurat<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dasar penghitungan
kebutuhan perawat di ruang gawat darurat adalah sebagai berikut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rata rata jumlah pasien
per hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah jam perawat per
hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jam efektif perawat per
hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh kasus.<o:p></o:p></span></div>
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style='mso-spacerun:yes'> </span>= 10,7 dibulatkan menjadi 11 orang<o:p></o:p></span></p>
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rata jumlah pasien per hari adalah 25 orang, jumlah jam perawatan per orang per
hari adalah 3 jam, dan jam efektif per hari adalah 7 jam. Maka, kebutuhan tenaga keperawatan di ruang gawat darurat
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style='mso-element:field-end'></span></span><![endif]><span lang=EN-US
style='font-size:12.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span>= 3<o:p></o:p></span></p>
<p class=MsoNormal>
<span lang=EN-US><o:p> </o:p></span></p>
</div>
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</v:roundrect><![endif]--><!--[if !vml]--><span style="height: 60px; left: 0px; margin-left: 275px; margin-top: 39px; mso-ignore: vglayout; position: absolute; width: 105px; z-index: 251655680;"><img alt="Rounded Rectangle: = 3
" height="60" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image035.png" v:shapes="Rounded_x0020_Rectangle_x0020_16" width="105" /></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan
<i>loss day</i> seperti rumus sebelumnya di
peroleh hasil sebagai berikut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah yang di peroleh di
tambah dengan <i>loss day</i> :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadi, jumlah perawat yang
di butuhkan di gawat darurat adalah :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">11 + 3 = 14 orang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan kebutuhan
perawat di ruang intensif hampir sama dengan di ruang gawat darurat, namun
pembedanya adalah jumlah jam perawatan di ruang intensif lebih besar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kamar
Operasi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dasar penghitungan tenaga
perawat di kamar operasi menurut Depkes (2002) adalah sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah dan jenis operasi <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah kamar operasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemakaian kamar operasi
(di perkirakan 6 jam perhari) pada hari kerja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tugas perawat di kamar
operasi, instrumentator, perawat sirkulasi (2 orang/tim)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketergantungan pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operasi ringan = 1 jam/operasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operasi sedang = 2 jam/operasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operasi besar = 5 jam/operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumus
yang dipergunakan adalah :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh
kasus :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">RS
‘KAKAK” terdapat 25 operasi / hari dengan rincian sebagai berikut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operasi ringan : 8 orang <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operasi sedang : 10 orang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Operasi besar : 7 orang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah
kebutuhan perawat di kamar operasi RS “KAKAK” adalah<o:p></o:p></span></div>
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style='font-size:12.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span>= 18 + 1 perawat cadangan inti<o:p></o:p></span></p>
<p class=MsoNormal>
<span lang=EN-US><o:p> </o:p></span></p>
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<!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadi
jumlah kebutuhan perawat di kamar operasi adalah 19 orang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rawat
Jalan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut Depkes (2002),
penghitungan kebutuhan tenaga perawat di rawat jalan adalah menggunakan rumus
sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh kasus :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rata rata jumlah pasien
per hari adalah 100<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah jam perawat per
pasien/hari adalah 15 menit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jadi, kebutuhan tenaga
perawat di rawat jalan adalah sebagai berikut.<o:p></o:p></span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="8" width="173"></td>
</tr>
<tr>
<td></td>
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</tr>
</tbody></table>
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style='font-size:12.0pt;line-height:150%;font-family:"Times New Roman",serif'><span
style='mso-spacerun:yes'> </span>= 3,6 dibulatkan menjadi 4<o:p></o:p></span></p>
<p class=MsoNormal>
<span lang=EN-US><o:p> </o:p></span></p>
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<!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hasil yang di peroleh
tersebut di tambah dengan faktor koreksi sebesar 15% dari hasil penghitungan.
Dengan demikian, jumlah perawat yang di butuhkan di rawat jalan adalah 4 + (15%
x 4) = 5 orang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghitungan dengan rumus
- rumus di atas mempunyai kelebihan dan kekurangan. Rumus di atas tidak
seluruhnya sesuai dengan situasi dan kondisi rumah sakit yang ada di tempat
kita. Hasil penghitungan yang di peroleh sangat bervariasi. Hal ini karena
hasil penghitungan tersebut dapat di pengaruhi oleh banyak hal, salah satunya
adalah produktivitas. Semakin tinggi produktivitas tenaga keperawatan,
sebaiknya menggunakan rumus yang menghasilkan nilai terkecil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
itu, guna menghasilkan data dan hasil yang lebih akurat, manajer keperawatan
harus melakukan penghitungan yang lebih teliti terkait dengan klasifikasi
pasien dan jumlah jam perawatan. Pengklasifikasian yang ceroboh dan
penghitungan jumlah jam keperawatan yang tidak akurat akan menghasilkan nilai
yang tidak dapat menjawab persoalan kebutuhan tenaga keperawatan.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 180.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt;">Kasus:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Anda adalah seorang kepala ruang rawat bedah laki-laki
dengan 34 TT dan BOR 85%. Staf anda terdiri dari 15 perawat, 4 POS, 1 tenaga
administrasi, & 3 <span class="u7cp63c">cleaning service</span>. Hasil survey direktur keperawatan saudara
menunjukkan adanya ketidakpuasan dari pelanggan saudara (75% pelanggan ekternal
& 68% pelanggan internal). Bagaimana proses perencanaan saudara menanggapi
permasalahan diatas?<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><br />
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt;">Pembahasan : </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Proses
Perencanaan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt;">Hierarki perencanaan,
meliputi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">: Rumah Sakit Ojo Radiat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Visi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terwujudnya Rumah Sakit Ojo Radiat sebagai
rujukan utama daerah di <span class="u7cp63c">Jawa Barat</span> yang unggul, mandiri dan berkualitas dalam
pelayanan bedah secara holistik tahun 2020.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Misi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Mewujudkan pelayanan
kesehatan profesional, bermutu dan bersahabat untuk mewujudkan kepuasan
pelanggan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Mengembangkan jiwa (sikap
<span class="u7cp63c">mental</span>)
wirausaha dalam menyelenggarakan pelayanan mandiri yang bertumpu pada
pemberdayaan seluruh potensi rumah sakit dan penggolongan kemitraan
seluas-luasnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Menyelenggarakan
pelayanan kesehatan bedah dalam kedudukannya sebagai pusat rujukan daerah,
pendidikan dan pengembangan keilmuan di bidang kesehatan bedah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Menyelenggarakan kegiatan
pendidikan, pelatihan, penelitian dan pengembangan yang bermutu.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hierarki perencanaan
ruang rawat <span class="u7cp63c">Arjuna</span>,
meliputi:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Visi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terwujudnya
ruang rawat bedah laki-laki berkualitas tinggi yang memberikan perawatan secara
holistik tahun 2020.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Misi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Memberikan pelayanan
perawatan bedah laki-laki yang profesional, bermutu dan bersahabat untuk
mewujudkan kepuasan pelanggan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Memberikan perawatan
bedah laki-laki dalam kedudukannya sebagai pusat rujukan daerah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Memberikan
pelatihan-pelatihan kepada tenaga kesehatan untuk meningkatkan kualitas
perawatan bedah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Mendorong dan
memfasilitasi tenaga kesehatan untuk mengadakan penelitian perawatan bedah di
ruang rawat bedah laki-laki.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Filosofi <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Profesional
dalam melayani<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tujuan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tujuan
jangka panjang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Memberikan pelayanan kesehatan yang <span class="u7cp63c">optimal</span>
secara holistik dan berbasis <span class="u7cp63c"><i>evidence based practice</i></span><i>.<o:p></o:p></i></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tujuan
jangka pendek<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Mengoptimalkan proses
penyembuhan klien dengan memberikan asuhan keperawatan yang holistik di ruang
rawat bedah laki-laki<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Mencegah terjadinya
infeksi nosokomial di ruang rawat bedah laki-laki<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Memandirikan klien dan
keluarga pasca operasi dan rehabilitasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Meningkatkan pengetahuan
dan keterampilan tenaga kesehatan secara kontinu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span class="u7cp63c"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Meningkatkan pelayanan
kesehatan yang berbasis <i>evidence <span class="u7cp63c">based practice</span></i><span class="u7cp63c"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kebijakan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gaya kepemimpinan kepala
ruangan bersifat situasional.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kepala ruangan melakukan
sistem <span class="u7cp63c">reward</span>
dan punishment kepada staf.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kepala ruangan melibatkan
stafnya dalam penyelesaian masalah dan pengambilan keputusan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kepala ruangan
mengupayakan kebijakan pelatihan <span class="u7cp63c">klinik</span> tenaga kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Merekomendasikan tenaga
kesehatan yang kinerjanya baik kepada pihak rumah sakit untuk diikutsertakan
dalam program beasiswa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kepala ruangan selalu
mengevaluasi kinerja stafnya setiap satu bulan sekali.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Mengoptimalkan sistem
pendokumentasian keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Memiliki standar
operasional prosedur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Prosedur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Pasien
yang keluar dari ruang UGD akan diantar ke ruang rawat. Di ruang rawat, bagian
administrasi akan menerima informasi penerimaan pasien baru tersebut dengan
rincian:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">informasi kelas yang akan
dipilih<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">informasi pola tarif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">informasi persyaratan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">tanda tangan perjanjian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">pengecekan kembali status
klien dan memasukkan ke buku register baru.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><br />
Setelah itu, kepala ruangan memeriksa atau melengkapi informasi atau status
klien dengan memperhatikan surat pengantar rawat pasien dari poli UGD,
memperhatikan instruksi yang tertera dari perawatan di UGD dan melakukan
pengecekan ulang mengenai kelengkapan data pasien. Di lain pihak, perawat
menyiapkan tempat tidur yang siap pakai, lengkap dengan set KDM. Setelah
melengkapi proses administrasi, perawat menerima pasien dengan 5SP (Senyum,
Salam, Sapa, Sopan, Santun, Profesional), kemudian memindahkan pasien ke tempat
tidur yang telah disiapkan, mengatur kenyamanan pasien, memberikan info
mengenai fasilitas yang terdapat di ruangan, lalu memulai proses keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tahap/Langkah Perencanaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Pengumpulan data<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rumah
sakit dan ruang rawat telah memiliki visi & misi yang jelas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rumah
sakit dan ruang rawat telah memiliki SOP yang jelas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rumah
sakit mengadakan pelatihan seminar medikal bedah untuk tenaga kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kapasitas
TT di ruang rawat bedah laki-laki adalah 34 buah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Bed
Occupied Rate (BOR) di ruang rawat bedah laki-laki adalah 85 % (34 x 85 % = 29
TT yang terpakai). Hal ini dikarenakan sesuai standar idealnya BOR adalah
60-85%.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perawat
bersertifikasi bedah 3 orang dari 15 orang (20 %)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Jumlah
perawat yang berusia 31-40 tahun adalah 6 orang (37,5 %) dan berpengalaman.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Ruangan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat 5 kamar untuk
kelas tiga, dengan masing-masing kamar terdiri dari 4 TT non AC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat 2 kamar untuk
kelas dua, dengan masing-masing kamar terdiri dari 4 TT AC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Teradapat 2 kamar untuk
kelas satu, dengan masing-masing kamar terdiri dari 2 TT AC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat 2 kamar isolasi,
dengan masing-masing kamar terdiri dari 1 TT<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kondisi bangunan ruangan
kokoh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Peralatan yang ada di
ruangan bedah lengkap<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hasil
survey direktur keperawatan adanya ketidakpuasan dari pelanggan eksternal
sebesar 75%.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Dalam
satu tahun terakhir terdapat 4 kasus malpraktik yang dikeluhkan oleh keluarga
pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Pada
kotak kritik dan saran terdapat banyak komentar mengenai perawat yang tidak
ramah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Length
of Stay (LOS) di ruang rawat bedah laki-laki adalah 10-12 hari, dengan ALOS
adalah 11 hari.Hal ini tidak sesuai dengan standar ideal LOS yakni 6-9 hari.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rasio
perawat masih kurang jika dibandingkan dengan jumlah tempat tidur/ jumlah
klien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat
80% perawat yang belum memiliki sertifikasi bedah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Dokumentasi
asuhan keperawatan masih kurang baik.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hasil
survey direktur keperawatan adanya ketidakpuasan dari pelanggan internal
sebesar 68%.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hasil
survey kepala ruangan menunjukkan bahwa 67% perawat dan staf lainnya tidak
mengetahui dengan jelas visi misi ruang rawat dan RS.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hanya
terdapat satu publikasi visi misi ruang rawat yang terpajang di figura kecil
yang tidak menarik untuk dibaca di ruang rawat tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tidak
terdapat visi dan misi RS yang terpajang di ruang rawat tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perawat
banyak mengeluhkan sulit untuk mendapat fasilitas untuk melanjutkan pendidikannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Jumlah
S1 keperawatan hanya 2 orang, sementara yang lainnya adalah lulusan D3 dan
masih ada yang SPK.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat
80% perawat yang belum mendapat sertifikasi bedah, padahal mereka bekerja di
ruang rawat bedah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perawat
mengaku masih bingung dan belum tahu jelas mengenai SOP asuhan keperawatan
bedah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tidak
adanya SOP tertulis di ruang rawat tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Beban
kerja perawat cukup berat dan melelahkan karena tidak sesuai dengan proporsi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Sebagai
RS tipe B, seharusnya rasio perawat: TT yaitu 1:1, sehingga dengan 34 TT
seharusnya tersedia 34 perawat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rumah
sakit menjalin link atau hubungan kerjasama dengan organisasi PPNI<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Adanya
PPNI komisariat RS yang menaungi profesi keperawatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Satu
orang perawat pendidikan D3 keperawatan sedang melanjutkan pendidikan S1 Keperawatan
dan masih tetap bekerja<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Berdasarkan
usia tenaga keperawatan antara lain,<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Usia 20-25 tahun : 4
orang (25 %)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Usia 26-30 tahun : 6
orang (37,5 %)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hal ini dikarenakan ada peluang untuk
melanjutkan ke jenjang pendidikan yang lebih tinggi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">RS
kurang mensosialisasikan SOP keperawatan dengan baik.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Realisasi
program beasiswa dari RS kurang dirasakan oleh perawat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Buku
Pedoman Pasien baru belum sempurna (catatan perkembangan, petugas yang
mera-wat, persiapan pasien pulang dan orientasi penerimaan pasien baru belum
dilaksanakan sesuai pedoman).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Belum
ada rencana dari RS untuk menambah jumlah perawat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kurangnya
pelatihan dan workshop untuk perawat. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Di
sekitar rumah sakit terdapat rumah sakit swasta lainnya yang memiliki fasilitas
lengkap.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Banyak
klien yang mengeluhkan kepada kepala ruangan bahwa perawat kurang memberikan
pendidikan kesehatan pada klien sehingga klien tidak mendapatkan informasi yang
jelas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Banyak
keluarga klien yang mengatakan kepada kepala ruang rawat bahwa perawat kurang
ramah dan jarang tersenyum.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Analisis lingkungan </span><span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: Calibri; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">
Analisa SWOT<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Strength :<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rumah
sakit dan ruang rawat telah memiliki visi & misi yang jelas<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rumah
sakit dan ruang rawat telah memiliki SOP yang jelas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rumah
sakit mengadakan pelatihan seminar medikal bedah untuk tenaga kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kapasitas
TT di ruang rawat bedah laki-laki adalah 34 buah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Bed
Occupied Rate (BOR) di ruang rawat bedah laki-laki adalah 85 % (34 x 85 % = 29
TT yang terpakai). Hal ini dikarenakan sesuai standar idealnya BOR adalah
60-85%.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perawat
bersertifikasi bedah 3 orang dari 15 orang (20 %)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Jumlah
perawat yang berusia 31-40 tahun adalah 6 orang (37,5 %) dan berpengalaman.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Ruangan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat 5 kamar untuk
kelas tiga, dengan masing-masing kamar terdiri dari 4 TT non AC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat 2 kamar untuk
kelas dua, dengan masing-masing kamar terdiri dari 4 TT AC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat 2 kamar untuk
kelas satu, dengan masing-masing kamar terdiri dari 2 TT AC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat 2 kamar isolasi,
dengan masing-masing kamar terdiri dari 1 TT<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kondisi bangunan ruangan
kokoh<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Peralatan yang ada di
ruangan bedah lengkap<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Weakness</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hasil
survey direktur keperawatan adanya ketidakpuasan dari pelanggan eksternal
sebesar 75%.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Dalam
satu tahun terakhir terdapat 4 kasus malpraktik yang dikeluhkan oleh keluarga
pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Pada
kotak kritik dan saran terdapat banyak komentar mengenai perawat yang tidak
ramah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Length
of Stay (LOS) di ruang rawat bedah laki-laki adalah 10-12 hari, dengan ALOS
adalah 11 hari.Hal ini tidak sesuai dengan standar ideal LOS yakni 6-9 hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rasio
perawat masih kurang jika dibandingkan dengan jumlah tempat tidur/ jumlah
klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat
80% perawat yang belum memiliki sertifikasi bedah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Dokumentasi
asuhan keperawatan masih kurang baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hasil
survey direktur keperawatan adanya ketidakpuasan dari pelanggan internal
sebesar 68%.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hasil
survey kepala ruangan menunjukkan bahwa 67% perawat dan staf lainnya tidak
mengetahui dengan jelas visi misi ruang rawat dan RS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hanya
terdapat satu publikasi visi misi ruang rawat yang terpajang di figura kecil
yang tidak menarik untuk dibaca di ruang rawat tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tidak
terdapat visi dan misi RS yang terpajang di ruang rawat tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perawat
banyak mengeluhkan sulit untuk mendapat fasilitas untuk melanjutkan
pendidikannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Jumlah
S1 keperawatan hanya 2 orang, sementara yang lainnya adalah lulusan D3 dan
masih ada yang SPK.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Terdapat
80% perawat yang belum mendapat sertifikasi bedah, padahal mereka bekerja di
ruang rawat bedah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perawat
mengaku masih bingung dan belum tahu jelas mengenai SOP asuhan keperawatan
bedah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tidak
adanya SOP tertulis di ruang rawat tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Beban
kerja perawat cukup berat dan melelahkan karena tidak sesuai dengan proporsi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Sebagai
RS tipe B, seharusnya rasio perawat: TT yaitu 1:1, sehingga dengan 34 TT
seharusnya tersedia 34 perawat.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Opportunity</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rumah
sakit menjalin link atau hubungan kerjasama dengan organisasi PPNI<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Adanya
PPNI komisariat RS yang menaungi profesi keperawatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Satu
orang perawat pendidikan D3 keperawatan sedang melanjutkan pendidikan S1
Keperawatan dan masih tetap bekerja<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Berdasarkan
usia tenaga keperawatan antara lain,<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Usia 20-25 tahun : 4 orang
(25 %)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Usia 26-30 tahun : 6
orang (37,5 %)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hal ini dikarenakan ada peluang untuk
melanjutkan ke jenjang pendidikan yang lebih tinggi.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Threat</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">RS
kurang mensosialisasikan SOP keperawatan dengan baik.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Realisasi
program beasiswa dari RS kurang dirasakan oleh perawat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Buku
Pedoman Pasien baru belum sempurna (catatan perkembangan, petugas yang merawat,
persiapan pasien pulang dan orientasi penerimaan pasien baru belum dilaksanakan
sesuai pedoman).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Belum
ada rencana dari RS untuk menambah jumlah perawat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kurangnya
pelatihan dan workshop untuk perawat. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Di
sekitar rumah sakit terdapat rumah sakit swasta lainnya yang memiliki fasilitas
lengkap.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Banyak
klien yang mengeluhkan kepada kepala ruangan bahwa perawat kurang memberikan
pendidikan kesehatan pada klien sehingga klien tidak mendapatkan informasi yang
jelas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Banyak
keluarga klien yang mengatakan kepada kepala ruang rawat bahwa perawat kurang
ramah dan jarang tersenyum.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB 3<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perencanaan
adalah sejumlah keputusan yang menjadi pedoman untuk mencapai suatu tujuan
tertentu (Hasibuan, 2005). Perencanaan dalam manajemen keperawatan memiliki
perumusan visi, misi, filosofi dan tujuan. Jenis perencanaan dalam manajemen
keperawatan terdapat 3 jenis, antara lain rencana harian, bulanan dan tahunan.
Di dalam perencanaan manajemen keperawatan juga terdapat perencanaan SDM
keperawatan. Tujuan dari perencanaan SDM keperawatan antara lain:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menentukan kualitas dan
kuantitas tenaga keperawatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">The
right man on the right place and the right man on the right job </span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">(efektivitas
dan efisiensi).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjamin tersedianya
tenaga keperawatan masa sekarang maupun masa mendatang.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menghindari tumpang
tindih pelaksanaan tugas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempermudah koordinasi,
integrasi, dan sinkronisasi (KIS).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjadi pedoman dalam
menetapkan program penarikan, seleksi, pengembangan, kompensasi,
pengintegrasian, pemeliharaan, kedisiplinan, dan pemberhentian karyawan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjadi pedoman dalam
melaksanakan mutasi dan pensiun tenaga keperawatan.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Asmuji.
2012. <i>Manajemen Keperawatan : Konsep dan
Aplikasi</i>. Jogjakarta : Ar-Ruzz Media.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-56931845081973898682016-05-16T08:44:00.003-07:002016-05-16T08:44:53.224-07:00Cara Mengkafani Jenazah<div align="center" class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">MENGKAFANI JENAZAH<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 200%;">Setelah
jenazah dimandikan maka langkah selanjutnya dalam merawat jenzah yaitu
mengkafani jenazah tersebut dengan sebaik – baiknya, sesuai hadits :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 21.3pt;">
<i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 200%;">“Apabila salah seorang diantara kamu mengkafani jenazah
saudaranya, hendaklah dibaikkan kafannya” (HR Muslim).<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 200%;">M</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: .15pt; line-height: 200%;">e</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: -.1pt; line-height: 200%;">n</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: .05pt; line-height: 200%;">g</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">k<span style="letter-spacing: -.05pt;">afa</span><span style="letter-spacing: -.1pt;">n</span>i <span style="letter-spacing: -.05pt;">ma</span><span style="letter-spacing: .05pt;">y</span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.1pt;">b</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: -.05pt;">rar</span>ti<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: -.05pt;">m</span><span style="letter-spacing: -.1pt;">b</span><span style="letter-spacing: .05pt;">u</span><span style="letter-spacing: -.1pt;">n</span><span style="letter-spacing: .05pt;">g</span>k<span style="letter-spacing: -.05pt;">u</span>s<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">ma</span><span style="letter-spacing: .05pt;">y</span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.1pt;">d</span>e<span style="letter-spacing: .05pt;">ng</span><span style="letter-spacing: -.15pt;">a</span>n<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.1pt;">s</span>e<span style="letter-spacing: -.05pt;">l</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: -.05pt;">m</span>b<span style="letter-spacing: -.05pt;">a</span>r k<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .05pt;">i</span>n<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: -.15pt;">a</span>u<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">l</span>eb<span style="letter-spacing: -.05pt;">i</span>h<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">y</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.1pt;">n</span>g b<span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: -.05pt;">a</span>s<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.1pt;">n</span><span style="letter-spacing: .05pt;">y</span>a<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.1pt;">b</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: -.05pt;">r</span><span style="letter-spacing: .05pt;">w</span><span style="letter-spacing: -.05pt;">ar</span><span style="letter-spacing: .05pt;">n</span>a p<span style="letter-spacing: .05pt;">u</span>t<span style="letter-spacing: -.05pt;">i</span><span style="letter-spacing: .05pt;">h</span>,<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: -.1pt;">t</span>e<span style="letter-spacing: .05pt;">l</span><span style="letter-spacing: -.15pt;">a</span>h<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">ma</span><span style="letter-spacing: .05pt;">y</span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: -.05pt;">l</span>es<span style="letter-spacing: -.05pt;">a</span>i<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.1pt;">d</span><span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: -.05pt;">ma</span><span style="letter-spacing: .05pt;">n</span>d<span style="letter-spacing: -.05pt;">i</span>k<span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .05pt;"> </span>d<span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: -.1pt;">b</span>e<span style="letter-spacing: -.05pt;">l</span><span style="letter-spacing: .05pt;">u</span>m
d<span style="letter-spacing: .05pt;">i</span>s<span style="letter-spacing: .05pt;">h</span><span style="letter-spacing: -.15pt;">a</span><span style="letter-spacing: .05pt;">l</span><span style="letter-spacing: -.05pt;">a</span>tk<span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .15pt;">e</span><span style="letter-spacing: -.05pt;">r</span>ta<span style="letter-spacing: .05pt;"> </span>d<span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: -.1pt;">k</span><span style="letter-spacing: .05pt;">u</span>b<span style="letter-spacing: .05pt;">u</span><span style="letter-spacing: -.05pt;">r</span>.
<span style="letter-spacing: .05pt;">Hu</span><span style="letter-spacing: -.1pt;">k</span><span style="letter-spacing: .05pt;">u</span>m <span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: .05pt;">n</span><span style="letter-spacing: -.1pt;">g</span>k<span style="letter-spacing: -.05pt;">afa</span><span style="letter-spacing: .05pt;">n</span>i<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">j</span>e<span style="letter-spacing: .05pt;">n</span><span style="letter-spacing: -.05pt;">a</span>z<span style="letter-spacing: -.05pt;">a</span>h<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: -.05pt;">a</span>u<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">ma</span><span style="letter-spacing: .05pt;">y</span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: .05pt;"> jug</span>a <b><i><span style="letter-spacing: -.05pt;">far</span>d<span style="letter-spacing: .05pt;">l</span>u<span style="letter-spacing: .1pt;"> </span>k<span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: -.05pt;">fa</span><span style="letter-spacing: .05pt;">y</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .05pt;">h</span></i></b>.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Adapun tata cara mengkafani jenazah antara
lain :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Menyiapkan meja atau tempat untuk
meletakkan jenazah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Meletakkan 7 tali kain secara berjajar
dari kepala hingga keki yang berfungsi untuk mengikat jenazah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Meletakkan kain 3 lapis untuk jenzah laki
– laki secara berurutan, sedangkan perempuan 5 lapis termasuk kain basahan,
baju kurung, kerudung dan kain yang menutupi seluruh badannya<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Meletakkan jenazah di atas kain kafan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Melipat kain kafan tersebut dari sebelah
kanan jenazah ke sebelah kiri<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Melipat kain kafan tersebut dari sebelah
kiri jenazah ke sebelah kanan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Mengikatkan tali dengan simpul pada
sebelah kiri kain kafan jenazah <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Hal
– hal yang diperhatikan dalam mengkafani jenazah :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Menggunakan kain putih yang digunakan
untuk menututpi seluruh tubuh jenazah, sesuai dengan hadits Nabi Muhammad S.A.W
yang diriwayatkan oleh at-Tirmidzi:<o:p></o:p></span></div>
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<i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">“Pakailah olehmu kain
putihmu, karena sesungguhnya kain putih itu sebaik – baiknya kainmu dan
kafanilah jenazahmu dengan kain putih itu”(HR at-Tirmidzi)<o:p></o:p></span></i></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Jenazah diberi wangi wangian, kecuali
jenazah yang sedang berihram, maka jangan ditutup kepalanya dan jangan
diberikan wangi – wangian, sesuai dengan hadits Nabi Muhammad S.A.W :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Dari
Ibu Abbas, dia berkata : <i>“Ketika seorang
laki – laki sedang wukuf atau mengerjakan haji bersama – sama Rasulullah S.A.W
di padang Arafah tiba – tiba laki – laki itu terjatuh dari kendaraannya hingga
meninggal. Maka kejadian itu diceritakan kepada Nabi S.A.W. Beliau berkata,
mandikanlah dia dengan air dan daun bidara dan kafanilah dia dengan dua kain
ihramnya. Jangan kamu beri dia wangi – wangian dan jangan tutup kepalanya. Maka
sesungguhnya Allah akan membangkitkan dia nanti pada hari kiamat seperti
keadaannya sewaktu berihram” (HR al-Jamaah).</i><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Mengkafani jenazah laki – laki dengan 3
helai kain, sesuai hadits Nabi Muhammad S.A.W:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">“Dari Aisyah, Rasulullah
S.A.W dikafani dengan tiga lapis kain putih bersih yang terbuat dari kapas
(katun) tanpa memakai gamis dan surban (Muttafaqun ‘alaih).<o:p></o:p></span></i></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Mengkafani jenazah perempuan ada tambahan
kain basahan, baju kurung, kerudung dan kain yang menutupi seluruh badannya,
sesuai dengan hadits Nabi Muhammad S.A.W :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Dari
Laila binti Qanif, ia berkata : <i>“Saya
salah seorang yang turut memandikan Ummi Kalsum binti Rasulullah S.A.W ketika
ia wafat. Yang pertama – tama diberikan oleh Rasululah S.A.W kepada kami ialah
kain basahan, mekudian baju, tutup kepala (kerudung) dan sesudah itu
ditempatkan pada kain yang lain (yang menutupi seluruh badannya), kata Laila.
Sedangkan Nabi berdiri ditengah pintu membawa kafannya dan memberikannya kepada
kami sehelai demi sehelai (HR Ahmad dan Abu Dawud).<o:p></o:p></i></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Jangan berlebih – lebihan dalam hal kafan,
sesuai dengan hadits Nabi Muhammad S.A.W:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Dari
Ali bin Abi Thalib, Rasulullah S.A.W bersabda : <i>“Janganlah kamu berlebih – lebihan (memilih kain yang mahal – mahal
untuk kafan karena sesungguhny akafan itu akan hancur dengan segera (HR Abu
Dawud).<o:p></o:p></i></span></div>
<br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 200%;">Hubungan mempelajari
materi mengkafani jenazah berkaitan dengan keperawatan yaitu bahwa perawat
nantinya bisa menerapkan tata cara dalam mengkafani jenazah jika ada pasien
yang sedang dirawatnya meninggal dunia karena kita sebagai manusia hendaknya
saling memuliakan satu dengan lainnya meskipun orang tersebut sudah meninggal.
Selain itu, dengan masih belum diterapkannya tata cara yang benar dalam
mengkafani jenazah maka diperlukan pembekalan tentang tata cara mengkafani
jenazah baik itu yang laki – laki atau perempuan serta rasa tanggung jawab
sebagai perawat agar hak pasien dengan pelayanan yang layak dapat terpenuhi.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-5430875368484099352016-05-16T08:40:00.003-07:002016-05-16T08:40:39.606-07:00Makalah Transplantasi Ginjal<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB I</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PENDAHULUAN</span></b><b><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Latar Belakang<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Transplantasi ginjal adalah suatu metode
terapi dengan cara "memanfaatkan" sebuah ginjal sehat (yang diperoleh
melalui proses pendonoran) melalui prosedur pembedahan. Ginjal sehat dapat
berasal dari individu yang masih hidup (donor hidup) atau yang baru saja
meninggal (donor kadaver). Ginjal ‘<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">c</span>angkokan’ ini selanjutnya akan mengambil alih fungsi kedua
ginjal yang sudah rusak. Transplantasi (cangkok) ginjal adalah proses
pencangkokan ginjal ke dalam tubuh seseorang melalui tindakan pembedahan.
Ginjal baru bersama ginjal lama yang fungsinya sudah memburuk akan bekerja
bersama-sama untuk mengeluarkan sampah metabolisme dari dalam tubuh.Kedua
ginjal lama, walaupun sudah tidak banyak berperan tetap berada pada posisinya
semula, tidak dibuang, kecuali jika ginjal lama ini menimbulkan komplikasi
infeksi atau tekanan darah tinggi.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada umumnya seseorang dapat hidup normal
dengan satu ginjal.Bila kedua ginjal tidak berfungsi dengan normal, dialisis
dilakukan dimana darah disaring diluar tubuh.Transplantassi pertama kali
berhasil diumumkan pada 4 Maret 1945 di Rumah Sakit Peter Bent Brigham di
Boston, Massachusetts. Operasi ini dilakukan oleh Dr. Joseph E. Murray, yang
pada tahun 1990 menerima nobel dalam fisiologi atau kedokteran.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terapi pengganti pada pasien gagal jantung
terminal ( Renal Replacement Therapy ) bisa dilakukan dengan dialisis (
hemodialisis, dialisis peritoneal ) atau dengan transplantasi ginjal.
Transplantasi ginjal merupakan terapi yang ideal karena menghasilkan
rehabilitasi yang lebih baik dibanding dialisis kronik dan akan menimbulkan
perasaan sehat seperti orang normal. Ada beberapa keuntungan untuk
transplantasi dari donoryangmasih hidup, termasuk kecocokan lebih bagus, donor
daapat dites secara menyeluruh sebelum transplantasi dan ginjal tersebut
cenderung mempunyai jangka hidup lebih panjang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l17 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rumusan masalah<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a. Apa
yang dimaksud dengan transplantasi ginjal?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b. Bagaimana
anatomi fisiologi ginjal ?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c. Apa
etiologi transplantasi ginjal ?<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d. Apa
saja terminologi transplantasi ginjal ?<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e. Faktor-faktor
apa saja yang berperan dalam keberhasilan transplantasi ginjal?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f. Persiapan
apa saja sebelum operasi transplantasi ginjal?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g. Bagaimana
proses transplantasi ginjal ?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h. Komplikasi
apa saja yang muncul setelah transplantasi ginjal ?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i. Apa
saja keuntungan dan kerugian transplantasi ginjal ?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j. Diagnosa
keperawatan apa saja yang mungkin muncul pada pasien transplantasi ginjal ?</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan umum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk memenuhi tugas
mata kuliah Keperawatan Medikal Bedah III dan untuk menambah pengetahuan
mahasiswa transplantasi ginjal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan khusus<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Untuk
mengetahui definisi tentang transplantasi ginjal.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Untuk
mengetahui anatomi fisiologi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Untuk
mengetahui etiologi transplantasi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Untuk
mengetahui terminologi tentang transplantasi ginjal.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Untuk
mengetahui faktor-faktor yang mempengaruhi transplantasi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6. Untuk
mengetahui persiapan operasi transplantasi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7. Untuk
mengetahui proses transplantasi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8. Untuk
mengetahui komplikasi setelah transplantasi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9. Untuk
mengetahui keuntungan dan kerugian transplantasi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10. Untuk
mengetahui diagnosa keperawatan yang mungkin muncul pada pasien transplantasi
ginjal.</span></div>
<a name='more'></a><o:p></o:p><br />
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB II</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PEMBAHASAN<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l19 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengertian
Transplantasi atau Cangkok Ginjal</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Transplantasi adalah pemindahan organ tubuh
yang masih mempunyai daya hidup sehat untuk menggantikan organ tubuh yang tidak
sehat dan tidak bisa berfungsi lagi dengan baik. Transplantasi ginjal atau
cangkok ginjal adalah suatu metode terapi dengan cara memanfaatkan sebuah
ginjal sehat( yang diperoleh melaui pendonoran) melalui prosedur pembedahan.
Ginjal sehat dapat berasal dari individu yang masih hidup ( donor hidup ) atau
yang baru saja meninggal ( donor kadaver). Menurut Brunner and Suddarth
transplantasi ginjal adalah melibatkan menanamkan ginjal dari donor hidup atau
kadaver manusia recepient yang mengalami penyakit ginjal tahap akhir.
Transplantasi ginjaldapat dilakukan secara “cadaveric “( dari seorang yang
telah meninggal ) atau dari donor yang masih hidup ( biasanya anggota keluarga
). Ada beberapa keuntungan untuk transplantasi dari donor yang masih hidup,
termasuk kecocokan lebih bagus, donor dapat dites secara menyeluruh sebelum
transplantasidan ginjal tersebut cenderung mempunyai jangka hidup lebih
panjang.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anatomi fisiologi</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ginjal adalah organ ekresi yang bentuknya
mirip seperti kacang. Ginjal merupakan bagian dari sistem urinari, ginjal
berfungsi sebagai filter kotoran(terutama urea) dari darah dan membuangnya
bersama dengan air dalam bentuk urin. Manusia mempunyai sepasang ginjal yang
terletak dibelakang abdomen.Ginjal terletak disebelah kanan dan kiri tulang
belakang.Ginjal sebelah kiri terletak dibawah hati dan ginjal sebelah kanan
terletak dibawah limpa. Dibagian atas(superior) ginjal terdapat kelenjar
adrenal(juga disebut kelenjar suprarenal). Ginjal bersifat retroperinealyang
berarti terletak dibagian belakang peritoneumyang melapisi rongga abdomen.Kedua
ginjal terletak disekitar vertebra T12 hingga L3.Ginjal kanan letaknya lebih
rendaah dibanding ginjal kiri dikarenakan dibagian atas ginjal kanan terdapat
organ hati yang lumayan besar.Sebagian dari bagian atas ginjal terlindungi oleh
iga kesebelas dan dua belas. Kedua ginjal dibungkus oleh lapisan lemak(lemak
perirenal dan lemak pararenal) yang membantu meredam goncangan.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada orang dewasa setiap ginjal memiliki
ukuran panjang 11 cmdan ketebalan 5 cm dengan berat sekitar 150 gram.Ginjal
memiliki bentuk seperti kacang dengan lekukan yang menghadap kedalam.ditiap
ginjal terdapat bukaan yangdisebut hilus yang menghubungkan arteri renal, vena
renaldan ureter.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bagian paling luar ginjal disebut
korteks.Bagian lebih dalam lagi disebutmedulla.Bagian paling dalam disebut
pelvis.Ginjal dibungkus oleh lapisan jaringan ikat longgar yang disebut
kapsula.Unit fungsional ginjal adalah nefron yang dapat berjumlah lebih dari
satu juta buah dalam ginjal normalmanusia dewasa. Nefron berfungsi sebagai
regulator air dan zat terrlarut (terutama elektrolit) dalam tubuh dengan cara
menyaring darah, kemudian mengabsorpsi cairan dan molekul yang masih diperlukan
tubuh. Molekul dan sisa cairan lainnyadibuang.Reabsorpsi dan pembuangan
dilakukan menggunakan mekanisme pertukaran lawan arusdan kontranspor. Hasil
akhir yang kemudian diekskresikan disebut urin.sebuah nefron terdiri dari
sebuah komponen yang disebut korpuskula(badan Malphigi) yang dilanjutkan oelh
saluran-saluran(tubulus). Setiap korpuskula mengandung gulungan kapiler darah
yang disebut glomerulus yang berada dalam kapsula Bowman.Setiap glomerulus
mendapat aliran darahdari arteri aferen.Dinding kapiler dari glomerulus
memiliki pori-pori untuk filtrasi atau penyaringan.darah dapat disaring melalui
dinding epitelium tipis yang berpori dari glomerulus dan kapsul Bowman karena
adanya tekana dari darah yang mendorong plasma darah. Filtrat yang dihasilkan
akan masuk kedalam tubulus ginjal. Darah yang telah tersaring akan meninggalkan
ginjal lewat arteri eferen. Diantara darah dalam glomerulus dan ruangan berisi
cairan dalam kapsula Bowman terdapat tiga lapisan:<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Kapiler
selapis sel endotelium pada glomerulus<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Lapisan
kaya protein sebagai membran dasar<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Selapisan
sel epitel melapisi dinding kapsula Bowman(podosit).</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dengan bantuan
tekanan, cairan dalam darah didorong keluar dari glomerulus melewati ketiga lapisan
tersebut dan masuk kedalam ruangan dalam kapsula Bowman dalam bentuk filtrat
glomerular.Filtrat plasma darah tidak mengandung sel darah ataupun molekul
protein yang besar.Protein dalam bentuk molekul yang kecil dapat ditemukan
dalam filtrat ini. Darah manusia melewati ginjal sebanyak 350 kali setiap hari
dengan laju 1,2 liter permenit, menghasilkan 122 cc filtrat glomerular
permenitnya. Laju penyaringan glomerular ini digunakan untuk tes diagnosa
fungsi ginjal.Jaringan ginjal warna biru menunjukan satu tubulus.Tubulus ginjal
merupakan lanjutan dari kapsula Bowman disebut tubulus konvulasi proksimal.
Bagian selanjutnya adalah lengkung Henle yang bermuara pad atubulus konvulasi
distal. Lengkung Henle menjaga gradien osmotik dalam perrtukaran lawan arus yang
digunakan untuk filtrasi. Sel yang melapisi tubulus memiliki banyak mitokondria
yang menghasilkan ATP dan memungkinkan terjadinya transpor aktif
untuk menyerap kembali glukossa, asam aminodan berbagai ion mineral. Sebagian
besar air (97,7%) dalam filtrat masuk kedalam tubulus konvulasi dan tubulus
kolektivus melalui osmosis. Cairan mengalir dari tubulus konvulasi distal
kedalam sistem pengumpul yang terdiri dari tubulus penghubung, tubulus
kolektivus kortikal, tubulus kolektivus medularis.Tempat lengkung Henle
bersinggungan dengan arteri aferen disebut aparatus juxtaglomerular mengandung
macula densa dan sel juxtaglomerular.Sel juxtaglomerular adalah tempat
terjadinya sintesis dan sekresi renin.Cairan menjadi semakin kental disepanjang
tubulus dan saluran untuk membentuk urin yang kemudian dibawa kekandungkemih
melewati ureter.</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l19 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> <b>Etiologi</b><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yang menyebabkan seseorang harus dilakukan
transplantasi ginjal adalah penyakit gagal ginjal terminal atau biasa disebut
dengan stadium akhir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l19 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terminologi transplantassi
ginjal</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Beberapa terminologi dalam transplantasi ginjal adalah</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #333333; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> :</span><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l7 level2 lfo6; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Autograft adalah transplantasi dimana jaringan
yang dicangkokan berasal dari individu yang sama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l7 level2 lfo6; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Isograft adalah transplantassi dimana jaringan
yang dicangkokan berasal dari saudara kembar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l7 level2 lfo6; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Allograft adalah transplantasi dimana jaringan
yang dicangkokan berasal dari individu lain dalam satu spesies atau spesies
yangsama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l7 level2 lfo6; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Xenograft adalah transplantasi dimana jaringan
yang dicangkokan berassal dari spesies yang berbeda. Misalnya ginjal binatang
yang ditransplantasikan kepada manusia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l19 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor-faktor yang
berperan dalam keberhasilan transplantasi ginjal</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor-faktor yang mempengaruhi keberhasilan
pada transplantasi ginjal terdiri dari faktor yang bersangkut paut dengan
donor, resepien, faktor imunologis, faktor pembedahan antara lain penanganan
praoperatif dan post-operatif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Donor ginjal<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Donor ginjal dibagi
menjadi dua yaitudonor hidup ( living donor ) dan donor jenasah ( cadaver donor
). Donor hidup dapat berasal dari individu yang mempunyai hubungan keluarga (
living related donor ) atau tidak ada hubungan keluarga (living non related
donor ).Syarat untuk donor hidup, terutama untuk donbor keluarga yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Usia
lebih dari 18 tahun dan kurang dari 65 tahun.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Motivasi
yang tinggi untuk menjadi donor tanpa ada unsur paksaan.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Kedua
ginjal normal.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Tidak mempunyai penyakit yang dapat
menurunkan fungsi ginjal dalamjangka waktu yang lama.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Kecocokan
golongan darah, HLA dan tes silang darah (cross match).<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6. Tidak
mempunyai penyakit menular.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7. Sehat
mental.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8. Toleransi
operasi baik.</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan calon
donor meliputi anamnesa, pemeriksaan fisik lengkap,tes fungsi ginjal,
pemeriksaan golongan darah dan sistem HLA , infeksi virus ( hepatitis B,
hepatitis C, CMV, HIV ), foto dada, ekokardiografi, dan arteriografi ginjal.</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk donor jenasah
biasanya berasal dari pasien yang mengalami mati batang otak akibat kerusakan
otak yang fatal, usia 10-60 tahun, tidak mempunyai penyakit menular, fungsi
ginjal harus baik saat menjelang ajal. Panjang hidup ginjal transplantasi dari
donor jenasah yang meninggal karenana strok, iskemia, tidak sebaik meninggal
karena perdarahan subarachnoid.</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Resepien ginjal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien gagal ginjal
terminal yang potensial menjalani transplantasi ginjal harus dinilai oleh tim
transplantasi. Setelah itu dilakukan evaluasi untuk melakukan persiapan untuk
transplantasi. Sebelum dilakukan transplantasi resepien akan dilakukan
pemeriksaan secara teliti untuk mengetahui adanya hiperrtensi, penyakit pembuluh
darah perifer dan penyakit jantung koroner, ulkus peptikum dan keadaan saluran
kemih. Selain itru, juga dilakukan pemeriksaan laboratorium lengkap termasuk
tanda-tanda infeksi, foto dada, USG, EKG, ekokardiografi, pemeriksaan gigi
geligi dan THT.Syarat resepien transplantasi ginjal adalah :</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dewasa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien yang kesulitan mengalami hemodialisis
dan CAPD</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Saluran kemih bawah harus normal bila ada
kelainan koreksi terlebih dahulu.</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l10 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dapat menjalani imunosupresa dalam jangka
waktu lama dan kepatuhan berobat tinggi.</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; tab-stops: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kontra indikasi</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l11 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Infeksi akut : tuberkulosis, infeksi saluran
kemih, hepatitis akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l11 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Infeksi kronik, bronkiektasis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l11 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aterotema yang berat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l11 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ulkus peptikum yang aktif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l11 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit keganasan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l11 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mal nutrisi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Imunologi transplantasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ginjal donorharus
mempunyai kecocokan dengan ginjal resepien agar transplantasi behasil baik.
Golongan darah yang sama merupakan syarat yang utama. Kesesuaian imunologis
pada transplantasi ginjal dapat diperiksa melalui pola HLA. Bila ginjal tidak
cocok secara imunologis maka akan terjadi reaksi rejeksi. Reaksi ini merupakan
usaha tubuh resepien untuk menolak benda asing yang masuk ketubuhnya. Ada tiga
jenis reaksi rejeksi yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Reaksi
hiperakut yaitu terjadi</span><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">segera dengan beberapa
menit atau beberapa jam setelah klem pembuluh darah dilepas. Dan disebabkan
adanya antibodyterhadap sistem golongan darah atau HLA yang tidak cocok.Rejeksi
hiperaktif tidak bisa diatasi harus dilaksanakan nefrektomi ginjal
cangkok.Reaksi hiperakut sekarang jarang terjadi karena dapat dihindarkan
dengan reaksi silang.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Rejeksi
akut biasanya terjadi dalam waktu 3 bulan pasca transplantassi, dapat
dicetuskan oleh penghentian atau pengurangan dosis obat
imunosupresi.Manifestasi klinis: Demam, mialgia, malaise, nyeri pada ginjal
baru, produksi urine menurun, berat badan meningkat, tekanan darah meningkat,
kreatinin serum meningkat, histopatologi. Terapi rejeksi akut : metil
prednisolon 250 mg – 1 gr IV/hari selama 3 hari, ALG ( Anti Lymphocyte Globulin
), ATG ( Anti Thympocyte Globulin ) atau antibodi monoklons sebagai terapi
alternatif bila tidak teratasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Rejeksi
kronik terjadi setelah berrbulan-bulan atau bertahun-tahun pasca transplantasi.
Pada rejeksi kronik terjadi penurunan fungsi ginjal cangkok. Saat inibelum ada
pengobatan yang spesifik untuk mengobati rejeksi kronik.</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keberhasilan
transplantasi ginjal menurut harapan klinis</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l22 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lama hidup ginjal cangkok ( Graft Survival )<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lama hidup ginjal cangkok sangat dipengaruhi
oleh kecocokan antigen antara donor dan resepien. Waktuparuh ginjal cangkok pada
HLA ( Human Leukocyte Antigens ) identik 20-25 tahun, HLA yang seebagian cocok
( one haplotype match ) 11 tahun dan pada donor jenazah 7 tahun. Lama hidup
ginjal cangkok pada pasien diabetes mellitus lebih buruk daripada pasien non
diabetes.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l22 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #333333; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lama hidup passien ( Patient Survival )<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sumber organ donor sangat mempengaruhi lama
hidup pasien dalam jangka panjang. Lama hidup pasien yang mendapat donor ginjal
hidup lebih baik dibanding donor jenasah, kemungkinan dikarenakan pada donor
jenasah lebih banyak obat imunosupresi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l19 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persiapan pembedahan (
pra-operatif dan pasca operatif )</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persiapan pra-operatif untuk calon resepien
bertujuan untuk : menilai kemampuan menjalani operasi besar, menilai kemampuan
menerima obat imunosupresi untuk jangka waktu yang lama, menilai
status vaskular anastosmosis, menilai traktus urinarius bagian bawah,
menghilangkan semua sumber infeksi, menilai dan mempersiapkan unsur psikis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persiapan pra-operatif untuk calon donor :
menilai kerelaan ( tak ada unsur paksaan atau jual beli ), menilai kemampuan
untuk nefrektomi, menilai akibat jangka panjang ginjaltunggal, menilai
kemungkinaan anastosmosis,menilai kecocokan golongan darah, HLA dan crossmatch.</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat-obat imunosupresi</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk mencegah
terjadinya rejeksi kepada pasien yang mengalami transplantasi ginjal diberikan
obat-obat imunosupresi. Ada beberapa macam obat imunosupresi yangtersedia pada
umumnya dikelompokan menjadi :</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Obat
imunosupresi konvensional : siklosporin-A, kortikosteroid, azatioprin,antibodi
monoklonal OKT-3,antibodi poliklonal ALG ( anti Lymphocte Globulin ), ATG (
Anti Thympocyte Globulin ).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Obat
imunosupresi baru yaitu tacrolimus dan mycophenolate mofetil. Efek samping
tacrolimus hampir sama engan siklosporin, infeksi yang timbul biasanya CMV (
cytomegali virus ), ATG ( anti thympocyte globulin ), ALG ( anti lympocyte
globulin ), MMF( micophinolatemofetil ).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l19 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Proses transplantasi ginjal</span></b><b><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Rekomendasi dokter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Proses
transplantasi dimulai ketika mengetahui bahwa ginjal telah mengalami kerusakan
dan harus mulai untuk mempertimbangkan pilihan pengobatan. Transplantasi
merupakan salah satu pilihan diantara beberapa tindakan tergantung pada
keadaannya. Transplantasi ginjal tidak dapat dilakukan pada setiap orang .
Dokter mungkin menyampaikan bahwa bahaya tranplantasi atau ketidakberhasilan
transplantasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pemeriksaan medis di rumah sakit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Apabila
dokter merekomendasikan untuk transplantasi ginjal, tahap berikutnya adalah
melakukan pemeriksaan medis di rumah sakit, Pemeriksaan pra transplantasi
memerlukan pemeriksaan beberapa minggu atau setiap bulan. Pasien akan diperiksa
golongan darah dan faktor-faktor kesamaan antara donor dan reseipien yang
menentukan apakah tubuh kita akan menerima ginjal dari donor.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tim medis
akan melihat apakah pasien cukup sehat untuk dilakukan operasi. Penyakit
kanker, infeksi, atau penyakit kardiovaskuler akan membuat operasi
transplantasi tidak berhasil. Tim medis akan meyakinkan bahwa pasien memahami
dan mengikuti jadwal pengobatan. Apabila seorang anggota keluarga atau teman
ingin mendonorkan ginjal, maka dia perlu diperiksa kesehatannya dan mengkaji
apakah ginjalnya baik dan cocok dengan ginjal pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penempatan pada masa tunggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Apabila pemeriksaan
medis menunjukkan bahwa pasien dalam kondisi baik untuk melakukan operasi
transplantasi tetapi memiliki anggota keluarga atau teman yang mendonorkan
ginjalnya, maka akan masuk dalam daftar tunggu untuk program transplantasi
untuk menerima ginjal dari deceased donor atau dari seseorang yang telah
meninggal dunia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Periode Tunggu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Beberapa
lama waktu untuk menunggu dilakukan transplantasi tergantung beberapa hal
tetapi utamanya ditentukan oleh derajat kesamaan (matching) antara resipen dan
donor, Beberapa orang menunggu sampai beberapa tahun untuk memperoleh derajat
kesamaan yang baik, meskipun beberapa orang yang lain mendapatkanya dalam
beberapa bulan.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui suitabilitas (kesesuaian) antara donor dan resipien pada 3 (tiga)
faktor yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l9 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Golongan darah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Golongan darah resipien (A,B, AB atau O)
harus coock dengan golongan darah donor<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l9 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Faktor HLA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">HLA atau Human leucoyte Antigen merupakan
suatu genetic marker yang terdapat pada permukaan sel darah putih yang mewarisi
satu set yang terdiri dari 3 antigen dari ibu dan 3 antigen dari ayah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l9 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Antibiotik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem immune memproduksi antibody yang
berkerja secara spesifik melawan sesuatu yang berada di dalam jaringan yang
dimiliki oleh pendonor, Apabila tidak terjadi reaksi, berarti dapat menerima
ginjal dari donor.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Operasi transplantasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pelaksanaan
operasi transplantasi berlangsung kurang lebih, selama tiga jam. Ginjal donor
akan ditempatkan pada abdomen bawah dan disambungkan dengan arteri dan vena
resipien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Apabila
memiliki donor hiup, maka resipien dan donor akan dioperasi dalam waktu yang
sama, secara umur side by side rooms’ Tim operasi pertama sedangkan tim yang
lain mempersiapkan resipien untuk penempatan ginjal yang telah didonorkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Apabila
pada saat masa tunggu memperoleh donor ginjal yang berasal dari orang yang
sudah meninggal, maka harus siap setiap saat segera ke rumah sakit. Sekali
donor diperoleh, amak segera dilakukan pemeriksaan sampel darah untuk
pemeriksaan antibody crossmatch test. Apabila hasil pemeriksaan hasilnya adalah
negatif, yang berarti bahwa antibody resipien tidak bereaksi, maka
transplantasi dapat diproses.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sering
terjadi dimana ginjal yang baru akan mulai memproduksi urin secepat darah mulai
mengalir ke ginjal yang abru, akan tetapi kadang-kadang mulai bekerja dalam
beberapa minggu.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pemulihan dari pembedahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Setelah
menjalani operasi, pasien mungkin akan terasa merasakan sakit dan pusing ketika
bangun. Meskipun beberapa pasien menyatakan merasa lebih baik setelah operasi
dilakukan. Sekalipun ketika bangun merasa lebih baik, pasien tetap memerlukan
untuk tinggal di rumah sakit kira-kira empat hari sampai satu minggu untuk
pemulihan pasca operasi, dan akan lebih lama lagi apabila terjadi komplikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perawatan pasca transplatasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem
imun didesain untuk menjaga kesehatan terhadap serangan dari luar seperti
bakteri dan adanya penolakan, Akan tetapi, system immune juga merasakan bahwa
ginjal yang baru merupakan benda asing untuk menjaga agar tubuh melakukan
penolakan, maka harus diberi obat yang dapat menghentikan atau menekan respon
immune yang berasal dari resipien, yaitu obat immunodepressan dan obat lain
untuk mengatasi masalah kesehatan resipien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kadar
darah harus dimonitor secara teliti, apabila pasien mengalami penurunan fungsi
ginjal. Biopsi ginjal mungkin perlu dilakukan untuk menentukan apakah terjadi
penolakan atau intoksikasi cyclosporine. Penolakan akut terjadi pada pasien
antara 10%- 25% setelah menjalani transplantasi selama 60 hari pertama.
Penolakan tidak berarti kehilangan organ, akan tetapi mungkin memerlukan tindakan
tambahan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Apabila
menjalani hemodialisa perlu pembatasan makanan (posttransplantasi diet). Pasien
supaya lebih banyak minum dan makan sayuran dan buah-buahan. Pasien mungkin
memerlukan sedikit penambahan berat badan., Tetapi tidak terlalu cepat dan
mencegah makanan yang banyak mengandung garam yang dapat meningkatkan tekanan
darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Efek samping immunosupresan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Immunosupresan
dapat menekan system imun, yang dapat memudahkan terjadinya infeksi. Wajah
mungkin tampak bulat (moonface) , peningkatan berat badan, timbil jerawat dan
timbul rambut wajah.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Prognosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hasil
penelitian sekarang mengidikasikan bahwa transplantasi ginjal merupakan suatu
prosedur yang dapat memperpanjang hidup. Pasien akan hidup antara 10 sampai 15
tahun lebih lama dari pada dengan dialysis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada
pasien transplantasi yang usianya lebih kuda, usia harapan hidup menjadi lebih
panjang lagi. Akan tetapi pada pasien yang berusia lebih dari 75 tahun, dapat
rata-rata empat atau lebih .</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l19 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam transplantassi ginjal tidak semuanya
berhasil, tapi kadang akan menimbulkan berbagai
komplikasi.komplikasi-komplikassi tersebut yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Penolakan
pencangkokan</span><span style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yaitu sebuah kekebalan
terhadap organ donor asing yang dikenal oleh tubuh sebagai jarringan
asing.Reaksi tersebut dirangsang oleh reaksi antigen terhadap kesesuaian organ
asing.Reaksi penolakan yang terjadi adalah reaksi penolakan secara klinik yaitu
hiperakut, akut dan kronis.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2. Infeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Infeksi meninggalkan
masalah yang potensial dan mewakili komplikasi yang serius memberikan ancaman
pada tingkatatan kehidupan.Infaksi yang sering dijumpai adalah infeksi sistem
urinari, pneumonia dan sepsis adalah yang paling sering terjadi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3. Komplikasi
sistem urinari<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi sistem
urinari adalah dikarenakan terputusnya ginjal secara spontan. Selain itu,ada
juga komplikasi lain yaitu bocornya urine dari ureteral bladder anastomosisyang
menyebabkan terjadinya urinoma yang dapat memberikan tekanan pada ginjal dan
ureter yang mengurangi fungsi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4. Komplikasi
kardiovasskular<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi ini bisa
berupa komplikasi lokal atau sistem.Hiperrtensi daapat terjadi pada 50%-60%
pada dewasa yang mungkin disebabkan oleh beberapa faktor yaitu stenosis arteri
ginjal, nekrosis tubular akut, penolakan pencangkokan jenis kronik dan akut,
hidronefrosis.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5. Komplikasi
pernafasan<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi pada
pernafasan yang sering terrjadi adalah pneumonia yang disebabkan oleh jamur dan
bakteri.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6. Komplikasi
gasstrointestinal<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi yang
mungkin terjadi adalah komplikasi hepatitis B dan serosis yang dihubungkan
dengan pengunaan obat-obatan hepatotoksik.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7. Komplikassi
kulit<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Karsinoma kulit adalah
yang paling sering terjadi.Penyembuhan luka dapat menjadi lama karena status
nutrisi yangtidak adekuat, serum albumin yang sedikit dan terapi steroid.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8. Komplikasi
– komplikasi yang lain<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi lain yang
mungkin terjadi setelah pencangkokan ginjal adalah diabetes mellitus yang
disebabkan oleh steroid. Akibat terhadap muskuloskeletalyang termasuk adalah
osteoporosis dan miopaty.Nekrosis tulang aseptik adalah disebabkan oleh terapi
kortikosteroid.Masalah reproduksi yang digambarkan dalam frekuensi CRF mmuncul
setelah transplantasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9. Kematian<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rata-rata kematian
setelah 2 tahun pelaksanaan transplantasi tersebut hanya 10%.Biasanya kematian
ini diakibatkan oleh infeksi pada dua tahun pertama setelah dua tahun
pencangkokan telah terjadi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l19 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keuntungan dan
kerugian transplantasi ginjal</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada transplantasi ginjal ada keuntungan dan
kerugiannya terutama bagi resepien. Adapu keuntungannya yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Ginjal
baru akan bekerja sama halnya seperti ginjal normal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Resepien
akan merasa lebih sehat dan normal kembali.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Penderita
tidak perlu melakukan dialisis.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Penderita
mempunyai harapan hidup lebih besar.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Adapun kekurangan
transplantasi ginjal yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Butuh
proses pembedahan besar<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Proses
untuk mendapatkan ginjal lebih lama atau sulit.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Tubuh
bisa menolak ginjal yang didonorkan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Penderita
harus rutin minum obat imunosupresan yang mempunyai banyak efek samping.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">BAB III<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">ASUHAN KEPERAWATAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pengkajian<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pre-operative<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Status nutrisi : kebutuhan nutrisi ,obesitas , penggunaan
obat dan alcohol<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Status pernafasan : pola pernafasan , frekwensi
dan kedalaman<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Status kardiovaskuler :fungsi system
kardiovaskuler<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Fungsi hepatic : fungsi hepar<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Fungsi endokrin: pemeriksaan kadar gula darah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Fungsi imonologi : reaksi alergi sebelumnya ,
medikasi ,transfuse darah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Terapi medikasi sebelumnya : segala medikasi
sebelumnya , termasuk obat –obatan yang dijual bebas dan frekwensi penggunaanya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pertimabanagn gerontology : lansia dianggap
memiliki resiko pembedahan yang lebih buruk dibandingkan pasien yang lebih muda<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pasca
operatif<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Status pernafasan : frekwensi kedalaman , pola
pernafasan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Status sirkulasi dan kehilangan darah :
tanda-tanda vital , tekana darah arteri dan vena sentral , warna dan suhu </span><span lang="EN-US"><a href="http://healthyenthusiast.com/kulit.html" title="kulit"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">kulit</span></a></span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> ,
keluaran urin , keadaan luka insisi , dan selang drainase<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Nyeri : lokasi dan intesitas nyeri sebelum dan
sesudah pemberian analgesic , adanya distensi abdomen<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Drainase ; keluaran urin dan drainase (
jumlah,warna,tipenya ) dari selang yang di pasang pada saat pembedahan,
penurunan atau tidak adanya drainase urin.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Diagnosa
Keperawatan </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l15 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pre-Operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Dx 1 : Ansietas berhubungan dengan prosedur pembedahan dari
transplantasi<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">ginjal.<o:p></o:p></span></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt;">
<tbody>
<tr style="height: 8.8pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td nowrap="" style="height: 8.8pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 35.45pt; margin-right: 12.65pt; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kriteria
hasil : <o:p></o:p></span></div>
</td>
<td nowrap="" style="height: 8.8pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 9.0pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Rasa
cemas berkurang<o:p></o:p></span></div>
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</tr>
<tr style="height: 4.0pt; mso-yfti-irow: 1;">
<td nowrap="" style="height: 4.0pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td nowrap="" style="height: 4.0pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 11.95pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -11.95pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pasien
dapat menyebutkan proses transplantasi ginjal<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.0pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td nowrap="" style="height: 4.0pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td nowrap="" style="height: 4.0pt; padding: 0cm 5.4pt 0cm 5.4pt;" valign="bottom">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Wajah
rileks.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 92.15pt; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Intervensi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Gambarkan persiapan praoperasi pada pasien
termasuk puasa, pemberian infuse, dialysis dan obat praoperasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Terangkan bahwa dialysis mungkin perlu secara
sementara setelah transplantasi ginjal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Jelaskan prosedur pembedahan termasuk dimana
ginjal akan diletakkan dalam abdomen, dan bagaimana ginjal akan berfungsi dan
lamanya pembedahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Gambarkan adanya infus pasca operasi, drain dan
kateter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Diskusikan nyeri insisi, pastikan pasien bahwa
akan ada metode untuk menurunkan nyeri termasuk obat dan pembebatan insisi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Latih cara batuk, nafas dalam, ganti posisi
tidur pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Dorong keterlibatan dengan kelompok pasien yang
telah menjalani transplantasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Gambarkan pernyataan sederhana, ulangi dan
ungkapkan dengan kalimat lain jika perlu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Beri kesempatan pasien untuk mengekspresikan
kecemasannya tentang pembedahan, mengungkapkan berbagai ketidakpastian dan
mengajukan pertanyaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo21; tab-stops: 35.45pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Tawarkan kesempatan pada pasien untuk
memperjelas dengan seseorang yang telah berhasil dan tidak berhasil dalam
transplantasi ginjal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -42.55pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Dx 2 :
Defisit pengetahuan mengenai prosedur dan protocol praoperatif dan harapan
pasca operatif.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 106.35pt; text-align: justify; text-indent: -78.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kriteria hasil : meningkatan pengetahuan
tentang persiapan praoperatif dan harapan pasca operatif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Intervensi ;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l14 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Mengikut sertakan pasien dalam persiapan
praoperatif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l14 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Menjelaskan dan mendemostrasiakn tentang
latihan-latihan pasca operatif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l14 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Memberikan penjelasan yang jelas dan sederhana
tentang perawatan pasca operatif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l14 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Memberikan penjelasan tentang medikasi
praanestesi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l14 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Menganjurkan pasien untuk tetap berada ditempat
tidur sebelum prisedur dilakukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l14 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Menganjurkan pasien untuk rileks selama masa
transformasi keunit operasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l14 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Menjelaskan penggunaan pagar tempat tidur pada
pasien dan keluarga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l14 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l15 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Post
Operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -1.0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Dx1:
Nyeri (akut) berhubungan dengan adanya insisi luka operasi, spasme otot, atau
adanya distensi abdomen/kandung kemih.<o:p></o:p></span></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 14.4pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; width: 554px;">
<tbody>
<tr style="height: 7.65pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td nowrap="" style="height: 7.65pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.4pt;" valign="top" width="139">
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kriteria hasil : <o:p></o:p></span></div>
</td>
<td nowrap="" style="height: 7.65pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 311.25pt;" valign="top" width="415">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 1.7pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -7.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pasien
dapat toleransi terhadap rasa nyeri<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 19.1pt; mso-yfti-irow: 1;">
<td nowrap="" style="height: 19.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.4pt;" valign="top" width="139">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td nowrap="" style="height: 19.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 311.25pt;" valign="top" width="415">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 1.7pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -7.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Ungkapan
rasa nyeri berkurang/hilang<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 11.5pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td nowrap="" style="height: 11.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.4pt;" valign="top" width="139">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td nowrap="" style="height: 11.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 311.25pt;" valign="top" width="415">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 1.7pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -7.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Ekpresi
wajah tenang.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Intervensi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Beri support kepada pasien untuk menggungkapkan
raya nyerinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Atur posisi yang nyaman<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Anjurkan untuk istirahat baring di tempat tidur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pantau skala nyeri nyeri, tentukan lokasi,
jenis factor yang meningkatkan rasa nyeri serta tanda dan gejala yang menunjang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Ciptakan lingkungan yang tenang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Ajarkan tehnik relaksasi (latih nafas dalam)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Longgarkan atau kencangkan bebat daerah yang
sakit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Beri kesempatan untuk istirahat selama nyeri,
buat jadwal aktifitas bila nyeri berkurang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kolaborasi dengan dokter dalam pemberian
analgetik, oksigen dan pemeriksaan penunjang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Berikan obat pengurang rasa sakit dan observasi
30 menit kemudian.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -35.45pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Dx2:
Perubahan eliminasi urine berhubungan dengan transplantasi ginjal, penolakan,
obat-obatan nefrotoksik, gagal ginjal.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kriteria Hasil : Pasien akan mempertahankan keluaran urine yang
adekuat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Intervensi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l6 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Periksa haluaran urine setiap 1 jam pada
awalnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l6 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Catat warna urine adanya bekuan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l6 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Amati dan pertahankan terhadap patensi serta
drainase urine pada setiap kateter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l6 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pertahankan banyaknya volume cairan intravena
untuk membilas ginjal sesuai program<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l6 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Beritahu dokter terhadap adanya kebocoran urine
pada balutan abdomen, nyeri abdomen hebat atau destensi abdomen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l6 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Bila pasien oligouri progresif, teliti
pemeriksaan fungsi ginjal, kaji status hidrasi dan beritahu dokter.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: -1.0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Dx3: Kelebihan volume cairan berhubungan dengan
penurunan haluaran urine, gagal ginjal, penolakkan tranplantasi, tingginya
volume cairan intravena.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -3.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kriteria Hasil : Pasien mengeluarkan urine yang
adekuat dan tidak menahan cairan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Intervensi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Monitor TD dan nadi setiap 1jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Ukur haluaran urine setiap 1jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Timbang BB setiap hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Auskultasi paru-paru setiap pergantian dinas
sesuai indikasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pertahankan keakuratan catatan masuk dan
keluarnya cairan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Beri banyak cairan sesuai program<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Beri obat diuritik sesuai program<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pertahankan mesukan natrium sesuai program<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Laporkan semua temuan abnormal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -21.25pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Dx4:
Resiko terhadap infeksi yang berhubungan dengan imunosupresi<o:p></o:p></span></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 19.6pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; width: 646px;">
<tbody>
<tr style="height: 4.2pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td nowrap="" style="height: 4.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: -5.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kriteria hasil : <o:p></o:p></span></div>
</td>
<td nowrap="" style="height: 4.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 406.65pt;" valign="top" width="542">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 8.8pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pasien
akan mengalami penyembuhan jaringan normal<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 27.45pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td nowrap="" style="height: 27.45pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td nowrap="" style="height: 27.45pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 406.65pt;" valign="top" width="542">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 8.8pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pasien
tidak demam, insisi kering, urine jernih/kuning tanpa sediment, paru-paru
bersih.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Intervensi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Lakukan cuci tangan dengan bersih sebelum,
selama, dan setelah merawat pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Gunakan tehnik aseptik dengan saksama dalam
merawat semua kateter, selang infus sentral, pipa endoktrakheal, dan selang
infuse perifer.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Periksa suhu tubuh setiap 4 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pertahankan lingkungan yang bersih.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Lepaskan kateter secepat mungkin sesuai
program.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Ganti segera balutan yang basah untuk membatasi
media bagi organisme.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Berikan nutrisi yang adekuat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pertahankan integritas kulit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Larang pengunjung dan perawat dengan infeksi
saluran pernapasan aktif untuk kontak dengan pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pantau nilai-nilai laboraturium, khususnya SDP
(sel darah putih) dan periksa spicemen dari drainase yang dicurigai untuk
dikultur dan sensitivitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Inspeksi daerah insisi tiap hari terhadap semua
tanda-tanda inflamasi; nyeri, kemerahan, bengkak, panas, dan drainase.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Auskultasi paru terhadap bunyi nafas setiap 4
jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Anjurkan dan bantu ambulasi dini.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Perhatikan karakter urine dan laporkan bila
keruh dan bau busuk.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Beritahu dokter setiap adanya indikasi infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -21.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Berikan antimicrobical, sesuai program.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Dx5:
Resiko tinggi terhadap cidera berhubungan dengan resiko dari reaksi imun
transplantasi dan efek samping dari obat-obatan imunosupresi, atau kebutuhan
hemodialisa lanjut.<o:p></o:p></span></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 12.5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; width: 593px;">
<tbody>
<tr style="height: 21.15pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td nowrap="" style="height: 21.15pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kriteria
hasil : - <o:p></o:p></span></div>
</td>
<td nowrap="" style="height: 21.15pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 345.35pt;" valign="top" width="460">
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.65pt; text-align: justify; text-indent: 7.1pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pasien akan mempertahankan fungsi ginjal.<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 13.95pt; mso-yfti-irow: 1;">
<td nowrap="" style="height: 13.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td nowrap="" style="height: 13.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 345.35pt;" valign="top" width="460">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 8.75pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Tidak
ada tanda dan gejala reaksi imun<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 15.95pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td nowrap="" style="height: 15.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td nowrap="" style="height: 15.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 345.35pt;" valign="top" width="460">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 8.75pt; mso-add-space: auto; mso-list: l17 level2 lfo3; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Immunosupresan
sesuai toleransi tanpa adanya efek samping<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Intervensi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pantau dan laporkan tanda dan gejala reaksi
imun(kemerahan, bengkak,nyeri tekan diatas sisi transplantasi, peningkatan
suhu, peningkatan sel darah putih, penurunan haluaran urine, peningkatan
proteinuria, peningkatan BB tiba-tiba, peningkatan BUN dan kreatinin, edema).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Periksa tanda-tanda vital setiap 2-4 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Monitor masukan dan haluaran cairan setiap jam
selanjutnya setiap 3 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Kaji akses dialysis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Pantau dan laporkan efek samping dari
obat-obatan immunosupresif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Siapkan pasien untuk operasi mengangkat ginjal
yang ditolak jika terjadireaksi hiperakut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Berikan dukungan kepada pasien dan keluarga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">rencana kerja bila pasien merasa siap.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Libatkan anggota keluarga dalam semua
penyuluhan jika memungkinkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Tekankan kembali perlunya melaporkan lebih awal
tanda-tanda.<o:p></o:p></span></div>
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<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
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<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
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<br /></div>
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<br /></div>
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<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB IV</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PENUTUP<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l7 level3 lfo6; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KESIMPULAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Transplantasi adalah
pemindahan organ tubuh yang masih mempunyai daya hidup sehat untuk menggantikan
organ tubuh yang tidak sehat dan tidak bisa berfungsi lagi dengan baik.
Transplantasi ginjal atau cangkok ginjal adalah suatu metode terapi dengan cara
memanfaatkan sebuah ginjal sehat( yang diperoleh melaui pendonoran) melalui
prosedur pembedahan. Ginjal sehat dapat berasal dari individu yang masih hidup
( donor hidup ) atau yang baru saja meninggal ( donor kadaver). Yang
menyebabkan seseorang harus dilakukan transplantasi ginjal adalah penyakit
gagal ginjal terminal atau biasa disebut dengan stadium akhir. Komplikasi yang
terjadi setelah pencangkokan ginjal adalah penolakan pencangkokan,infeksi,
komplikasi sistem urinari, komplikasi kardiovasskular, komplikasi pernafasan,
komplikasi gastrointestinal, komplikassi kulit, komplikasi – komplikasi yang
lain,kematian.<o:p></o:p></span></div>
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<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l7 level3 lfo6; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">SARAN</span></b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br />
Karena ginjal ‘baru’ ini bukan merupakan ginjal yang berasal dari tubuh pasien
sendiri, maka ada kemungkinan terjadi reaksi tubuh untuk menolak ‘benda asing’
tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk mencegah
terjadinya reaksi penolakan ini,perawat harus memonitor pasien dalam
mengonsumsi obat-obat anti-rejeksi atau imunosupresan segera sesudah menjalani
transplantasi ginjal. Obat-obat imunosupresan bekerja dengan jalan menekan
sistem imun tubuh sehingga mengurangi risiko terjadinya reaksi penolakan tubuh
terhadap ginjal cangkokan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: center;">
<b><span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anderson, Price
Sylvia.2006<i>. Patofisiologi Konsep Klinis
Proses-Proses Penyakit Edisi 6</i>.Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Brunner and Suddarth.
2001. <i>Keperawata Medikal Bedah Edisi 8</i>. Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Charlene, Reeves.
2001. <i>Keperawatan Medikal Bedah</i>. Jakarta : Salemba Medika<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="color: #333333; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Heardman, T.
Heather.2012.<i>Diagnosa Keperawatan NANDA Internasional 2012-2014</i>. Jakarta
: EGC<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="background: white; line-height: 150%; mso-background-themecolor: background1;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Madjid,A.Suharyanto,T.2009.Asuhan
keperawatan pada klien dengan gangguan system perkemihan.Jakarta:trans info
media.Berdiri <o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-33634591379007462172016-05-16T08:36:00.001-07:002016-05-16T08:36:19.506-07:00Askep Batu Ginjal (kalkulus renal)<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
I<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar Belakang<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjal atau kalkulus renal (nefrolitiasis) dapat terbentuk di mana saja di
dalam traktus urinarius kendati paling ditemukan pada piala ginjal (pelvis
renalis) atau kalises. Batu ginjal memiliki ukuran yang beragam dan bisa
soliter atau multiple (Buku Ajar Patofisiologi ; hal.582).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjaal memiliki ukuran dan tipe yang bervariasi. Batu yang kecil dapat tetap
berada di dalam pelvis renis atau turun ke dalam ureter. Batu staghorn
(silinder dari kalises dan system pengumpul/<i>collecting
</i>pelvis renis) dapat terbentuk dari batu yang menetap di dalam ginjal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjal lebih sering terjadi pada laki-laki dibandingkan pada wanita dan jarang
ditemukan pada anak-anak. Batu kalsium umumnya terdapat pada laki-laki berusia
pertengahan dengan riwayat pembentukan batu di dalam keluarga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjal jarang terjadi pada masyarakat kulit hitam di Amerika. Keadaan ini
prevalen di kawasan geografik tertentu seperti Amerika sebelah tenggara (yang
dinamakan “<i>stone belt</i>”), dan keadaan
ini mungkin disebabkan oleh hawa panas yang meningkatkan dehidrasi serta
memekatkan substansi yang membentuk batu atau terjadi karena kebiasaan makan
pada masyarakat setempat. <b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan Masalah<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
latar belakang diatas, kami dapat mengambil rumusan masalah sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa yang dimaksud dengan
kalkulus renal?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa saja etiologi kalkulus
renal?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa saja jenis-jenis
kalkulus renal?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana patofisiologi
terjadinya kalkulus renal?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa saja manifestasi klinis
klien dengan kalkulus renal?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa saja pemeriksaan
diagnostic kalkulus renal?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana penatalaksanaan
klien dengan kalkulus renal?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa saja komplikasi yang
dapat timbul dari kalkulus renal?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana asuhan
keperawatan pada klien dengan kalkulus renal?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
rumusan masalah diatas, kami dapat mengambil tujuan sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan pengertian
kalkulus renal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan etiologi
kalkulus renal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan jenis-jenis
kalkulus renal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan patofisiologi
kalkulus renal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan manifestasi
klinis klien dengan kalkulus renal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan pemeriksaan
diagnostic kalkulus renal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan
penatalaksanaan kalkulus renal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan komplikasi
yang dapat timbul dari kalkulus renal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan asuhan
keperawatan pada klien dengan kalkulus renal.</span></div>
<a name='more'></a><o:p></o:p><br />
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">TINJAUAN
TEORI<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjal atau kalkulus renal (nefrolitiasis) dapat terbentuk di mana saja di
dalam traktus urinarius kendati paling sering ditemukan pada piala ginjal
(pelvis renalis) atau kalises. Batu ginjal memiliki ukuran yang beragam dan
bisa soliter atau multiple (Buku Ajar Patofisiologi ; hal.582).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjal (kalkulus renal) adalah bentuk deposit mineral, paling umum oksalat dan
fosfat; namun asam urat dan kristal lain juga pembentuk batu. Meskipun kalkus
ginjal dapat terbentuk dimana saja dari saluran perkemihan, batu ini paling
umum ditemukan pada pelvis dan kalik ginjal (Marilyn, 2000; 686).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjal (kalkulus renal) adalah batu (kalkuli) di dalam nefron dan keberadaannya
dapat menghambat aliran urin, terjadinya obstruksi, secara perlahan dapat
merusak unit fungsional (nefron) ginjal. Selain itu dapat menyebabkan nyeri
yang luar biasa dan ketidaknyamanan (Smeltzer, 1996 ; 1460).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Etiologi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Meskipun
penyebab pasti tidak diketahui, factor predisposisi terjadinya batu ginjal
meliputi :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dehidrasi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kekurangan cairan (dehidrasi) akan mengakibatkan
ginjal bereaksi dengan cara menahan sebanyak mungkin cairan dan elektrolit
dalam tubuh sehingga jumlah urine yang dihasilkan akan sedikit dan berwarna
pekat yang akhirnya akan mempermudah terbentuknya batu ginjal. Dehidrasi dapat
menimbulkan batu ginjal karena peningkatan konsentrasi substansi yang membentuk
batu di dalam urin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Infeksi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu <i>struvite </i>secara
khas mengendap karena infeksi, khususnya oleh spesies <i>Pseudomonas</i> atau <i>Proteus</i>.
Mikroorganisme pemecah ureum ini lebih sering di jumpai pada wanita.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan pH urine (batu
kalsium karbonat terbentuk pada pH yang tinggi; batu asam urat pada pH yang
rendah)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Obstruksi pada aliran
urine yang menimbulkan statis di dalam traktus urinarius<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Imobilisasi yang
menyebabkan kalsium terlepas ke dalam darah dan tersaring oleh ginjal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Factor metabolic<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Factor makanan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengkonsumsi bahan makanan yang kaya kalsium, oksalat,
purin dan garam secara berlebihan dapat memperbesar risiko menderita batu
ginjal. Batu ginjal kalsium umumnya akan ditemukan pada orang yang banyak
mengonsumsi makanan yang kaya oksalat seperti teh, kopi, soft drink, kokoa, dan
sayur bayam. Sedangkan batu ginjal asam urat lebih tinggi kemungkinannya
diderita oleh orang yang sering mengonsumsi makanan seperti daging, jeroan dan
hasil laut seperti sea food.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyakit renal<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyakit ginjal yang dapat menyebabkan batu ginjal
seperti renal tubular acidosis, cystinuria dan hyperoxaluria<i>.<o:p></o:p></i></span></div>
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</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Asidosis tubulus renalis </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">adalah
suatu <a href="http://id.wikipedia.org/w/index.php?title=Penyakit_ginjal&action=edit&redlink=1" title="Penyakit ginjal (halaman belum tersedia)">penyakit ginjal</a> (renal)
khususnya pada bagian tubulus renalis-nya. Pada penderita penyakit ini, bagian
dari ginjal yang bernama tubulus renalis tidak dapat berfungsi sebagaimana
mestinya, sehingga hanya sedikit <a href="http://id.wikipedia.org/wiki/Asam" title="Asam">asam</a> yang dibuang ke dalam urin. Akibatnya terjadi penimbunan
asam dalam darah, yang mengakibatkan terjadinya asidosis, yakni tingkat
keasamannya menjadi di atas ambang normal.<b><o:p></o:p></b></span></div>
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</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sistinuria
(Cystinuria)</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> adalah suatu penyakit yang jarang
terjadi, yang menyebabkan dikeluarkannya asam amino sistin ke dalam air kemih
dan seringkali menyebabkan pembentukan batu sistin di dalam saluran kemih.
Bisanya karena ada kelainan pada tubulus renalis yang bersifat menurun.<b><o:p></o:p></b></span></div>
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</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hyperoxaluria
</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">adalah oksalat urin melebihi 45 gram/24
jam, banyak dijumpai pada pasien pasca pembedahan usus dan kadar konsumsi
makanan kaya oksalat seperti teh, kopi instan, soft drink, kakao, arbei, jeruk
sitrun dan sayuran hijau terutama bayam.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyakit gout (penyakit
dengan peningkatan produksi asam urat atau penurunan ekskresinya)<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jenis-jenis Batu Ginjal<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
saluran kemih pada umumnya mengandung unsur: kalsium oksalat, kalsium fosfat,
asam urat, magnesium-amonium-fosfat (MAP), xanthyn dan sistin. Pengetahuan
tentang komposisi batu yang ditemukan penting dalam usaha pencegahan kemungkinan
timbulnya batu residif.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
Kalsium</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
kalsium (kalsium oksalat dan atau kalsium fosfat) paling banyak ditemukan yaitu
sekitar 75-80% dari seluruh batu saluran kemih.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
tejadinya batu kalsium adalah:<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hiperkalsiuria</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:
Kadar kalsium urine lebih dari 250-300 mg/24 jam, dapat terjadi karena
peningkatan absorbsi kalsium pada usus (<b>hiperkalsiuria absorbtif</b>),
gangguan kemampuan reabsorbsi kalsium pada tubulus ginjal (<b>hiperkalsiuria
renal</b>) dan adanya peningkatan resorpsi tulang (<b>hiperkalsiuria resoptif</b>)
seperti pada hiperparatiroidisme primer atau tumor paratiroid.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hiperoksaluria</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:
Ekskresi oksalat urin melebihi 45 gram/24 jam, banyak dijumpai pada pasien
pasca pembedahan usus dan kadar konsumsi makanan kaya oksalat seperti teh, kopi
instan, soft drink, kakao, arbei, jeruk sitrun dan sayuran hijau terutama
bayam.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hiperurikosuria</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:
Kadar asam urat urine melebihi 850 mg/24 jam. Asam urat dalam urine dapat
bertindak sebagai inti batu yang mempermudah terbentuknya batu kalsium oksalat.
Asam urat dalam urine dapat bersumber dari konsumsi makanan kaya purin atau
berasal dari metabolisme endogen.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hipositraturia</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:
Dalam urine, sitrat bereaksi dengan kalsium membentuk kalsium sitrat sehingga
menghalangi ikatan kalsium dengan oksalat atau fosfat. Keadaan hipositraturia
dapat terjadi pada penyakit asidosis tubuli ginjal, sindrom malabsorbsi atau
pemakaian diuretik golongan thiazide dalam jangka waktu lama.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hipomagnesiuria</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:
Seperti halnya dengan sitrat, magnesium bertindak sebagai penghambat timbulnya
batu kalsium karena dalam urine magnesium akan bereaksi dengan oksalat menjadi
magnesium oksalat sehingga mencegah ikatan dengan kalsium dengan oksalat.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
Struvit</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu struvit disebut juga batu sebagai batu infeksi
karena terbentuknya batu ini dipicu oleh adanya infeksi saluran kemih. Kuman
penyebab infeksi ini adalah golongan pemecah urea (urea splitter seperti:
Proteus spp., Klebsiella, Serratia, Enterobakter, Pseudomonas dan Stafilokokus)
yang dapat menghasilkan enzim urease dan mengubah urine menjadi basa melalui hidrolisis
urea menjadi amoniak. Suasana basa ini memudahkan garam-garam magnesium,
amonium, fosfat dan karbonat membentuk batu magnesium amonium fosfat (MAP) dan
karbonat apatit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
Urat</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu asam urat meliputi 5-10% dari seluruh batu
saluran kemih, banyak dialami oleh penderita gout, penyakit mieloproliferatif,
pasein dengan obat sitostatika dan urikosurik (sulfinpirazone, thiazide dan
salisilat). Kegemukan, alkoholik dan diet tinggi protein mempunyai peluang
besar untuk mengalami penyakit ini. Faktor yang mempengaruhi terbentuknya batu
asam urat adalah: urine terlalu asam (pH < 6, volume urine < 2 liter/hari
atau dehidrasi dan hiperurikosuria.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Patofisiologi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tipe batu ginjal yang
utama adalah kalsium oksalat dan kalsium fosfat yang menempati 75% hingga 80%
dari semua kasus batu ginjal; batu <i>struvite
</i>(magnesium, ammonium dan fosfat), 15% dan asam urat, 7%. Batu sistin
relatif jarang terjadi dan mewakili 1% dari semua batu ginjal.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjal terbentuk ketika terjadi pengendapan substansi yang dalam keadaan normal
larut di dalam urin, seperti kalsium oksalat dan kalsium fosfat. Dehidrasi
dapat menimbulkan batu ginjal karena peningkatan konsentrasi substansi yang
membentuk batu di dalam urin.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pembentukan
batu terjadi di sekeliling suatu nucleus atau nidus pada lingkungan yang
sesuai. Kristal terbentuk dengan adanya substansi yang membentuk batu (kalsium
oksalat, kalsium karbonat, magnesium, ammonium, fosfat atau asam urat) dan
kemudian terperangkap dalam traktus urinarius. Di tempat ini, kristal tersebut
menarik kristal lain untuk membentuk batu. Urine yang sangat pekat dengan
substansi ini akan memudahkan pembentukan kristal dan mengakibatkan pertumbuhan
batu.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
ginjal dapat terjadi pada papila renal, tubulus renal, kalises, piala ginjal,
ureter, atau dalam kandung kemih. Banyak batu berukuran kurang dari 5 mm, dan
biasanya batu dengan ukuran kecil ini akan keluar sendiri ke dalam urine. Batu
staghorn bisa terus tumbuh di dalam piala ginjal dan meluas ke dalam kalises
sehingga terbentuk batu yang bercabang-cabang dan akhirnya menimbulkan batu
ginjal jika tidak di angkat dengan pembedahan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Batu kalsium memiliki ukuran paling kecil.
Sebagian besar di antaranya berupa kalsium oksalat atau campuran dengan fosfat.
Meskipun 80% kasus bersifat idiopatik, umumnya kasus-kasus tersebut terjadi
bersama hiperurikosuria (keadaan terdapatnya asam urat dengan kadar yang tinggi
di dalam urine). Imobilisasi yang lama dapat menimbulkan demineralisasi tulang,
hiperkalsiuria, dan pembentukan kalkulus. Di samping itu, hiperparatiroidisme,
asidosis tubulus renal dan asupan vitamin D atau kalsium yang berlebihan dari
makanan dapat menjadi faktor predisposisi terbentuknya batu ginjal.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
<i>struvite </i>secara khas mengendap karena
infeksi, khususnya oleh spesies <i>Pseudomonas</i>
atau <i>Proteus</i>. Mikroorganisme pemecah
ureum ini lebih sering di jumpai pada wanita. Batu <i>struvite</i> dapat menghancurkan parenkim renal.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyakit
gout mengakibatkan produksi asam urat yang tinggi, hiperurikosuria dan batu
asam urat. Diet tinggi purin (seperti daging, ikan, dan unggas,) akan menaikkan
kadar asam urat di dalam tubuh. Enteritis regional dan kolitis ulseratif dapat
memicu pembentukan batu asam urat. Penyakit ini sering terjadi pada keadaan
kehilangan cairan dan bikarbonat yang menimbulkan asidosis metabolik. Urine
yang asam akan meningkatkan pembentukan batu asam urat.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sistinuria
merupakan gangguan herediter langka, dan pada kondisi ini terdapat kekeliruan
metabolik yang menyebabkan penurunan reabsorpsi sistin di dalam tubulus renal.
Keadaan ini menyebabkan peningkatan jumlah sistim di dalam urin. Karena sistin
merupakan substansi yang relatif insolubel, keberadaanya turut menyebabkan
pembentukan kalkulus atau batu.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jaringan
parut yang terinfeksi merupakan tempat ideal bagi pembentukan batu. Di samping
itu, kalkulus yang terinfeksi (biasanya batu magnesium amonium fosfat atau batu
staghorn) dapat terbentuk apabila bakteri menjadi nukleus dalam pembentukan
batu.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Stasis
urin memudahkan penimbunan unsur-unsur pembentukan batu yang kemudian saling
melekat dan mendorong terjadinya infeksi yang menambah obstruksi. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batu
dapat masuk ke dalam ureter atau tetap tinggal di dalam piala ginjal. Dalam
piala ginjal, batu tersebut merusak atau menghancurkan parenkim renal dan dapat
menimbulkan nekrosis karena penekanan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Di
dalam ureter, pembentukan batu menyebabkan obstruksi dalam bentuk hidronefrosis
dan cenderung timbul kembali. Nyeri yang membandel dan perdarahan serius juga
dapat terjadi karena batu ginjal dan kerusakan yang ditimbulkan. Batu yang
besar dan kasar akan menyumbat lubang sambungan uteropelvik dan meningkatkan
frekuensi serta kekuatan kontraksi peristaltik sehingga terjadi hematuria
akibat trauma. Biasanya pasien batu ginjal melaporkan rasa nyeri yang menjalar
dari sudut kostovertebral ke bagian pinggang dan kemudian ke daerah suprapubik
serta genitalia eksterna (kolik renal yang klasik). Intensitas nyeri
berfluktuasi dan dapat luar biasa sakitnya ketika intensitas nyeri tersebut
mencapai puncaknya. Pasien dengan batu ginjal di dalam piala ginjal dan kalises
dapat melaporkan nyeri konstan yang tumpul (rasa pegal). Ia juga dapat
melaporkan nyeri punggung jika batu tersebut menyebabkan sumbatan dalam ginjal
dan nyeri abdomen yang hebat bila batu tersebut berjalan ke bawah di sepanjang
ureter. Infeksi dapat terjadi dalam urin yang mengalami stasis atau sesudah
trauma jika batu ini menimbulkan mengikis permukaan saluran kemih. Jika batu
atau kalkulus terperangkap dan menyumbat aliran urine, maka dapat terjadi
hidronefrosis. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pathway</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif;">Dehidrasi, infeksi, obstruksi pada aliran urine,
Factor metabolic, Factor makanan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif;">konsentrasi, kelarutan dan pH
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif;">Factor Imobilitas<o:p></o:p></span></b></div>
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<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Manifestasi Klinis</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nyeri hebat akibat
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nausea dan vomitus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Demam dan menggigil
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hematuria kalau batu
tersebut menimbulkan abrasi ureter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Distensi abdomen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anuria akibat obstruksi
bilateral atau obstruksi pada ginjal yang tinggal satu-satunya dimiliki oleh
pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Diagnostik</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Radiologi :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
radiologi wajib dilakukan pada pasien yang dicurigai mempunyai batu. Pada kasus
ini, diagnosis ditegakkan melalui radiografi. Pemeriksaan rutin meliputi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Foto abdomen dari ginjal,
ureter dan kandung kemih (KUB).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">USG atau excretory
pyelography (Intravenous Pyelography, IVP). Excretory pyelography tidak boleh
dilakukan pada pasien dengan alergi media kontras, kreatinin serum > 2
mg/dL, pengobatan metformin, dan myelomatosis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">CT Scan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">IVP (Intravenous
Pyelography)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
radiologi khusus yang dapat dilakukan meliputi : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Retrograde atau antegrade
pyelography <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Spiral (helical) unenhanced
computed tomography (CT) <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Scintigraphy <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Laboratorium<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
laboratorium rutin meliputi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sedimen urin / tes
dipstik untuk mengetahui sel eritrosit, lekosit, bakteri (nitrit), dan pH urin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kreatinin serum untuk
mengetahui fungsi ginjal. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">C-reactive protein,
hitung leukosit sel B, dan kultur urin biasanya dilakukan pada keadaan demam. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Natrium dan kalium darah
dilakukan pada keadaan muntah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kadar kalsium dan asam
urat darah dilakukan untuk mencari faktor risiko metabolik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
dasar penatalaksanaan adalah untuk menghilangkan batu, menentukan jenis batu,
mencegah kerusakan neuron, mengendalikan infeksi, dan mengurangi destruksi yang
terjadi (Suddarth, 2001 ; 1462-1465).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengurangan
nyeri<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Morfin atau meperiden untuk mencegah syok dan sinkop
akibat nyeri yang luar biasa, mandi air panas atau hangat di area panggul,
pemberian cairan kecuali untuk pasien muntah atau menderita gagal jantung
kongestif. Pemberian cairan yang dibutuhkan mengurangi konsentrasi kristaloid
urin, mengencerkan urin, dan menjamin haluruan yang besar serta meningkatkan
tekanan hidrostatik pada ruang dibelakang batu hingga mendorong masase batu
kebawah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengangkatan
batu<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan sitoskopik dan pasase ureter kecil untuk
menghilangkan batu yang obstruktif. Jika batu terangkat, dapat dilakukan
analisa kimiawi untuk menentukan kandungan batu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terapi
nutrisi dan medikasi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan terapi adalah membuat pengenceran dimana batu
sering berbentuk dan membatasi makanan yang memberikan konstribusi pada
pembentukan batu serta anjurkan klien untuk bergerak agar mengurangi pelepasan
kalsium dari tulang. Tujuan dari pemberian terapi diit rendah protein, rendah
garam adalah pembantu memperlambat pertumbuhan batu ginjal atau membantu mencegah
pembentukan batu ginjal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lithotripsy
gelombang kejut eksternal<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ESWL (Extracorporeal Shock Wave Lithotripsy) merupakan
prosedur non invasive yang digunakan untuk menghancurkan batu dikaliks ginjal.
Setelah batu pecah menjadi bagian kecil seperti pasir, sisa batu akan
dikeluarkan secara spontan. Kebutuhan anestesi bergantung pada tipe lithotripsy
yang digunakan, ditentukan oleh jumlah dan intensitas gelombang kejut yang
disalurkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Metode
endourologi pengangkatan batu<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Endourologi menggabungkan keterampilan ahli radiologi
dan urologi untuk mengangkat batu renal tanpa pembedahan mayor. Nefrostomi
perkutan (nefrolitotomi perkutan) dilakukan dengan nefroskop dimasukkan ke
traktus perkutan yang sudah dilebarkan ke dalam parenkim renal. Batu dapat
diangkat dengan forceps atau jarring, tergantung dari ukuran. Alat ultrasound
dapat dimasukkan melalui selang nefrostomi disertai pemakaian gelombang
ultrasound untuk menghancurkan batu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pelarutan
batu<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Infus cairan kemolitik, misal : agens pembuat basa
(alkylating) dan pembuat asam (acidifying) untuk melarutkan batu dapat
dilakukan sebagai alternative penanganan untuk pasien kurang beresiko terhadap
terapi lain dan menolak metode lain atau mereka yang memiliki batu yang mudah
larut (struvit).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengangkatan
bedah<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dilakukan pada 1%-2% pasien dengan indikasi batu
tersebut tidak berespon terhadap bentuk penanganan lain atau mengkoreksi setiap
abnormalitas anatomik dalam ginjal untuk memperbaiki drainase urin.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Komplikasi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Komplikasi
batu ginjal dapat terjadi menurut Guyton 1990 :<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gagal ginjal<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terjadinya
kerusakan neuron yang lebih lanjut dan pembuluh darah yang disebut kompresi
batu pada membrane ginjal oleh karena suplai oksigen terhambat. Hal ini
menyebabkan iskemik ginjal dan jika dibiarkan menyebabkan gagal ginjal.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Infeksi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam
aliran urin yang statis merupakan tempat yang baik untuk perkembangbiakan
mikroorganisme. Sehingga akan menyebabkan infeksi pada peritoneal.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hidronefrosis<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Oleh
karena aliran urin terhambat menyebabkan urin tertahan dan menumpuk di ginjal
dan lama-kelamaan ginjal akan membesar karena penumpukan urin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Avaskuler iskemia<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terjadi
karena aliran darah ke dalam jaringan berkurang sehingga terjadi kematian
jaringan.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ASUHAN KEPERAWATAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengkajian Fokus<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Di dalam focus pengkajian
ditemukan data dasar pengkajian menurut (marillyn, 2000 hal : 686-687) sebagai
berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aktivitas atau istirahat<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pekerjaan
monoton, pekerjaan dimana pasien terpajan pada lingkungan bersuhu tinggi,
keterbatasan aktivitas atau mobilisasi sehubungan dengan kondisi sebelumnya
(penyakit tidak sembuh, cedera medulla spinalis).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sirkulasi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adanya
peningkatan tekanan darah atau nadi (nyeri, ansietas, gagal ginjal), kulit
hangat, kemerahan dan pucat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Eliminasi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
adanya ISK (Infeksi Saluran Kemih) kronis, obstruksi sebelumnya (kalkulus),
penurunan haluaran urin, kandung kemih penuh rasa terbakar, dorongan berkemih
dan diare. Ditandai adanya oliguria, hematuria, piuria, perubahan pola
berkemih.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Makanan atau cairan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adanya
gejala mual muntah, nyeri tekan abdomen, diet tinggi purin, kalsium oksalat
atau fosfat, ketidakcukupan pemasukan cairan, tidak minum air dengan cukup.
Ditandai dengan distensi abdominal, penurunan atau tidak adanya bising usus dan
muntah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nyeri atau keamanan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala
episode akut nyeri berat, nyeri kolik, lokasinya tergantung pada lokasi batu.
Dengan tanda melindungi, perilaku distraksi, nyeri tekan pada area ginjal pada
palpasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keamanan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penggunaan
alcohol, demam dan menggigil<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyuluhan atau
pembelajaran<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala
riwayat kalkunus dalam keluarga, penyakit ginjal, hipertensi, ISK (Infeksi
Saluran Kencing) kronis, riwayat penyakit usus halus, bedah abdomen sebelumnya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adapun pemeriksaan
penunjang yang mendukung antara lain :<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Urinalisis<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Warna mungkin kuning,
cokelat gelap, berdarah, secara umum menunjukkan SDM (Sel Darah Merah), SDP
(Sel Darah Putih), Kristal (sistin, asam urat, kalsium oksalat), serpihan,
mineral, bakteri, pus, PH mungkin asam (meningkatkan sistin dan batu asam urat)
atau alkalin (meningkatkan magnesium, fosfat ammonium, atau batu kalsium
fosfat)<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Urin
(24 jam)<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kreatinin, asam urat,
kalsium, fosfat, oksalat atau sistin mungkin meningkat<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kultur
urin<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mungkin menunjukkan ISK
(staphylococcus aureus, proteus, klebsiela, pseudomonas).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Survey
biokimia<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Peningkatan kadar
magnesium, kalsium, asam urat, fosfat, protein, elektrolit<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kreatinin
serum dan urin<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Abnormal (tinggi pada
serum atau rendah pada urin) sekunder terhadap tingginya batu obstruktif pada
ginjal menyebabkan iskemia atau nekrosis<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kadar
klorida dan bikarbonat serum<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Peninggian kadar klorida
dan penurunan kadar bikarbonat menunjukkan terjadinya asidosisi tubulus ginjal.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hitung
darah lengkap<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">SDP (Sel Darah Putih)
mungkin meningkat menunjukkan infeksi atau septicemia<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hemoglobin
dan hematocrit<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Abnormal bila pasien
dehidrasi berat atau polisitemia terjadi (mendorong presipitasi pemadatan) atau
anemia (perdarahan, disfungsi atau gagal ginjal).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hormone
paratiroid<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mungkin meningkat bila
ada gagal ginjal, (PTH merangsang reabsorpsi kalsium dari tulang meningkatkan
sirkulasi serum dan kalsium urin)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">10)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Foto rontgen<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menunjukkan adanya
kalkuli dan perubahan pada area ginjal dan sepanjang saluran kemih.</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">11)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">IVP (Intravenous
Pyelography)<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memberikan konfirmasi
cepat urolitiasis seperti penyebab nyeri abdominal pada struktur anatomi
(distensi ureter) dan garis bentuk kalkuli.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">12)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sistoureteroskopi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Visualisasi langsung
kandung kemih dan ureter dapat menunjukkan batu atau obstruksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">13)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">CT scan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengidentifikasi atau
menggambarkan kalkuli dan massa lain : ginjal, ureter, dan distensi kandung
kemih.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">14)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ultrasound ginjal<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk menentukan
perubahan obstruksi, lokasi batu. (Doenges, 2000 hal: 687)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa Keperawatan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan rasa nyaman
nyeri behubungan dengan obstruksi di ureter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan nutrisi kurang
dari kebutuhan tubuh berhubungan dengan nausea dan vomitus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hipertermi berhubungan
dengan infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ansietas berhubungan
dengan nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td colspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 444.15pt;" valign="top" width="592">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Diagnosa
1 : </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gangguan
rasa nyaman nyeri berhubungan dengan obstruksi di ureter<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -54.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tujuan : </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Setelah
dilakukan tindakan keperawatan diharapkan nyeri akan berkurang sampai hilang.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -81.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kriteria hasil : </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Melaporkan
nyeri berkurang sampai hilang; tampak rileks, mampu tidur atau istirahat
dengan tepat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div align="center" class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Intervensi<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div align="center" class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rasional<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Monitor
dan mendokumentasi lokasi nyeri, lamanya intensitas (skala 0-10) dan
penyebaran<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Nyeri
tiba-tiba dan hebat dapat mencetuskan ketakutan, gelisah dan ansietas berat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Jelaskan
penyebab nyeri dan pentingnya melaporkan karakteristik nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Membantu dalam
meningkatkan kemampuan koping pasien dan dapat menurunkan ansietas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Berikan
tindakan nyaman, pijitan punggung<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Meningkatkan
relaksasi, menurunkan ketegangan otot dan meningkatkan koping.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Bantu dan dorong teknik nafas dalam<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Mengarahkan
kembali perhatian dan membantu dalam reaksasi otot.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kolaborasi
pemberian kompres hangat area nyeri<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Menghilangkan
tegangan otot dan dapat menurunkan reflek spasme<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kolaborasi pemberian
analgetik<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Menurunkan
reflek spasme dapat menurunkan kolik dan nyeri.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td colspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 444.15pt;" valign="top" width="592">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -72.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Diagnosa 2 : </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perubahan
nutrisi kurang dari kebutuhan tubuh berhubungan dengan nausea dan vomitus<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tujuan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">
<b>:</b> Setelah dilakukan tindakan
keperawatan kebutuhan nutrisi terpenuhi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kriteria hasil</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">
<b>:</b> mempertahankan berat badan,
tidak terdapat tanda-tanda malnutrisi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div align="center" class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div align="center" class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rasional</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Awasi
konsumsi makanan/cairan per hari<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Membantu
dalam mengindentifikasi defisiensi dan kebutuhan diet.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Anjurkan klien
mempertahankan masukan makanan harian<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Mempertahankan
berat badab secara optimal<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perhatikan
adanya mual atau muntah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Membantu
mengidentifikasi kekurangan nutrisi dan mengetahui gejala yang menyertai
akumulasi toksin endogen yang dapat mengubah pemasukan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Berikan makanan sedikit atau frekuensi
sering<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Meminimalkan
anoreksia dan mual sehubungan dengan status uremik atau menurunnya
peristaltic<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kolaborasi pemberian antiemetic<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Diberikan
untuk menghilangkan mual muntah dan dapat meningkatkan pemasukan oral.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 595px;">
<tbody>
<tr>
<td colspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 446.4pt;" valign="top" width="595">
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Diagnosa
3 : </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Hipertermi berhubungan dengan infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tujuan
: </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Mendemonstrasikan
suhu dalam batas normal.</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kriteria
hasil : </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Menunjukkan
metode yang tepat untuk mengukur suhu, menjelaskan tindakan untuk
mencegah/memimalkan peningkatan suhu tubuh, melaporkan tanda dan gejala dini
hipertermi.</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div align="center" class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Intervensi<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div align="center" class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rasional<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Pantau suhu
pasien (derajat dan pola); mengigil atau diaphoresis<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Untuk mengetahui perubahan suhu pasien setiap 2 jam sekali.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Pamtau suhu
lingkungan, batasi atau tambahkan linen tempat tidur, sesuai indikasi.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Suhu ruangan atau jumlah selimut harus diubah untuk
memepertahankan suhu mendekati normal.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Berikan kompres
mandi hangat, hindari pengunaan alkohol.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Dapat membantu mengurangi demam.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Berikan
antipiretik, misalnya ASA (aspirin,acetominofen (tylenol)).<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Digunakan untuk mengurangi demam dengan aksi sentralnya pada
hipotalamus.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Berikan selimut
pendingin.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Digunakan untuk mengurangi demam umumnya lebih besar dari
39,5-40<sup>o</sup>C.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Anjurkan asupan
cairan oral sedikitnya 2 liter sehari, dengan tambahan cairan selama
aktivitas yang berlebihan atau aktivitas sedang dalam cuaca panas.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Dengan pemenuhan kebutuhan cairan untuk menganti cairan yang
hilang akibat dari terjadi peningkatan suhu tubuh/hipertermi.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.4pt;" valign="top" width="295">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Ajarkan
pasien/keluarga dalam mengukur suhu untuk mencegah dan mengenali secara dini
hipertermia (misalnya: sangat panas, dan keletihan akibat panas)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "DejaVu Sans";">Pemberian pengetahuan cara mengukur suhu tubuh kepada
pasien/keluarga agar dapat melakukkan secara mandiri ketika tidak ada tenaga
medis.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 18.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td colspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 444.15pt;" valign="top" width="592">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Diagnosa
4 : </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Ansietas berhubungan dengan nyeri<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; text-indent: -49.5pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Tujuan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">
<b>: </b>Setelah dilakukan tindakan
keperawatan diharapkan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -81.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kriteria</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">
<b>hasil :</b> Klien menyatakan paham
kondisi dan hubungan tanda gejala dengan proses penyakit<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div align="center" class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div align="center" class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Rasional</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kaji tingkat ansietas klien<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Untuk mengetahui tanda-tanda yang
menyebabkan cemas bertambah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Beri penjelasan
setiap melakukan tindakan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Menjalin
kepercayaan antara klien dengan tenaga kesehatan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.05pt;" valign="top" width="296">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Berikan penkes tentang penyakitnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296">
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Menambah
pengetahuan klien<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div align="right" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: right;">
<br /></div>
<div align="right" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: right;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">(Doenges,
200 hal : 677)<o:p></o:p></span></div>
<div align="right" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: right;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adapun
kesimpulan yang dapat diambil dari pembahasan sebelumnya adalah batu ginjal
(kalkulus renal) yaitu bentuk deposit mineral, paling umum oksalat dan fosfat;
namun asam urat dan kristal lain juga pembentuk batu. Meskipun kalkus ginjal
dapat terbentuk dimana saja dari saluran perkemihan, batu ini paling umum
ditemukan pada pelvis dan kalik ginjal (Marilyn, 2000; 686). Adapun etiologi
dari batu ginjal antara lain dehidrasi, infeksi, perubahan pH urine, obstruksi
pada aliran urine, imobilisasi, faktor metabolic, factor makanan, penyakit
renal dan penyakit gout. Jenis-jenis batu ginjal ada 3 antara lain batu kalsium, batu struvit, batu urat. Manifestasi
klinis dari pasien dengan kalkulus renal antara lain nyeri, nausea dan
vomitus, demam dan menggigil, hematuria, distensi abdomen, anuria akibat
obstruksi bilateral atau obstruksi pada ginjal yang tinggal satu-satunya
dimiliki oleh pasien. Penatalaksanaan pada pasien dengan kalkulus renal antara
lain pengurangan nyeri, pengangkatan batu, terapi nutrisi dan medikasi,
lithotripsy gelombang kejut eksternal, metode endourologi pengangkatan batu,
pelarutan batu, pengangkatan bedah. Sedangkan komplikasinya antara lain gagal
ginjal, infeksi, hidronefrosis, avaskuler iskemia. Asuhan Keperawatan pada
pasien batu ginjal dimulai dari pengkajian sampai tahap evaluasi.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DAFTAR
PUSTAKA<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kowalak, Jennifer P, dkk. 2011. Alih
Bahasa. <i>Buku Ajar Patofisiologi</i>.
Jakarta : EGC<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-62282891836245054652016-05-16T08:31:00.001-07:002016-05-16T08:31:53.580-07:00Askep Glomerulonefritis <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
I<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar
Belakang<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Glomerulonefritis merupakan penyebab
utama terjadinya gagal ginjal tahap akhir dan tingginya angka morbiditas</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> baik</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> pada anak</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> maupun pada
dewasa ( Buku Ajar Nefrologi Anak, edisi 2, hal.323, 2002)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">. Terminologi glomerulonefritis yang
dipakai disini adalah untuk menunjukkan bahwa kelainan yang pertama dan utama
terjadi pada glomerulus, bukan pada struktur ginjal yang lain</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Glomerulonefritis merupakan penyakit
peradangan ginjal bilateral. Peradangan dimulai dalam gromleurus dan
bermanifestasi sebagai proteinuria dan atau hematuria. Meskipun lesi utama pada
gromelurus, tetapi seluruh nefron pada akhirnya akan mengalami kerusakan,
sehingga terjadi gagal ginjal. Penyakit yang mula-mula digambarkan oleh Richard
Bright pada tahun 1827 sekarang diketahui merupakan kumpulan banyak penyakit
dengan berbagai etiologi, meskipun respon imun agaknya menimbulkan beberapa
bentuk glomerulonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.0pt;">
<span lang="EN-US" style="background: white; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Indonesia pada tahun 1995,
melaporkan adanya 170 pasien yang dirawat di rumah sakit pendidikan dalam 12
bulan. Pasien terbanyak dirawat di Surabaya (26,5%), kemudian disusul
berturut-turut di Jakarta (24,7%), Bandung (17,6%), dan Palembang (8,2%).
Pasien laki-laki dan perempuan berbanding 2 : 1 dan terbanyak pada anak usia
antara 6-8 tahun (40,6%).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala glomerulonefritis bisa
berlangsung secara mendadak (akut) atau secara menahun (kronis) seringkali
tidak diketahui karena tidak menimbulkan gejala. Gejalanya dapat berupa
mual-mual, kurang darah (anemia), atau hipertensi. Gejala umum berupa sembab
kelopak mata, kencing sedikit, dan berwarna merah, biasanya disertai
hipertensi. Penyakit ini umumnya (sekitar 80%) sembuh spontan, 10% menjadi
kronis, dan 10% berakibat fatal.</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
yang dimaksud dengan Glomerulonefritis Akut ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
saja etiologi Glomerulonefritis Akut?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
saja manifestasi klinis Glomerulonefritis Akut?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
pathway Glomerulonefritis Akut?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
patofisiologi Glomerulonefritis Akut?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
saja pemeriksaan diagnostic Glomerulonefritis Akut?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
penatalaksanaan Glomerulonefritis Akut?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
proses keperawatan pada klien dengan Glomerulonefritis Akut?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
yang dimaksud dengan Glomerulonefritis Kronik ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
saja etiologi Glomerulonefritis Kronik?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
saja manifestasi klinis Glomerulonefritis Kronik?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
patofisiologi Glomerulonefritis Kronik?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">13.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
pathway Glomerulonefritis Kronik?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">14.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
saja pemeriksaan diagnostic Glomerulonefritis Kronik?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">15.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
penatalaksanaan Glomerulonefritis Kronik?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">16.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
proses keperawatan pada klien dengan Glomerulonefritis Kronik?<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo43; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui definisi Glomerulonefritis Akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui etiologi Glomerulonefritis Akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui manifestasi klinis Glomerulonefritis Akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pathway Glomerulonefritis Akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui patofisiologi Glomerulonefritis Akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pemeriksaan diagnostic Glomerulonefritis Akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui penatalaksanaan Glomerulonefritis Akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui proses keperawatan pada klien dengan Glomerulonefritis Akut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui definisi Glomerulonefritis Kronik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui etiologi Glomerulonefritis Kronik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui manifestasi klinis Glomerulonefritis Kronik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui patofisiologi Glomerulonefritis Kronik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">13.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pathway Glomerulonefritis Kronik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">14.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pemeriksaan diagnostic Glomerulonefritis Kronik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">15.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui penatalaksanaan Glomerulonefritis Kronik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">16.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui proses keperawatan pada klien dengan Glomerulonefritis Kronik.</span></div>
<a name='more'></a><o:p></o:p><br />
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">GLOMERULUS
NEFRITIS AKUT<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Definisi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulo nefritis merupakan inflamasi bilateral glomerulus
yang secara khas terjadi sesudah infeksi streptococcus. Glomerulo nefritis akut
juga dinamakan glomerulo nefritis poststreptococus akut (Kowalak, 2011).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulo nefritis adalah penyakit yang mengenai
glomeruli kedua ginjal. Glomerulonefritis akut yang paling lazim adalah akibat
infeksi streptokokus. Glomerulonefritis akut biasanya terjadi sekitar 2-3
minggu setelah serangan infeksi streptokokus. Faring, tonsil, dan kulit
(empetigo) merupakan tempat infeksi primer (Baradero, 2008).</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<span lang="EN-US" style="background: white; border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; padding: 0cm;">Glomerulonefritis akut adalah
peradangan glomerulus secara mendadak pada kedua ginjal. Peradangan akut
glomerulus terjadi akibat pengendapan kompleks antigen antibody di
kapiler-kapiler glomerulus. Kompleks biasanya terbentuk 7-10 hari setelah
infeksi faring atau kulit oleh streptokokus</span><span style="background: white; border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; padding: 0cm;">. G</span><span lang="EN-US" style="background: white; border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; padding: 0cm;">lomerulonefritis
pascastreptokokus), tetapi dapat juga timbul setelah infeksi lain.
Glomerulonefritis akut lebih sering terjadi pada laki-laki</span><span style="background: white; border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; padding: 0cm;">. <o:p></o:p></span></div>
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<span lang="EN-US" style="background: white; border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; padding: 0cm;">Glomerulonefritis akut (GNA)
ialah suatu reaksi imunologic pada ginjal terhadap bakteri atau virus tertentu.
Yang sering ialah infeksi karena kuman streptokokus. Penyakit ini sering
ditemukan pada anak berumur 3-7 tahun dan lebih sering mengenai anak pria
dibandingkan dengan anak wanita. Glomerulonefritis akut dapat dihasilkan dari
penyakit sistemik atau penyakit glomerulus primer, tapi glomerulonefritis akut
post streptococcus (juga diketahui sebagai glomerulonefritis proliferatif akut)
adalah bentuk keadaan yang sebagian besar terjadi. Infeksi dapat berasal dari
faring atau kulit dengan streptococcus beta hemolitik A adalah yang biasa
memulai terjadinya keadaan yang tidak teratur ini. Stapilococcus atau infeksi
virus seperti hepatitis B, gondok, atau varicela (chickenpox) dapat berperan
penting untuk glomerulonefritis akut pasca infeksi yang serupa
(Porth,2005).<span class="apple-converted-space"> </span></span><span class="apple-converted-space"><span style="background: white; border: 1pt none windowtext; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; padding: 0cm;"><o:p></o:p></span></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Etiologi<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Menurut baradero
(2008), penyebab glomerulo nefritis akut adalah:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Reaksi imunologis
(lupus eritematosus sistemik, infeksi streptococus).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Cidera vaskuler
(hipertensi).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Penyakit metabolik
(diabetes malitus).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Impetigo.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Manifestasi
Klinis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Baradero (2008), manifestasi klinis glomerulus nefritis akut adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap
awal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hematuria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Proteinuria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Azotemia
(peningkatan kadar kreatinin dan nitrogen urea darah dan berkaitan dengan
penurunan laju filtrasi ginjal).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berat
jenis urin meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Laju
endap darah meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Oliguria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tahap
akhir<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bendungan
sirkulasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hipertensi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Edema<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gagal
ginjal tahap akhir<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pathway<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:shapetype coordsize="21600,21600" filled="f" id="_x0000_t32" o:oned="t" o:spt="32" path="m,l21600,21600e">
<v:path arrowok="t" fillok="f" o:connecttype="none">
<o:lock shapetype="t" v:ext="edit">
</o:lock></v:path></v:shapetype><v:shape id="_x0000_s1028" o:connectortype="straight" style="height: 31.65pt; left: 0; margin-left: 429pt; margin-top: 19.35pt; position: absolute; text-align: left; width: 0; z-index: 251660288;" type="#_x0000_t32"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Imunologis Cidera
Vascular Penyakit Metabolic
Impetigo<o:p></o:p></span></v:shape></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -36.0pt;">
<v:shape id="_x0000_s1027" o:connectortype="straight" style="height: 16.95pt; left: 0; margin-left: 336.75pt; margin-top: 13.35pt; position: absolute; text-align: left; width: 0; z-index: 251659264;" type="#_x0000_t32"><v:shape id="_x0000_s1029" o:connectortype="straight" style="height: 16.95pt; left: 0px; margin-left: 3in; margin-top: 14.1pt; position: absolute; width: 0px; z-index: 251661312;" type="#_x0000_t32"><v:shape id="_x0000_s1026" o:connectortype="straight" style="height: 16.95pt; left: 0px; margin-left: 73.9pt; margin-top: 13.9pt; position: absolute; width: 0px; z-index: 251658240;" type="#_x0000_t32"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> (LES, infeksi streptococcus)
(hipertensi) (DM)<o:p></o:p></span></v:shape></v:shape></v:shape></div>
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<v:stroke endarrow="block">
</v:stroke></v:shape><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></b></v:shape></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<v:shape id="_x0000_s1033" o:connectortype="straight" style="height: 16.95pt; left: 0; margin-left: 227.25pt; margin-top: 14.3pt; position: absolute; text-align: left; width: 0; z-index: 251665408;" type="#_x0000_t32"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulonefritis
Akut<o:p></o:p></span></b></v:shape></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<v:shape id="_x0000_s1032" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 58.2pt; margin-top: 10.55pt; position: absolute; text-align: left; width: 0; z-index: 251664384;" type="#_x0000_t32">
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<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1041" o:connectortype="straight" style="height: 23.85pt; left: 0px; margin-left: 413.25pt; margin-top: 10.7pt; position: absolute; width: 0px; z-index: 251673600;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></v:shape></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
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<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1035" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 57pt; margin-top: 14.9pt; position: absolute; text-align: left; width: 0; z-index: 251667456;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kebocoran kapiler glomerulus Terbentuk komplek antigen antibody tidak ada informasi<o:p></o:p></span></div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Defisit Pengetahuan<o:p></o:p></span></b></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1045" o:connectortype="straight" style="height: 31.45pt; left: 0; margin-left: 228pt; margin-top: 18.05pt; position: absolute; text-align: left; width: 65.25pt; z-index: 251677696;" type="#_x0000_t32"><v:rect id="_x0000_s1044" style="height: 25.2pt; left: 0px; margin-left: 323.25pt; margin-top: 18.05pt; position: absolute; width: 127.5pt; z-index: 251676672;">
<v:textbox>
<!--[if !mso]-->
<!--[endif]--></v:textbox>
</v:rect><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> dalam darah <o:p></o:p></span></v:shape></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Protein dan sel darah merah <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1047" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 207.75pt; margin-top: 8.3pt; position: absolute; text-align: left; width: 0; z-index: 251679744;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1046" o:connectortype="straight" style="flip: x; height: .05pt; left: 0; margin-left: 207.75pt; margin-top: 8.1pt; position: absolute; text-align: left; width: 172.5pt; z-index: 251678720;" type="#_x0000_t32"><v:shape id="_x0000_s1048" o:connectortype="straight" style="height: 23.85pt; left: 0px; margin-left: 380.25pt; margin-top: 8.3pt; position: absolute; width: 0px; z-index: 251680768;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1036" o:connectortype="straight" style="height: 23.85pt; left: 0px; margin-left: 56.25pt; margin-top: 15.05pt; position: absolute; width: 0px; z-index: 251668480;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> keluar
ke dalam urine<o:p></o:p></span></v:shape></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1051" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 380.25pt; margin-top: 13.25pt; position: absolute; text-align: left; width: 0; z-index: 251683840;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1049" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 207.75pt; margin-top: 13.25pt; position: absolute; text-align: left; width: 0; z-index: 251681792;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1037" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 55.5pt; margin-top: 17.15pt; position: absolute; text-align: left; width: 0; z-index: 251669504;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">proteinuria dan hematuria bersirkulasi dalam glomerulus respon imun menurun<o:p></o:p></span></div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Resiko Tinggi Infeksi<o:p></o:p></span></b></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:rect id="_x0000_s1052" style="height: 41.95pt; left: 0; margin-left: 323.25pt; margin-top: 16.45pt; position: absolute; text-align: left; width: 114.75pt; z-index: 251684864;">
<v:textbox>
<!--[if !mso]-->
<!--[endif]--></v:textbox>
</v:rect><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></b></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1050" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 207.75pt; margin-top: 13.85pt; position: absolute; text-align: left; width: 0; z-index: 251682816;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1038" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 55.5pt; margin-top: 13.85pt; position: absolute; text-align: left; width: 0; z-index: 251670528;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">respon psikologis komplemen terfiksasi<o:p></o:p></span></div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Ansietas<o:p></o:p></span></b></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<v:rect id="_x0000_s1039" style="height: 24.9pt; left: 0; margin-left: 2.25pt; margin-top: 17pt; position: absolute; text-align: left; width: 111pt; z-index: 251671552;">
<v:textbox>
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<!--[endif]--></v:textbox>
</v:rect><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 126.0pt; text-align: justify;">
<v:shape id="_x0000_s1053" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 207.75pt; margin-top: 13.1pt; position: absolute; text-align: left; width: 0; z-index: 251685888;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> mengakibatkan lesi dan peradangan<o:p></o:p></span></div>
<div align="right" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: right;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1054" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 207.75pt; margin-top: 15.2pt; position: absolute; text-align: left; width: 0; z-index: 251686912;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Leukosit dan trombosit berakumulasi di
tempat radang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1055" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 207.75pt; margin-top: 16.55pt; position: absolute; text-align: left; width: 0; z-index: 251687936;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulus
membengkak dan terjadi hiperseluler<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1056" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 207.75pt; margin-top: 17.15pt; position: absolute; text-align: left; width: 0; z-index: 251688960;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Fungsi ginjal menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 139.5pt;">
<v:shape id="_x0000_s1057" o:connectortype="straight" style="height: 23.85pt; margin-left: 207.75pt; margin-top: 16.25pt; position: absolute; width: 0; z-index: 251689984;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Laju
filtrasi ginjal menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 139.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 117.0pt;">
<v:shape id="_x0000_s1058" o:connectortype="straight" style="height: 23.85pt; margin-left: 207pt; margin-top: 14.6pt; position: absolute; width: 0; z-index: 251691008;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Menurunnya
perfusi kapiler glomerulus<o:p></o:p></span></div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kelebihan Volume
Cairan<o:p></o:p></span></b></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:rect id="_x0000_s1043" style="height: 25.2pt; left: 0; margin-left: 286.5pt; margin-top: 20.3pt; position: absolute; text-align: left; width: 164.25pt; z-index: 251675648;">
<v:textbox>
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<!--[endif]--></v:textbox>
</v:rect><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1059" o:connectortype="straight" style="height: 23.85pt; left: 0; margin-left: 207pt; margin-top: 15.95pt; position: absolute; text-align: left; width: 0; z-index: 251692032;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> azotemia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1062" o:connectortype="straight" style="flip: y; height: 25.5pt; left: 0; margin-left: 369.75pt; margin-top: 4.1pt; position: absolute; text-align: left; width: 0; z-index: 251695104;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
<br clear="ALL" />
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<v:shape id="_x0000_s1061" o:connectortype="straight" style="flip: x; height: .05pt; left: 0; margin-left: 318.75pt; margin-top: 8.9pt; position: absolute; text-align: left; width: 51pt; z-index: 251694080;" type="#_x0000_t32"><v:shape id="_x0000_s1060" o:connectortype="straight" style="height: 0px; left: 0px; margin-left: 243.75pt; margin-top: 8.9pt; position: absolute; width: 27.8pt; z-index: 251693056;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> retensi cairan Odema<o:p></o:p></span></v:shape></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Patofisiologi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kasus glomerulonefritis akut terjadi
setelah infeksi streptokokus pada tenggorokan atau kadang-kadang pada kulit
sesudah masa laten 1 sampai 2 minggu. Organisme penyebab lazim adalah
streptokokus beta hemolitikus grup A tipe 12 atau 4 dan 1,jarang oleh penyebab
lainnya. Namun sebenarnya bukan streptokukus yang menyebabkan kerusakan pada
ginjal. Di duga terdapat suatu antibodi yang ditujukan terhadap antigen khusus
yang merupakan membran plasma streptokokal spesifik. Terbentuk kompleks
antigen-antibodi dalam darah bersikulasi ke dalam glomerulus tempat kompleks
tersebut secara mekanis terperangkap dalam membran basalis. Selanjutnya
komplemen akan terfiksasi mengakibatkan lesi dan peradangan yang menarik
leukosit polimerfonuklear (PMN) dan trombosit menuju tempat lesi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Fagositosis dan pelepasan enzim lisosom
juga merusak endotel dan membran basalis glomerulus (GBM). Sebagai respon
terhadap lesi yang terjadi , timbul poliferasi sel-sel endotel yang di ikuti
sel-sel mesangium dan selanjutnya sel-sel epitel. Semakin meningkatnya
kebocoran kapiler glomerulus menyebabkan protein dan sel darah merah dapat
keluar ke dalam urin yang sedang di bentuk oleh ginjal, mengakibatkan
proteinuria dan hematuria. Agaknya, kompleks komplemen antigen-antibodi inilah
yang terlihat sebagai nodul-nodul subepitel(atau sebagai bungkusan
epimembanosa)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">pada
mikroskop elektron dan sebagai bentuk granular dan berbungkah-bungkah pada
mikroskop imunofluoresensi,pada pemeriksaan mikroskop cahaya glomerulus tampak
membengkak dan hiperselular di sertai invasi PMN<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Diagnostik<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Urinalisis (UA)
menunjukkan hematnya gross, protein dismonfik dan (bentuk tidak serasi) SDm,
leusit, dan gips hialin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Laju filtrasi glomeruslus
(IFG) menurun, klerins kreatinin pada unrin digunakan sebagai pengukur dan LFG
spesine urin 24 jam dikumpulkan. Sampel darah untuk kreatinin juga ditampung
dengan cara arus tegah (midstream).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nitrogen urea darah (BUN)
da kreatinin serum meningkat bila fungsi ginjal mulai menurun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Albumin serum dan protein
total mungkin normal atau agak turun (karena hemodilusi).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh urin acak untuk
eletrokoresisi protein mengidentifilaasi jenis protein urin yang dikeluarkan
dalam urin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Elektrolit serum
menunjukkan peningkatan natrium dan peningkatan atau normal kadar-kadar kalium
dan klorida.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Biopsi ginjal untuk menunjukkan obstruksi kapiler glomerular dan memastikan
diagnosis.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan
<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Medik
<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengobatan
ditujukan pada gejala klinik dan gangguan elektrolit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengobatan
aktivitas sehari-hari sesuai batas kemampuan pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengawasan
hipertensi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level2 lfo10; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemberian
antibiotik untuk infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level2 lfo10; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dialisis
berulang untuk memperpanjang harapan hidup pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terapi
Antibiotik Long Term Penicillin, dan pasien harus terhindar dari infeksi,
karena dapat menimbulkan nefritis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo9; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keperawatan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level2 lfo11; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pasien
harus bed-rest sampai manifestasi klinik hilang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level2 lfo11; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Disesuaikan
dengan keadaan pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pasien
dianjurkan secara teratur untuk senantiasa kontrol pada ahlinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level2 lfo11; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Program
diet ketat tetapi cukup asupan gizinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level2 lfo11; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penjelasan
kepada pasien tentang pambatasan aktivitas sesuai kemampuannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level2 lfo11; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anjuran
kontrol ke dokter harus ditaati untuk mencegah berlanjut ke sindrom nefrotik
atau GGK.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo9; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diet<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level2 lfo12; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rendah
protein jika kadar BUN dan Creatinin dalam serum meningkat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tinggi
Karbohidrat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rendah
Garam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level2 lfo12; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intake
dan Out-put harus diukur, kontrol cairan & hypertensi,<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level2 lfo12; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berikan
obat antihipertensi jika diperlukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level2 lfo12; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kaji
edema dan timbang BB setiap hari jika over load berikan diuretik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Observasi
tanda-tanda vital waspada terhadap adanya CHF<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level2 lfo12; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jika
sudah ambulasi,monitor proteinure dan hematuria jika meningkat bedrest tetap
dijalankan,jika ambulasi dapat ditolelir pasien boleh pulang.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Proses
Keperawatan<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pengkajian<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identitas
pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
penyakit, dahulu, sekarang dan keluarga.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
/adanya faktor resiko.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
frekuensi miksinya</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adakah
kelainan waktu miksi seperti<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
rasa sakit terdapat pada daerah setempat atau secara unum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
penyakit timbul setelah adanya peyakit yang lain.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
terdapat mual dan muntah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
terdapat udema.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
keadaan urinnya (volume, warna, bau, berat jenis, jumlah urie dalam 24 jam).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adakah
sekret atau darah yang keluar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adakah
hambatan seksual.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
Riwayat, haid (menache, lamanya, banyaknya, sirkulasinya, keluhannya)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
Riwayat kehamilan, arbortus, pemakaian alat kontrsepsi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rasa
nyeri (lokasi, identitas, saat timbulnya nyeri).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
Persalinan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat
Pendarahan.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diagnosa Keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kelebihan vol</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ume</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> cairan b.d fungsi ginjal terganggu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Resiko tinggi infeksi
yang b.d respon imun menurun.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ansietas b.d respon
psikologis dan hematuria.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Defisit pengetahuan
yang b.d tidak ada informasi dan sikap acuh terhadap informasi.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Intervensi Keperawatan<o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 600px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">No<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.5pt;" valign="top" width="122">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diagnosa Keperawatan<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 139.5pt;" valign="top" width="186">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan & Kriteria Hasil<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 193.5pt;" valign="top" width="258">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Intervensi<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.5pt;" valign="top" width="122">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kelebihan volume
cairan b.d fungsi ginjal terganggu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 139.5pt;" valign="top" width="186">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Setelah dilakukan
asuhan keperawatan selama 2 x 24jam diharapkan keseimbangan cairan tidak akan
terganggu (kelebihan) yang dibuktikan dengan indikator sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level3 lfo14; text-align: justify; text-indent: -12.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Keseimbangan asupan dan haluaran dalam 24jam (3).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level3 lfo14; text-align: justify; text-indent: -12.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tidak ada bunyi nafas tambahan (2).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level3 lfo14; text-align: justify; text-indent: -12.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Berat badan stabil (3)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level3 lfo14; text-align: justify; text-indent: -12.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tidak ada asi tes, distensi vena leher, dan edema
perifer (3).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level3 lfo14; text-align: justify; text-indent: -12.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Berat jenis urine dbn (3).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 166.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 193.5pt;" valign="top" width="258">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tentukan
lokasi dan derajat edema perifer, sakral, dan periorbital pada skala 1-4<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji edema
ekstremitas atau bagian tubuh terhadap gangguan sirkulasi dan integritas
kulit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji efek
pengobatan (misal: steroid, diuretik, dan litium) pada edema.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Timbang berat
badan setiap hari dan pantau kemajuannya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pantau
indikasi kelebihan atau retensi cairan (misal : ronki, peningkatan CVP,
asites, edema)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Anjurkan
pasien untuk puasa, sesuai kebutuhan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Berikan
diuretik, sesuai dengan kebutuhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level3 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tinggikan
ekstremitas untuk meningkatkan aliran darah balik vena<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.5pt;" valign="top" width="122">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Resiko tinggi
infeksi yang b.d respon imun menurun.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 139.5pt;" valign="top" width="186">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Setelah diberikan
asuhan keperawatan selama 2 x 24jam, pasien akan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Terbebas dari
tanda atau gejala infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Menunjukkan
higene pribadi yang adekuat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mengindikasikan
status gastrointestinal, pernapasan, dan genitourinaria, dan imun Dbn.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Melaporkan
tanda atau gejala infeksi serta mengikuti prosedur dan pemantauan.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 193.5pt;" valign="top" width="258">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level3 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pantau tanda
atau gejala infeksi (misal : suhu, denyut jantung, penampilan urine,malaise)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level3 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji faktor
yang meningkatkan serangan infeksi (misal: usia lanjut, tangkap imun rendah)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level3 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Jelaskan
kepada pasien atau keluarga mengapa sakit dan pengobatan meningkatkan resiko
terhadap infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level3 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ajarkan pasien
teknik mencuci tangan yang benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level3 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Berikan terapi
antibiotik, bila diperlukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level3 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Bersihkan
lingkungan dengan benar setelah digunakan pasien.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.5pt;" valign="top" width="122">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ansietas b.d respon
psikologis dan hematuria</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 139.5pt;" valign="top" width="186">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setelah dilakukan
asuhan keperawatan 2 x 24 jam, diharapkan pasien:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level3 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempertahankan
kenyamanan psikologis. </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level3 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengungkapkan perasaan
(misalnya: marah, sedih, dsb)</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 193.5pt;" valign="top" width="258">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau
tanda dan gejala infeksi (misal: tanda vital, nafsu makan, dan pola tidur).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tentukan
sumber ansietas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berikan
informasi tentang penyakit dan prognosis pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dengarkan
dengan butuh perhatian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identifikasi
dan dukung strategi koping yang biasa digunakan oleh pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berikan
kenyamanan fisik dan keamanan.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.5pt;" valign="top" width="122">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Defisit pengetahuan
yang b.d tidak ada informasi dan sikap acuh terhadap informasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 139.5pt;" valign="top" width="186">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setelah dilakukan
asuhan keperawatan 2 x 24jam, diharapkan pasien akan mampu mengidentifikasi
keperluan untuk penambahan informai menurut penanganan yang di anjurkan
(misal: informasi tentang pencegahan penyakit glomerulasnefritis akut)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 193.5pt;" valign="top" width="258">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo40; text-align: justify; text-indent: -15.45pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cek
keakuratan umpan balik untuk memastikan bahwa pasien memahami penanganan yang
di anjurkan dan informasi yang relefan lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo40; text-align: justify; text-indent: -15.45pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tentukan
kebutuhan pengajaran pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo40; text-align: justify; text-indent: -15.45pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lakukan
penilaian tingkat pengetahuan pasien dan pahami isinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo40; text-align: justify; text-indent: -15.45pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menilai
tipe pembelajaran pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo40; text-align: justify; text-indent: -15.45pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memberikan
pengajaran sesuai dengan tingkat pemahan pasien, mengulangi informasi bila
diperlukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo40; text-align: justify; text-indent: -15.45pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memberikan
informasi dari sumber-sumber komunitas yang dapat menolong pasien dalam
mempertahankan program penangannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo40; text-align: justify; text-indent: -15.45pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berinteraksi
kepada pasien dengan cara tidak menghakimi untuk tidak memfasilitasi
pengajaran.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Evaluasi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelebihan
volume cairan masih terjadi, masalah belum teratasi, lanjutkan intervensi no.
1-8.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Resiko
infeksi masih ada, masalah belum teratasi, lanjutkan intervensi no. 1-6.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ansietas
tidak lagi terjadi, masalah teratasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pasien
mendapatkan informasi tentang penyakitnya, masalah defisit pengetahuan
teratasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">GLOMERULUS
NEFRITIS KRONIS<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Definisi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulonefritis kronis merupakan
penyakit yang berjalan progresif lambat dan ditandai oleh inflamasi, sklerosis,
pembentukan parut dan akhirnya gagal ginjal. Biasanya penyakit ini baru
terdeteksi setelah berada pada fase progresif
yang biasanya bersifat ireversibel (Kowalak, 2011). <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Biasanya,glomerulonefritis kronik (GNK)
menyusul glomerulonefritis akut, tetapi ada kasus GNK pada pasien yang tidk
pernah megalami glomerulonefritis akut sebelumnya. Jalan penyakit GNK dapat berubah-ubah.
Ada pasien yang mengalami gangguan fungsi ginjal minimal dan merasa sehat.
Perkembangan penyakit nya juga perlahan. Walaupun perkembangan penyakit GNK
perlahan atau cepat, keduanya akan berakhir pada penyakit ginjal tahap akhir.
GNK dicirikan dengan kerusakan (karena menjadi sklerotik) glomeruli dan hilang
nya fungsi ginjal secara perlahan. Glomeruli mengalami pengerasan (sklerotik).
Ginjal mengecil , tubula mengalami atrofi, ada inflamasi interstisial yang
kronik ,dan arteriosklerosis (Baradero, 2008).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="background: white; border: none windowtext 1.0pt; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-border-alt: none windowtext 0cm; padding: 0cm;">Glomerulonefritis Kronik
adalah suatu kelainan yang terjadi pada beberapa penyakit, dimana terjadi
kerusakan glomeruli dan kemunduran fungsi ginjal selama bertahun-tahun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="background: white; border: none windowtext 1.0pt; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-border-alt: none windowtext 0cm; padding: 0cm;">Glomerulus kronis adalah
suatu kondisi peradangan yang lama dari sel-sel glomerulus. Kelainan ini dapat
terjadi akibat glomerulonefritis akut yang tidak membaik atau timbul secara
spontan. Glomerulonefritis kronik sering timbul beberapa tahun setelah cidera
dan peradangan glomerulus subklinis yang disertai oleh hematuria (darah dalam
urine) dan proteinuria (protein dalam urine) ringan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="background: white; border: none windowtext 1.0pt; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-border-alt: none windowtext 0cm; padding: 0cm;">Glomerulonefritis kronik
adalah kategori heterogen dari penyakit dengan berbagai kasus. Semua
bentuk gambaran sebelumya dari glomerulonefritis dapat meningkat menjadi keadan
kronik. Kadang- kadang glomerulonefritis pertama dilihat sebagai sebuah proses
kronik. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="background: white; border: none windowtext 1.0pt; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-border-alt: none windowtext 0cm; padding: 0cm;">Pasien dengan penyakit ginjal
(glomerulonefritis) yang dalam pemeriksaan urinnya masih selalu terdapat
hematuria dan proteinuria dikatakan menderita glomerulonefritis kronik. Hal ini
terjadi karena eksaserbasi berulang dari glomerulonefritis akut yang
berlangsung dalam beberapa waktu beberapa bulan/tahun, karena setiap
eksaserbasi akan menimbulkan kerusakan pada ginjal yang berkibat gagal ginjal</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="background: white; border: none windowtext 1.0pt; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-border-alt: none windowtext 0cm; padding: 0cm;">Glomerulonefritis kronik
(GNK) ditandai oleh kerusakan glomerulus secara progresif lambat akibat
glomerulonefritis yang sudah berlangsung lama. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> <span style="background: white; border: none windowtext 1.0pt; mso-border-alt: none windowtext 0cm; padding: 0cm;">Glomerulonefritis kronis merupakan penyakit yang
berjalan progresif lambat dan ditandai oleh inflamasi, sklerosis, pembentukan
parut, dan akhirnya gagal ginjal. Biasanya penyakit ini baru terdeteksi setelah
berada pada fase progresif yang biasanya bersifat ireversibel.</span><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Etiologi<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulonefritis
akut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pielonefritis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diabetes
mellitus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hipertensi
yang tidak terkontrol<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Obstruksi
saluran kemih<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyakit
ginjal polikistik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
vaskuler<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lesi
herediter<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Agen
toksik (timah, kadmium, dan merkuri)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyebab
lain yang tidak diketahui yang ditemui pada stadium lanjut.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Manifestasi
Klinis<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kardiovaskuler<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hipertensi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pembesaran
vena leher<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pitting
edema<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l11 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Edema
periorbital<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Friction
rub pericardial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l33 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pulmoner<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nafas
dangkal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l31 level2 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Krekels<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l31 level2 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kusmaul<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l31 level2 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sputum
kental dan liat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gastrointestinal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US"><a href="http://nursingbegin.com/asuhan-keperawatan-pada-klien-dengan-gastroenteritis/" target="_blank" title="Askep GE"><span style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">Konstipasi / diare</span></a></span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anoreksia,
mual dan muntah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nafas
berbau amonia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perdarahan
saluran GI<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ulserasi
dan perdarahan pada mulut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l33 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Muskuloskeletal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kehilangan
kekuatan otot<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kram
otot<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US"><a href="http://nursingbegin.com/fraktur-patah-tulang/" target="_blank" title="fraktur"><span style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">Fraktur tulang</span></a></span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l33 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Integumen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kulit
kering, bersisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Warna
kulit abu-abu mengkilat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kuku
tipis dan rapuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rambut
tipis dan kasar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pruritus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ekimosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l33 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Reproduksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Atrofi
testis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level2 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Amenore<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Patofisiologi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulonefritis kronis, awalnya seperti
glomerulonefritis akut atau tampak sebagai tipe reaksi antigen/antibody yang
lebih ringan,kadang-kadang sangat ringan,sehingga terabaikan. Setelah kejadian
berulang infeksi ini, ukuran ginjal sedikit berkurang sekitar seperlima dari
ukuran normal,dan terdiri dari jaringan fibrosa yang luas, korteks mengecil
menjadi lapisan yang tebalnya 1-2 mm atau kurang. Berkas jaringan parut merusak
sistem korteks,menyebabkan permukaan ginjal kasar dan ireguler. Sejumlah
glomeruli dan tubulusnya berubah menjadi jaringan parut,dan cabang-cabang
arteri renal menebal. Akhirnya terjadi perusakan glomerulo yang parah,
menghasilkan penyakit ginjal tahap akhir (ESRD).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penurunan
GFR<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
klirens kreatinin dengan mendapatkan </span><span lang="EN-US"><a href="http://nursingbegin.com/membantu-klien-bak-dengan-urinal/" target="_blank" title="urinal"><span style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">urin</span></a></span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> 24
jam untuk mendeteksi penurunan GFR. Akibat dari penurunan GFR, maka
klirens kretinin akan menurun, kreatinin akan meningkat, dan nitrogen urea
darah (BUN) juga akan meningkat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level3 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
klirens renal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 31.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Banyak
masalah muncul pada gagal ginjal sebagai akibat dari penurunan jumlah glomeruli
yang berfungsi, yang menyebabkan penurunan klirens (substansi darah yang
seharusnya dibersihkan oleh ginjal).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level3 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Retensi
cairan dan natrium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 31.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ginjal
kehilangan kemampuan untuk mengkonsentrasikan atau mengencerkan urin secara
normal. Terjadi penahanan cairan dan natrium sehingga meningkatkan resiko
terjadinya edema, gagal jantung kongestif dan hipertensi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level3 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anemia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 31.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anemia
terjadi sebagai akibat dari produksi eritropoetin yang tidak adekuat,
memendeknya usia sel darah merah, defisiensi nutrisi, dan kecenderungan untuk
terjadi perdarahan akibat status uremik pasien, terutama dari saluran GI.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level3 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketidakseimbangan
kalsium dan fosfat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 31.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kadar
serum kalsium dan fosfat tubuh memiliki hubungan yang saling timbal balik, jika
salah satunya meningkat, yang lain akan turun. Dengan menurunnya GFR, maka
terjadi peningkatan kadar fosfat serum dan sebaliknya akan terjadi penurunan
kadar kalsium. Penurunan kadar kalsium ini akan memicu sekresi paratormon,
namun dalam kondisi gagal ginjal, tubuh tidak berespon terhadap peningkatan
sekresi parathormon, akibatnya kalsium di tulang menurun menyebabkab perubahan
pada </span><span lang="EN-US"><a href="http://nursingbegin.com/fraktur-patah-tulang/" target="_blank" title="fraktur"><span style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">tulang</span></a></span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> dan
penyakit tulang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level3 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyakit tulang uremik (osteodistrofi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 31.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terjadi
dari perubahan kompleks kalsium, fosfat, dan keseimbangan parathormon.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pathway
<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Glomerulonefritis Pielonefritis DM Hipertensi yang obstruksi saluran kemih<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<v:shape id="_x0000_s1067" o:connectortype="straight" style="height: 17.7pt; left: 0; margin-left: 384pt; margin-top: 1.8pt; position: absolute; text-align: left; width: 0; z-index: 251700224;" type="#_x0000_t32"><v:shape id="_x0000_s1065" o:connectortype="straight" style="height: 7.35pt; left: 0px; margin-left: 249pt; margin-top: 12.15pt; position: absolute; width: 0px; z-index: 251698176;" type="#_x0000_t32"><v:shape id="_x0000_s1066" o:connectortype="straight" style="height: 18.45pt; left: 0px; margin-left: 135pt; margin-top: 1.05pt; position: absolute; width: 0px; z-index: 251699200;" type="#_x0000_t32"><v:shape id="_x0000_s1064" o:connectortype="straight" style="height: 6.6pt; left: 0px; margin-left: 36.75pt; margin-top: 12.9pt; position: absolute; width: 0px; z-index: 251697152;" type="#_x0000_t32"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> Akut tdk terkontrol<o:p></o:p></span></v:shape></v:shape></v:shape></v:shape></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<v:shape id="_x0000_s1063" o:connectortype="straight" style="height: 24pt; left: 0; margin-left: 215.25pt; margin-top: 5.7pt; position: absolute; text-align: left; width: 0; z-index: 251696128;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1068" o:connectortype="straight" style="flip: x; height: 0; left: 0; margin-left: 36.75pt; margin-top: 5.7pt; position: absolute; text-align: left; width: 347.25pt; z-index: 251701248;" type="#_x0000_t32"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> </span></v:shape></div>
<br clear="ALL" />
<br />
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;">Penyakit ginjal lesi
herediter<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<v:shape id="_x0000_s1071" o:connectortype="straight" style="flip: x; height: 5.15pt; left: 0; margin-left: 297.75pt; margin-top: 2.7pt; position: absolute; text-align: left; width: 93.75pt; z-index: 251704320;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1069" o:connectortype="straight" style="height: 5.75pt; left: 0; margin-left: 61.5pt; margin-top: 2.1pt; position: absolute; text-align: left; width: 86.3pt; z-index: 251702272;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;">polikistik
<b>Glomerulonefritis
Kronis<o:p></o:p></b></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<v:shape id="_x0000_s1073" o:connectortype="straight" style="height: 20.55pt; left: 0; margin-left: 215.25pt; margin-top: 6pt; position: absolute; text-align: left; width: 0; z-index: 251706368;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1072" o:connectortype="straight" style="flip: x y; height: 13.8pt; left: 0; margin-left: 233.25pt; margin-top: 6pt; position: absolute; text-align: left; width: 122.25pt; z-index: 251705344;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1070" o:connectortype="straight" style="flip: y; height: 13.75pt; left: 0; margin-left: 94.5pt; margin-top: 6.05pt; position: absolute; text-align: left; width: 101.25pt; z-index: 251703296;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;">gangguan vaskuler agen
toksik<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<v:shape id="_x0000_s1074" o:connectortype="straight" style="height: 17.55pt; left: 0; margin-left: 215.25pt; margin-top: 12.75pt; position: absolute; text-align: left; width: .05pt; z-index: 251707392;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> tipe reaksi
antigen antibody dan infeksi berulang<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<v:shape id="_x0000_s1075" o:connectortype="straight" style="height: 17.55pt; left: 0; margin-left: 215.2pt; margin-top: 13.2pt; position: absolute; text-align: left; width: .05pt; z-index: 251708416;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> ukuran
ginjal sedikit berkurang<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<v:shape id="_x0000_s1076" o:connectortype="straight" style="height: 17.55pt; left: 0; margin-left: 215.15pt; margin-top: 13.35pt; position: absolute; text-align: left; width: .05pt; z-index: 251709440;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> jaringan
fibrosa yang luas dan korteks mengecil<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> <o:p></o:p></span></div>
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<v:shape id="_x0000_s1077" o:connectortype="straight" style="height: 17.55pt; left: 0; margin-left: 215.1pt; margin-top: 13.35pt; position: absolute; text-align: left; width: .05pt; z-index: 251710464;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> jaringan parut merusak system korteks<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> glomeruli
dan tubulus menjadi jaringan parut<o:p></o:p></span></div>
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<v:shape id="_x0000_s1078" o:connectortype="straight" style="height: 18.45pt; left: 0; margin-left: 215.1pt; margin-top: 2.1pt; position: absolute; text-align: left; width: 0; z-index: 251711488;" type="#_x0000_t32"><v:shape id="_x0000_s1079" o:connectortype="straight" style="height: 0.05pt; left: 0px; margin-left: 84.7pt; margin-top: 20.05pt; position: absolute; width: 291.05pt; z-index: 251712512;" type="#_x0000_t32"><v:shape id="_x0000_s1080" o:connectortype="straight" style="height: 17.55pt; left: 0px; margin-left: 84.7pt; margin-top: 20.05pt; position: absolute; width: 0.05pt; z-index: 251713536;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1082" o:connectortype="straight" style="height: 17.55pt; left: 0px; margin-left: 375.7pt; margin-top: 20.05pt; position: absolute; width: 0.05pt; z-index: 251715584;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></v:shape></v:shape></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<br clear="ALL" />
<br />
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;">ginjal tidak mampu mengonsentrasikan penurunan
laju filrasi <o:p></o:p></span></div>
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<v:shape id="_x0000_s1083" o:connectortype="straight" style="height: 17.55pt; left: 0; margin-left: 375.75pt; margin-top: 11.75pt; position: absolute; text-align: left; width: .05pt; z-index: 251716608;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1081" o:connectortype="straight" style="height: 18.45pt; left: 0; margin-left: 79.5pt; margin-top: 13.55pt; position: absolute; text-align: left; width: 0; z-index: 251714560;" type="#_x0000_t32"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> dan mengencerkan urine glomerulus<o:p></o:p></span></v:shape></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<v:shape id="_x0000_s1090" o:connectortype="straight" style="height: 17.55pt; left: 0; margin-left: 209.95pt; margin-top: 4.45pt; position: absolute; text-align: left; width: .05pt; z-index: 251723776;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1089" o:connectortype="straight" style="height: 17.55pt; left: 0; margin-left: 12.65pt; margin-top: 4.45pt; position: absolute; text-align: left; width: .05pt; z-index: 251722752;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1088" o:connectortype="straight" style="flip: x; height: 0; left: 0; margin-left: 14.2pt; margin-top: 4.45pt; position: absolute; text-align: left; width: 195.8pt; z-index: 251721728;" type="#_x0000_t32"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> peningkatan
fosfat dan<o:p></o:p></span></v:shape></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> penurunan kalsium<o:p></o:p></span></div>
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<v:shape id="_x0000_s1094" o:connectortype="straight" style="height: 13.8pt; left: 0; margin-left: 195.75pt; margin-top: 12.8pt; position: absolute; text-align: left; width: 0; z-index: 251727872;" type="#_x0000_t32"><v:shape id="_x0000_s1092" o:connectortype="straight" style="height: 17.55pt; left: 0px; margin-left: 14.2pt; margin-top: 12.8pt; position: absolute; width: 0.05pt; z-index: 251725824;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1084" o:connectortype="straight" style="height: 17.55pt; left: 0px; margin-left: 375.65pt; margin-top: 0.05pt; position: absolute; width: 0.05pt; z-index: 251717632;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;">oliguri retensi
air dan hipernatrium<o:p></o:p></span></v:shape></div>
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<v:shape id="_x0000_s1096" o:connectortype="straight" style="height: 17.55pt; left: 0; margin-left: 147.75pt; margin-top: 12.8pt; position: absolute; text-align: left; width: .05pt; z-index: 251729920;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1095" o:connectortype="straight" style="height: .05pt; left: 0; margin-left: 147.8pt; margin-top: 12.8pt; position: absolute; text-align: left; width: 85.45pt; z-index: 251728896;" type="#_x0000_t32"><v:shape id="_x0000_s1091" o:connectortype="straight" style="height: 17.55pt; left: 0px; margin-left: 233.25pt; margin-top: 12.8pt; position: absolute; width: 0.05pt; z-index: 251724800;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><v:shape id="_x0000_s1085" o:connectortype="straight" style="height: 17.55pt; left: 0px; margin-left: 375.6pt; margin-top: 12.8pt; position: absolute; width: 0.05pt; z-index: 251718656;" type="#_x0000_t32">
<v:stroke endarrow="block">
</v:stroke></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> penurunan kontraksi otot<o:p></o:p></span></v:shape></div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><!--[endif]-->
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Kelebihan volume
cairan<o:p></o:p></span></b></div>
</div>
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</tr>
</tbody></table>
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kelemahan<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif;">Intoleransi Aktivitas<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gangguan Perfusi
Jaringan<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Gangguan Pola Tidur<o:p></o:p></span></b></div>
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</v:rect><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> pembengkakan perut dan dada <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt;"> asites<o:p></o:p></span></div>
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mual & muntah, anoreksia<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Perubahan Nutrisi
Kurang Dari Kebutuhan Tubuh<o:p></o:p></span></b></div>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Diagnostik<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l38 level3 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Urin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l33 level2 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Warna:
secara abnormal warna urin keruh kemungkinan disebabkan oleh pus, bakteri,
lemak, fosfat atau uratsedimen. Warna urine kotor, kecoklatan menunjukkan
adanya darah, Hb, mioglobin, porfirin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l33 level2 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Volume
urine: biasanya kurang dari 400 ml/24 jam bahkan tidak ada urine (anuria)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Berat jenis: kurang dari 1,010 menunjukkn
kerusakan ginjal berat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Osmolalitas:
kurang dari 350 mOsm/kg menunjukkan kerusakan ginjal tubular dan rasio
urin/serum sering 1:1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l33 level2 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Protein:
Derajat tinggi proteinuria (3-4+) secara kuat menunjukkkan kerusakan glomerulus
bila SDM dan fragmen juga ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l33 level2 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klirens
kreatinin: mungkin agak menurun<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Natrium:
lebih besar dari 40 mEq/L karena ginjal tidak mampu mereabsorbsi natrium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l38 level3 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Darah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ht
: menurun karena adanya anemia. Hb biasanya kurang dari 7-8 gr/dl<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BUN/
kreatinin: meningkat, kadar kreatinin 10 mg/dl diduga tahap akhir<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">SDM:
menurun, defisiensi eritropoitin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">GDA:
asidosis metabolik, pH kurang dari 7,2<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Protein
(albumin) : menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Natrium
serum : rendah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kalium:
meningkat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Magnesium:
meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kalsium
; menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l38 level3 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Osmolalitas
serum:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lebih dari 285
mOsm/kg<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l38 level3 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pelogram
Retrograd:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Abnormalitas
pelvis ginjal dan ureter<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l38 level3 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ultrasonografi
Ginjal :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk menentukan
ukuran ginjal dan adanya masa , kista, obstruksi pada saluran perkemihan bagian
atas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l38 level3 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Endoskopi Ginjal,
Nefroskopi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk menentukan
pelvis ginjal, keluar batu, hematuria dan pengangkatan tumor selektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l38 level3 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Arteriogram
Ginjal:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengkaji sirkulasi
ginjal dan mengidentifikasi ekstravaskular, masa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l38 level3 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">EKG:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketidakseimbangan
elektrolit dan asam basa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan
<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Medis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l22 level2 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dialisis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l22 level2 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Obat-obatan:
anti hipertensi, suplemen besi, agen pengikat fosfat, suplemen kalsium,
furosemid<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l22 level2 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diit
rendah uremi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l22 level2 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pembatasan
cairan dan Na, tinggi KH & rendah protein, Rendah K Bila Ada gagal ginjal.
Antibiotik jika ada infeksi pemberian korticosteroid & Cytotoxic.Anti
Hypertensi, diuretic, plasmapheresis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l19 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l29 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">TTV
setiap 4 jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l29 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Monitor
BUN, Creatinin dan Protein urine<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l29 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengganti
cairan yang hilang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Monitor
intake-Output<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Proses
Keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level3 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengkajian<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aktifitas
/istirahat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelemahan malaise<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelelahan ekstrem,<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan tidur
(insomnis/gelisah atau somnolen)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelemahan otot,
kehilangan tonus, penurunan rentang gerak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sirkulasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat hipertensi lama
atau berat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Palpitasi, nyeri dada
(angina)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hipertensi, nadi kuat,
edema jaringan umum dan piting pada kaki, telapak tangan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nadi lemah, halus,
hipotensi ortostatik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Disritmia jantung<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pucat pada kulit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Friction rub pericardial<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kecenderungan perdarahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Integritas
ego<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor stress, misalnya
masalah finansial, hubungan dengan orang lain<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perasaan tak berdaya, tak
ada harapan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menolak, ansietas, takut,
marah, perubahan kepribadian, mudah terangsang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Eliminasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penurunan frekuensi urin,
oliguria, anuria ( gagal tahap lanjut)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diare, Konstipasi,
abdomen kembung,<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan warna urin,
contoh kuning pekat, coklat, kemerahan, berawan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Oliguria, dapat menjadi
anuria<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Makanan/cairan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Peningkatan BB cepat
(edema), penurunan BB (malnutrisi)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Anoreksia, mual/muntah,
nyeri ulu hati, rasa metalik tak sedap pada mulut ( pernafasan amonia)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Distensi
abdomen/ansietas, pembesaran hati (tahap akhir)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Edema (umum, tergantung)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan turgor
kulit/kelembaban<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ulserasi gusi, perdarahan
gusi/lidah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penurunan otot, penurunan
lemak subkutan, penampilan tak bertenaga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Neurosensori<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kram otot/kejang, sindrom
kaki gelisah, kebas rasa terbakar pada Sakit kepala, penglihatan kabur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">telapak kaki<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kebas/kesemutan dan
kelemahan khususnya ekstrimitas bawah (neuropati perifer)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan status mental,
contohnya ketidakmampuan berkonsentrasi, kehilangan memori, kacau, penurunan
tingkat kesadaran, penurunan lapang perhatian, stupor, koma<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kejang, fasikulasi otot,
aktivitas kejang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rambut tipis, kuku tipis
dan rapuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nyeri/kenyamanan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:, sakit
kepala, kram otot/nyeri kaki, nyei panggul<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda: perilaku
berhati-hati/distraksi, gelisah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pernapasan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dispnea, nafas
pendek, nokturnal paroksismal, batuk dengan/tanpa sputum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dispnea, takipnea
pernapasan kusmaul<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Batuk produktif dengan
sputum merah muda encer (edema paru)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keamanan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala: kulit
gatal, ada/berulangnya infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanda:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pruritus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Demam (sepsis, dehidrasi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Seksualitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala: amenorea,
infertilitas, penurunan libido<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Interaksi
social<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gejala:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesulitan menurunkan
kondisi, contoh tak mampu bekerja, mempertahankan fungsi peran dalam keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyuluhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat diabetes mellitus
pada keluarga (resti GGK), penyakit polikistik, nefritis herediter, kalkulus
urinaria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat terpajan pada
toksin, contoh obat, racun lingkungan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l29 level4 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penggunaan antibiotik
nefrotoksik saat ini/berulang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level3 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa
Keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level2 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
perfusi jaringan b/d bendungan sirkulasi akibat adanya retensi air dan
hipernatremia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level2 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelebihan
volume cairan b/d edema dan oliguri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level2 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan
nutrisi (kurang dari kebutuhan) b/d mual, muntah, dan anorexia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level2 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
pola tidur b/d immobilisasi dan edema.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l10 level2 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intoleransi
aktivitas b/d fatigue.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level3 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi Keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 600px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" width="36">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">No<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" width="144">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa Keperawatan<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" width="168">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan dan Kriteria
Hasil<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.0pt;" width="252">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level3 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan perfusi
jaringan b/d bendungan sirkulasi akibat adanya retensi air dan hipernatremia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setelah
dilakukan tindakan 2 x 24 jam, diharapkan pasien dapat menunjukkan perfusi
jaringan renal normal, yang ditandai dengan criteria hasil :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak ada edema perifer
dan asites<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uji laboratorium dalam
batas normal (misalnya, berat jenis urine, kadar protein.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Warna dan bau urine
dalam rentang yang diharapkan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.0pt;" valign="top" width="252">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Observasi
status hidrasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau
hasil laboratorium yang berhubungan dengan keseimbangan cairan (misalnya,
hematokrit, BUN, albumin, protein, osmolalitas serum, dan berat jenis urine).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau
hasil laboratorium untuk retensi cairan (misalnya, peningkatan berat jenis
urine, peningkatan BUN, penurunan
hemotokrit, dan penungkatan osmolalitas serum)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Observasi
adanya tanda – tanda retensi atau kelebihan cairan (misalnya, edema dan
asites)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Laporkan
kepada dokter jika tanda dan gejala kelebihan volume cairan bertambah buruk <o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2. <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelebihan volume cairan
b/d edema dan oliguri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setelah
dilakukan tindakan 2 x 24 jam, diharapkan pasien dapat mempertahankan volume
cairan dalam batas normal ditandai dengan criteria hasil :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak ada asites dan edema<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berat jenis urine dalam
batas normal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keseimbangan asupan dan
haluaran dalam 24 jam<br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.0pt;" valign="top" width="252">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo35; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tentukan
lukasi dan derajat edema<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo35; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau
hasil laboratorium yang relevan terhadap retensi cairan (misalnya, perubahan
elektrolit, peningkatan berat jenis urine, peningkatan BUN, dan peningkatan
kadar osmolalitas urine)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo35; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau
indikasi kelebihan/retensi cairan (misalnya edema dan asites) sesuai dengan
keperluan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo35; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Konsultasikan
ke dokter jika tanda dan gejala kelebihan volume cairan muncul atau memburuk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo35; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ajarkan
pasien untuk memerhatikan penyebab dan mengatasi edema <o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan nutrisi
(kurang dari kebutuhan) b/d mual, muntah, dan anorexia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setelah
dilakukan tindakan 2 x 24 jam, diharapkan pasien akan menunjukan peningkatan
asupan makanan ditandai dengan criteria hasil :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempertahankan massa
tubuh dan berat badan dalam batas normal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Melaporkan keadekuatan
tingkat energi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.0pt;" valign="top" width="252">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketahui
makanan kesukaan pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identifikasi
factor pencetus mual dan muntah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identifikasi
factor – factor yang dapat berpengaruh terhadap hilangnya nafsu makan pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tentukan
kemampuan pasien untuk memenuhi kebutuhan nutrisi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau
kandungan nutrisi dan kalori pada catatan asupan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Timbang
pasien pada interval yang tepat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berikan
informasi yang tepat tentang kebutuhan nutrisi dan bagaimana memenuhinya<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan pola tidur b/d
immobilisasi dan edema.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setelah
dilakukan tindakan 2 x 24 jam, diharapkan pasien dapat meningkatkan pola
tidur dan istirahat yang ditandai dengan criteria hasil :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah jam tidur tidak
terganggu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perasaan segar setelah
tidur atau istirahat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tidak ada masalah
dengan pola, kualitas, dan rutinitas tidur atau istirahat<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.0pt;" valign="top" width="252">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau
pola tidur pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
pentingnya tidur yang adekuat selama sakit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hindari
suara keras dan penggunaan lampu saat tidur malam, berikan lingkungan yang
tenang, damai, dan minimalkan gangguan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dukung
penggunaan obat tidur yang tidak mengandung supresor fase tidur REM<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ajarkan
pasien untuk menghindari makanan dan minuman pada jam tidur yang dapat
mengganggun tidur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lakukan
pijatan yang nyaman, pengaturan posisi, dan sentuhan afektif<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.0pt;" valign="top" width="36">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.0pt;" valign="top" width="144">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intoleransi aktivitas
b/d fatigue.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.0pt;" valign="top" width="168">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setelah
dilakukan tindakan 2 x 24 jam, diharapkan pasien akan menunjukan adanya
peningkatan aktivitas ditandai dengan criteria hasil :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tingkat daya tahan
adekuat untuk beraktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level4 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menyeimbangkan
aktivitas dan istirahat<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 189.0pt;" valign="top" width="252">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level2 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Evaluasi
motivasi pasien dan keingina pasien untuk meningkatkan aktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level2 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau
asupan nutrisi untuk memastikan keadekuatan sumber- sumber energy<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantau/dokumentasikan
pola istirahat pasien dan lamanya waktu tidur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level2 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penggunaan
tekhnik relaksasi (misalnya distraksi, visualisasi) selama aktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level2 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hindari
menjadwalkan aktivitas perawatan selama periode istirahat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bantu
pasien untuk mengidentifikasi pilihan aktivitas.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Evaluasi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
perfusi jaringan masih terjadi, masalah belum teratasi, lanjutkan intervensi
no. 1-5.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kelebihan
volume cairan masih terjadi, masalah belum teratasi, lanjutkan intervensi no.
1-5.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan
nutrisi teratasi sebagian, lanjutkan intervensi no. 4,5,6.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
pola tidur masih terjadi, masalah belum teratasi, lanjutkan intervensi no.1-6.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intoleransi
aktivitas tidak terjadi, masalah teratasi.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulo
nefritis adalah penyakit yang mengenai glomeruli kedua ginjal.
Glomerulonefritis akut yang paling lazim adalah akibat infeksi streptokokus.
Glomerulonefritis akut biasanya terjadi sekitar 2-3 minggu setelah serangan
infeksi streptokokus. Faring, tonsil, dan kulit (empetigo) merupakan tempat
infeksi primer (Baradero, 2008).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sedangkan
glomerulonefritis kronis merupakan penyakit yang berjalan progresif lambat dan
ditandai oleh inflamasi, sklerosis, pembentukan parut dan akhirnya gagal
ginjal. Biasanya penyakit ini baru terdeteksi setelah berada pada fase
progresif yang biasanya bersifat ireversibel
(Kowalak, 2011). <o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Daftar Pustaka<o:p></o:p></span></b></div>
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Baradero,
Mary. (2008). <i>Klien Gangguan Ginjal :
Seri Asuhan Keperawatan.</i> Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kowalak,
Jennifer P, dkk. (2011). <i>Buku Ajar
Patofisiologi.</i> Jakarta : EGC.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Paulus.
(2012). <i>Asuhan Keperawatan Glomerulo
Nefritis Akut & Kronik.</i> Diakses pada tanggal 3 April 2014 di </span><span lang="EN-US"><a href="http://pauluspbp.blogspot.com/2012/06/asuhan-keperawatan-glomerulo-nefritis.html"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">http://pauluspbp.blogspot.com/2012/06/asuhan-keperawatan-glomerulo-nefritis.html</span></a></span><span lang="EN-US" style="color: #1f497d; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-themecolor: text2;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Wilkinson,
Judith M. (2006). <i>Buku Saku Diagnosis
Keperawatan dengan Intervensi NIC dan Kriteria Hasil NOC.</i> Jakarta : EGC.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-87283587876357571212016-05-16T08:27:00.000-07:002016-05-16T08:27:05.372-07:00Askep Pielonefritis<div align="center" style="line-height: 150%; text-align: center;">
<strong><span lang="EN-US">BAB I</span></strong><span lang="EN-US"><o:p></o:p></span></div>
<div align="center" style="line-height: 150%; text-align: center;">
<strong><span lang="EN-US">PENDAHULUAN</span></strong><span lang="EN-US"><o:p></o:p></span></div>
<div style="line-height: 150%; margin-left: 18.0pt; mso-list: l24 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US">A.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><strong><span lang="EN-US">Latar Belakang</span></strong><span lang="EN-US"><o:p></o:p></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Infeksi Traktus Urinarius (UTI) sering terjadi dan menyerang manusia
tanpa memandang usia, terutama perempuan. UTI bertanggung jawab atas sekitar
tujuh juta kunjungan pasien kepada dokter setiap tahunnya di Amerika Serikat
(Stamm,1998). Secara mikro biologi UTI dinyatakan ada jika terdapat bakteriuria
bermakna (ditemukan mikroorganisme patogen 10<sup>5 </sup>ml pada urin pancaran
tengah yang dikumpulkan pada cara yang benar). Abnormalitas dapat hanya
berkolonisasi bakteri dari urine (bakteriuria asimtomatik) atau bakteriuria
dapat disertai infeksi simtomatikndari struktur-struktur traktus urinarius/ UTI
umumnya dibagi dalam dua sub kategori besar: UTI bagian bawah
(uretritis,sistitis, prostatitis) dan UTI bagian atas (pielonefritis akut).
Sistitis akut (infeksi vesika urinaria) dan pielonefritis akut ( infeksi pelvis
dan interstisium ginjal) adalah infeksi yang paling berperan dalam menimbulkan
morbilitas tetapi jarang berakhir sebagai gagal ginjal progresif.<o:p></o:p></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Pielonefritis merupakan infeksi piala pada ginjal, tubulus dan
jaringan interstisial dari salah satu atau kedua ginjal. Bakteri mencapai
kandung kemih melalui uretra dan naik ke ginjal. Meskipun ginjal menerima 20%
sampai 25% curah jantung, bakteri jarang yang mencapai ginjal melalui aliran
darah; kasus penyebaran secara hematogen kurang dari 3%.<o:p></o:p></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Pielonefritis sering sebagai akibat dari refluks ureterivesikal,
dimana katup uretevesikal yang tidak kompeten meynyebabkan urine mengalir balik
(refluks) ke dalam ureter. Obstruksi traktus urinarius ( yang meningkatkan
kerentanan ginjal terhadap infeksi), tumor kandung kemih, striktur, hiperplasia
prostatik benigna, dan batu urinarius merupakan penyebab yang lain.
Pielonefritis dapat akut dan kronis.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l24 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan
<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
pengertian pielonefritis?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
etiologi pielonefritis?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l11 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
patofisiologi pielonefritis?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l11 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
tanda dan gejala pielonefritis?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
komplikasi pielonefritis?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
pemeriksaan penunjang pielonefritis?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l11 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
penatalaksaan pielonefritis?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
pengobatan pielonefritis?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l11 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
pencegahan pielonefritis?<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l24 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tujuan
umum<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: list 36.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Mahasiswa mampu
menerapkan asuhan keperawatan klien dengan pielonefritis. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tujuan
khusus<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">mengetahui
pengertian pielonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">mengetahui
etiologi pielonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan mahasiswa m</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">enjelaskan
patofisiologi pielonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">mengetahui
tanda dan gejala pielonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">mengetahui
komplikasi pielonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa m</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">enjelaskan pemeriksaan penunjang
pielonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan mahasiswa m</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">enjelaskan
penatalaksaan pielonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">mengetahui
pengobatan pielonefritis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">menjelaskan pencegahan pielonefritis.</span></div>
<a name='more'></a><o:p></o:p><br />
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian
<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Inflamasi pelvis ginjal disebut Pielonefritis,
penyebab radang pelvis ginjal yang paling sering adalah kuman yang berasal dari
kandung kemih yang menjalar naik ke pelvis ginjal. Pielonefritis ada yang akut
dan ada yang kronis (Tambayong. 200)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pielonefritis merupakan infeksi
bakteri pada piala ginjal, tunulus, dan jaringan interstinal dari salah satu
atau kedua gunjal (Brunner & Suddarth, 2002: 1436).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pielonefritis merupakan suatu
infeksi dalam ginjal yang dapat timbul secara hematogen atau retrograd aliran
ureterik. (J. C. E. Underwood, 2002: 668)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pielonefritis
merupakan infeksi bakteri piala ginjal, tubulus, dan jaringan interstisial dari
salah satu atau kedua ginjal. Bakteri mencapai kandung kemih melalui uretra dan
naik ke ginjal. Meskipun ginjal menerima 20% - 25% curah jantung, bakteri
jarang mencapai ginjal melalui darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pielonefritis merupakan infeksi bakteri
piala ginjal, tubulus, dan jaringan interstisial dari salah satu atau kedua
ginjal. Bakteri mencapai kandung kemih melalui uretra dan naik ke ginjal.
Meskipun ginjal menerima 20% - 25% curah jantung, bakteri jarang mencapai
ginjal melalui darah; kasus penyebaran secara hematogen kurang dari 3%.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pielonefritis sering sebagai akibat
dari refluks uretero vesikal, dimana katup uretrovresikal yang tidak kompeten
menyebabkan urin mengalir baik(refluks) ke dalam ureter. Obstruksi traktus
urinarius yang meningkatkan kerentanan ginjal terhadap infeksi), tumor kandung
kemih, striktur, hyperplasia prostatik benigna, dan batu urinarius merupakan
penyebab yang lain.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Etiologi</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">Escherichia coli</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> (bakteri yang dalam keadaan normal ditemukan di usus
besar) merupakan penyebab dari 90% infeksi ginjal diluar rumah sakit dan
penyebab dari 50% infeksi ginjal di rumah sakit. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Infeksi
biasanya berasal dari daerah kelamin yang naik ke kandung kemih.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pada saluran
kemih yang sehat, naiknya infeksi ini biasanya bisa dicegah oleh aliran air
kemih yang akan membersihkan organisme dan oleh penutupan ureter di tempat
masuknya ke kandung kemih. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Berbagai
penyumbatan fisik pada aliran air kemih (misalnya batu ginjal atau pembesaran
prostat) atau arus balik air kemih dari kandung kemih ke dalam ureter, akan
meningkatkan kemungkinan terjadinya infeksi ginjal. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Infeksi juga
bisa dibawa ke ginjal dari bagian tubuh lainnya melalui aliran darah. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Keadaan lainnya
yang meningkatkan resiko terjadinya infeksi ginjal adalah: </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">kehamilan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">kencing manis</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">keadaan-keadaan yang menyebabkan menurunnya sistem
kekebalan tubuh untuk melawan infeksi.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Patofisiologi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Umumnya bakteri </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">seperti Eschericia coli, Streptococus
fecalis, Pseudomonas aeruginosa, dan Staphilococus aureus </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">yang menginfeksi ginjal berasal dari
luar tubuh yang masuk melalui saluran kemih bagian bawah (uretra), merambat ke
kandung kemih, lalu ke ureter (saluran kemih bagian atas yang menghubungkan
kandung kemih dan ginjal) dan tibalah ke ginjal, yang kemudian menyebar dan
dapat membentuk koloni infeksi dalam waktu 24-48 jam. Infeksi bakteri pada
ginjal juga dapat disebarkan melalui alat-alat seperti kateter dan bedah urologis.
Bakteri lebih mudah menyerang ginjal bila terdapat hambatan atau obstruksi
saluran kemih yang mempersulit pengeluaran urin, seperti adanya batu atau
tumor. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pyelonefritis dibagi menjadi 2 macam yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pyelonefritis akut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pyelonefritis akut biasanya singkat
dan sering terjadi infeksi berulang karena tetapi tidak sempurna atau infeksi
baru. 20 % dari infeksi yang berulang terjadi setelah dua minggu setelah terapi
selesai. Infeksi bakteri dari saluran kemih bagian bawah ke arah ginjal, hal ini
akan mempengaruhi fungsi ginjal. Infeksi saluran urinarius atau dikaitkan
dengan selimut.abses dapat di jumpai pada kapsul ginjal dan pada taut
kortikomedularis. Pada akhirnya, atrofi dan kerusakan tubulus serta glomerulus
terjadi.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-add-space: auto; mso-list: l1 level1 lfo20; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pyelonefritis kronik.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pielonefritis kronik juga berasal
dari adanya bakteri, tetapi dapat juga karena faktor lain seperti obstruksi
saluran kemih dan refluk urin. Pyelonefritis kronik dapat merusak jaringan
ginjal secara permanen akibat inflamasi yang berulang kali dan timbulnya
parut dan dapat menyebabkan terjadinya renal faiure (gagal ginjal) yang kronik.
Ginjal pun membentuk jaringan parut progresif, berkontraksi dan tidak
berfungsi. Proses perkembangan kegagalan ginjal kronis dari infeksi ginjal yang
berulang –ulang berlangsung beberapa tahun atau setelah infeksi yang gawat.
Pembagian Pyelonefritis akut sering di temukan pada wanita hamil, biasanya
diawali dengan hidro ureter dan Pyelonefrosis akibat obstruksi ureter karena
uterus yang membesar.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanda dan gejala</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Gejala yang paling umum dapat berupa
demam tiba-tiba. Kemudian dapat disertai menggigil, nyeri punggung bagian
bawah, mual, dan muntah. Pada beberapa kasus juga menunjukkan gejala ISK bagian
bawah yang dapat berupa nyeri berkemih dan frekuensi berkemih yang meningkat. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Dapat terjadi kolik renalis, di mana
penderita merasakan nyeri hebat yang desebabkan oleh kejang ureter. Kejang
dapat terjadi karena adanya iritasi akibat infeksi </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">atau karena lewatnya
batu ginjal</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. Bisa terjadi pembesaran pada salah satu atau kedua ginjal. Kadang juga
disertai otot perut berkontraksi kuat.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> <span lang="EN-US">Pada anak-anak, gejala
infeksi ginjal seringkali sangat ringan dan lebih sulit untuk dikenali.</span><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pyelonefritis akut ditandai dengan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pembengkakan ginjal atau pelebaran
penampang ginjal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada pengkajian didapatkan adanya
demam yang tinggi, menggigil, nausea,<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">nyeri pada pinggang, sakit kepala,
nyeri otot dan adanya kelemahan fisik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada perkusi di daerah CVA ditandai
adanya tenderness.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klien biasanya disertai disuria,
frequency, urgency dalam beberapa hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada pemeriksaan urin didapat urin berwarna keruh atau
hematuria dengan bau yang tajam, selain itu juga adanya peningkatan sel darah
putih.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pielonefritis kronis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pielonefritis kronis Terjadi akibat infeksi yang
berulang-ulang, sehingga kedua ginjal perlahan-lahan menjadi rusak. Tanda dan
gejala:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Adanya serangan pielonefritis akut
yang berulang-ulang biasanya tidak mempunyai gejala yang spesifik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Adanya keletihan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sakit kepala, nafsu makan rendah dan
BB menurun.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Adanya poliuria, haus yang
berlebihan, azotemia, anemia, asidosis, proteinuria, pyuria dan kepekatan urin
menurun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesehatan pasien semakin menurun,
pada akhirnya pasien mengalami gagal ginjal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketidaknormalan kalik dan adanya luka pada daerah korteks.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ginjal mengecil dan kemampuan nefron
menurun dikarenakan luka pada jaringan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tiba-tiba ketika ditemukan adanya
hipertensi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Ada tiga komplikasi penting dapat
ditemukan pada <b>pielonefritis akut</b>
(Patologi Umum & Sistematik J. C. E. Underwood, 2002: 669)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Nekrosis papila ginjal</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. Sebagai hasil dari proses radang,
pasokan darah pada area medula akan terganggu dan akan diikuti nekrosis papila
guinjal, terutama pada penderita diabetes melitus atau pada tempat terjadinya
obstruksi.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Fionefrosis</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. Terjadi apabila ditemukan obstruksi
total pada ureter yang dekat sekali dengan ginjal. Cairan yang terlindung dalam
pelvis dan sistem kaliks mengalami supurasi, sehingga ginjal mengalami
peregangan akibat adanya pus.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Abses perinefrik</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. Pada waktu infeksi mencapai kapsula
ginjal, dan meluas ke dalam jaringan perirenal, terjadi abses perinefrik.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Komplikasi pielonefritis kronis
mencakup penyakit ginjal stadium akhir (mulai dari hilangnya progresifitas
nefron akibat inflamasi kronik dan jaringan parut), hipertensi, dan pembentukan
batu ginjal (akibat infeksi kronik disertai organisme pengurai urea, yang
mangakibatkan terbentuknya batu) (Brunner&Suddarth, 2002: 1437)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pielonefritis
kronik:</span></i></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">penyakit</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> ginjal stadium akhir(mulai dari hilangnya progresifitas
nefron akibat inflamasi </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">kronik</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> dan jaringan
parut)hipertensi, danpembentukan batu ginjal (akibat infeksi kronik disertai organisme
pengurai-urea, yang mengakibatkan terbentuknya batu).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Penunjang</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Urinalisis</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Leukosuria atau piuria: merupakan salah satu petunjuk
penting adanya ISK. Leukosuria positif bila terdapat lebih dari 5
leukosit/lapang pandang besar (LPB) sediment air kemih</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Hematuria: hematuria</span><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">-</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> positif bila terdapat 5-10 eritrosit/LPB sediment air
kemih. Hematuria disebabkan oleh berbagai keadaan patologis baik berupa
kerusakan glomerulus ataupun urolitiasis.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Bakteriologis</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mikroskopis : satu bakteri lapangan pandang minyak
emersi. 102 -103 organisme koliform / mL urin plus piuria</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Biakan bakteri</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tes kimiawi : tes reduksi griess nitrate berupa perubahan
warna pada uji carik</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kultur urine untuk mengidentifikasi adanya organisme
spesifik</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Hitung koloni: hitung koloni sekitar 100.000 koloni per
milliliter urin dari urin tampung aliran tengah atau dari specimen dalam
kateter dianggap sebagai criteria utama adanya infeksi.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Metode tes</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tes dipstick multistrip untuk WBC (tes esterase lekosit)
dan nitrit (tes Griess untuk pengurangan nitrat). </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tes esterase lekosit positif: maka pasien mengalami
piuria. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l19 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tes pengurangan nitrat, Griess positif jika terdapat
bakteri yang mengurangi nitrat urin normal menjadi nitrit.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Penyakit Menular Seksual (PMS): Uretritia akut akibat
organisme menular secara seksual (misal, klamidia trakomatis, neisseria
gonorrhoeae, herpes simplek).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tes- tes tambahan :</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Urogram intravena (IVU). </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pielografi (IVP), msistografi, dan ultrasonografi juga
dapat dilakukan untuk menentukan apakah infeksi akibat dari abnormalitas
traktus urinarius, adanya batu, massa renal atau abses, hodronerosis atau
hiperplasie prostate.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Urogram IV atau evaluasi ultrasonic, sistoskopi dan
prosedur urodinamik dapat dilakukan untuk mengidentifikasi penyebab kambuhnya
infeksi yang resisten.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<b><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span></i></b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pielonefritis akut<b>:</b></span></i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> pasien pielonefritis akut beresiko
terhadap bakteremia dan memerlukan terapi antimikrobial yang intensif. Terapi
parentral di berikan selama 24-48 jam sampai pasien afebril. Pada waktu
tersebut, agens oral dapat diberikan. Pasien dengan kondisi yang sedikit kritis
akan efektif apabila ditangani hanya dengan agens oral. Untuk mencegah
berkembangbiaknya bakteri yang tersisa, maka pengobatan pielonefritis akut
biasanya lebih lama daripada sistitis.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mas</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">lah yangmungkin timbul dlam penanganan
adalah infeksi kronik atau kambuhan yang muncul sampai beberapa bulan atau
tahun tanpa gejala. Setelah program antimikrobial awal, pasien dipertahankan
untuk terus dibawah penanganan antimikrobial sampai bukti adanya infeksi tidak
terjadi, seluruh faktor penyebab telah ditangani dan dikendalikan, dan fungsi
ginjal stabil. Kadarnya pada terapi jangka panjang.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pielonefritis
kronik<b>: </b></span></i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">agens
antimikrobial pilihan di dasarkanpada identifikasi patogen melalui kultur urin,
nitrofurantion atau kombinasi sulfametoxazole dan trimethoprim dan digunakan
untuk menekan pertumbuhan bakteri. Fungsi renal yang ketat, terutama jika
medikasi potensial toksik.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">pengobatan
</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Terapi
antibiotik untuk membunuh bakteri gram positif maupun gram negatif.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Apabila
pielonefritis kronisnya di sebabkan oleh obstruksi atau refluks, maka
diperlukan penatalaksanaan spesifik untuk mengatasi masalh-masalah tersebut.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Di anjurkan
untuk </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">s</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">ering munum dan
BAK sesuai kebutuhan untuk membilas mikroorganisme yang mungkin naik ke uretra,
untuk wanita harus membilas dari depan ke belakang untuk menghindari
kontaminasi lubang urethra oleh bakteri faeces.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pencegahan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk membantu perawatan infeksi ginjal, berikut beberapa
hal yang harus dilakukan: <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">minumlah banyak air (sekitar 2,5
liter ) untuk membantu pengosongan kandung kemih serta kontaminasi urin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perhatikan makanan (diet) supaya
tidak terbentuk batu ginjal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">banyak istirahat di tempat tidur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">terapi antibiotika<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk mencegah terkena infeksi ginjal adalah dengan
memastikan tidak pernah mengalami infeksi saluran kemih, antara lain dengan
memperhatikan cara membersihkan setelah buang air besar, terutama pada wanita.
Senantiasa membersihkan dari depan ke belakang, jangan dari belakang ke depan.
Hal tersebut untuk mencegah kontaminasi bakteri dari feses sewaktu buang air
besar agar tidak masuk melalui vagina dan menyerang uretra. Pada waktu
pemasangan kateter harus diperhatikan kebersihan dan kesterilan alat agar tidak
terjadi infeksi.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tumbuhan obat atau herbal yang dapat digunakan untuk
pengobatan infeksi ginjal mempunyai khasiat sebagai antiradang, antiinfeksi,
menurunkan panas, dan diuretik (peluruh kemih). Tumbuhan obat yang dapat
digunakan, antara lain :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kumis kucing (Ortthosiphon
aristatus)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Meniran (Phyllanthus urinaria)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sambiloto (Andrographis paniculata)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pegagan (Centella asiatica)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Daun Sendok (Plantago major) <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Akar alang-alang (Imperata
cyllindrica)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rambut Jagung (Zea mays)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Krokot (Portulaca oleracea)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jombang (Taraxacum mongolicum)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level3 lfo24; tab-stops: 252.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rumput mutiara(Hedyotys corymbosa) <o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB III<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ASUHAN KEPERAWATAN<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PENGKAJIAN</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Identitas Klien<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anak wanita dan wanita dewasa
mempunyai insidens infeksi saluran kemih yang lebih tinggi dibandingkan dengan
pria.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat penyakit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluhan utama : Nyeri punggung bawah
dan disuria<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat penyakit sekarang:</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Masuknya bakteri kekandung kemih
sehingga</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">menyebabkan infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat penyakit dahulu : Mungkin px
pernah mengalami penyakit seperti ini sebelumnya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat penyakit keluarga : ISK
bukanlah penyakit keturunan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola fungsi kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola persepsi dan pemeliharaan
kesehatan : Kurangnya pengetahuan kx tentang pencegahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola instirahat dan tidur :
Istirahat dan tidur kx mengalami gangguan karena gelisah dan nyeri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola eminasi : Kx cenderung
mengalami disuria dan sering kencing<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola aktivitas : Akativitas kx
mengalami gangguan karena rasa nyeri yang kadang datang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanda-tanda vital<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level3 lfo25; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TD : normal / meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level3 lfo25; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nadi : normal / meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level3 lfo25; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Respirasi : normal / meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level3 lfo25; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Temperatur : meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Data focus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">·
Inpeksi : Rrekuensi miksi b (+), lemah dan lesu, urin keruh<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">·
Palpasi : Suhu tubuh meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DIAGNOSA KEPERAWATAN</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Infeksi yang
berhubungan dengan adanya bakteri pada ginjal.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Hipertermi
berhubungan dengan respon imunologi terhadap infeksi.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Perubahan pola
eliminasi urine (disuria, dorongan, frekuensi, dan atau nokturia) yang
berhubungan dengan infeksi pada ginjal.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Nyeri yang
berhubungan dengan infeksi pada ginjal.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">K</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ecemasan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> yang
berhubungan dengan kurangnya informasi tentang proses penyakit, metode
pencegahan, dan instruksi perawatan di rumah.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kurangnya pengetahuan tentang
kondisi, prognosis, dan kebutuhan pengobatan berhubungan dengan kurangnya
sumber informasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">INTERVENSI</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosa Keperawatan : </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Infeksi yang
berhubungan dengan adanya bakteri pada ginjal</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan
: tidak terjadi infeksi pada ginjal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kreteria
hasil : klien tidak menunjukkan tanda-tanda infeksi, tanda-tanda vital normal.<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 36.0pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.05pt;" valign="top" width="284">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.35pt;" valign="top" width="275">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasional</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.05pt;" valign="top" width="284">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kaji suhu tubuh pasien setiap 4 jam dan lapor jika suhu diatas 38,50 C</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.35pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tanda vital menandakan adanya perubahan di dalam tubuh</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.05pt;" valign="top" width="284">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Catat karakteristik urine</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.35pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui/mengidentifikasi indikasi kemajuan atau penyimpangan
dari hasil yang diharapkan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.05pt;" valign="top" width="284">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Anjurkan pasien untuk minum 2 – 3 liter jika tidak ada kontra indikasi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.35pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk mencegah stasis urine</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.05pt;" valign="top" width="284">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Monitor pemeriksaan ulang urine kultur dan sensivitas untuk menentukan
respon terapi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.35pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mengetahui seberapa jauh efek pengobatan terhadap keadaan penderita.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.05pt;" valign="top" width="284">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Anjurkan
pasien untuk mengosongkan kandung kemih secara komplit setiap kali kemih.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.35pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk mencegah adanya distensi kandung kemih</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.05pt;" valign="top" width="284">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Berikan perawatan perineal, pertahankan agar tetap bersih dan kering.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.35pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk menjaga kebersihan dan menghindari bakteri yang membuat infeksi
uretra</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosa Keperawatan : </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Hipertermi
berhubungan dengan respon imunologi terhadap infeksi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan : tidak terjadi hipertermi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kreteria hasil : suhu tubuh klien
normal.<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 36.9pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasional</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pantau suhu</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
tubuh klien<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tanda vital dapat menandakan adanya perubahan di dalam tubuh.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pantau suhu lingkungan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Suhu ruangan dan jumlah selimut harus diubah untuk mempertahankan suhu
mendekati normal</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Lakukan kolaborasi dengan dokter untuk pemberian antipiretik</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mengurangi demam dengan aksi sentralnya pada hipotalamus</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosa Keperawatan : </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Perubahan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pola</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> eliminasi urine (disuria, dorongan,
frekuensi, dan atau nokturia) yang berhubungan dengan infeksi pada ginjal.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan : Pola eliminasi baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kreteria Hasil : Pola eliminasi
klien membaik, tidak terjadi tanda-tanda gangguan berkemih (urgensi, oliguri,
disuria)<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 36.0pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasional</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Ukur dan catat urine setiap kali berkemih</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui adanya perubahan warna dan untuk mengetahui input/out
put</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Anjurkan untuk berkemih setiap 2 – 3 jam</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk mencegah terjadinya penumpukan urine dalam vesika urinaria.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Palpasi kandung kemih tiap 4 jam</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui adanya distensi kandung kemih.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Bantu klien ke kamar kecil, memakai pispot/urinal</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk memudahkan klien di dalam berkemih.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Bantu klien mendapatkan posisi berkemih yang nyaman</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Supaya klien tidak sukar untuk berkemih.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dorong
meningkatkan pemasukan cairan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">peningkatan
hidrasi membilas bakteri.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Observasi
perubahan status mental:, perilaku atau tingkat kesadaran<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">akumulasi
sisa uremik dan ketidakseimbangan elektrolit dapat menjadi toksik pada
susunan saraf pusat<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 213.45pt;" valign="top" width="285">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kolaborasi:
Awasi- pemeriksaan laboratorium; elektrolit, BUN, kreatininRasional: pengawasan
terhadap disfungsi ginjal Lakukan tindakan untuk memelihara asam urin:-
tingkatkan masukan sari buah berri dan berikan obat-obat untuk meningkatkan
asam urin<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.95pt;" valign="top" width="275">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Asam
urin menghalangi tumbuhnya kuman. Peningkatan masukan sari buah dapt
berpengaruh dalm pengobatan infeksi saluran kemih.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosa Keperawatan : </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Nyeri yang </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">berhubungan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> dengan infeksi
pada ginjal</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan : nyeri pada ginjal berkurang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kreteria hasil : Tidak nyeri waktu
berkemih, tidak nyeri pada perkusi panggul<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 36.9pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasional</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kaji intensitas, lokasi, dan factor yang memperberat atau meringankan
nyeri</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Rasa sakit yang hebat menandakan adanya infeksi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Berikan waktu istirahat yang cukup dan tingkat aktivitas yang dapat di
toleran.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Klien dapat istirahat dengan tenang dan dapat merilekskan otot-otot</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Anjurkan minum banyak 2-3 liter jika tidak ada kontra indikasi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk membantu klien dalam berkemih</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Berikan obat analgetik sesuai dengan program terapi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Analgetik memblok lintasan nyeri</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pantau
haluaran urine terhadap perubahan warna, baud an pola berkemih, masukan dan
haluaran setiap 8 jam dan pantau hasil urinalisis ulang<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">untuk
mengidentifikasi indikasi kemajuan atau penyimpangan dari hasil yang
diharapkan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Catat
lokasi, lamanya intensitas skala (1-10) penyebaran nyeri<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">membantu
mengevaluasi tempat obstruksi dan penyebab nyeri<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan
tindakan nyaman, seprti pijatan punggung, lingkungan istirahat<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">meningkatkan
relaksasi, menurunkan tegangan otot.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bantu
atau dorong penggunaan nafas berfokus relaksasi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">membantu
mengarahkan kembali perhatian dan untuk relaksasi otot.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan
perawatan perineal<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">untuk
mencegah kontaminasi uretra<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 211.5pt;" valign="top" width="282">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kolaborasi:
Konsul dokter bila sebelumnya kuning gading-urine kuning, jingga gelap,
berkabut atau keruh. Pla berkemih berubah, sring berkemih dengan jumlah sedikit,
perasaan ingin kencing, menetes setelah berkemih. Nyeri menetap atau
bertambah sakit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Temuan-
temuan ini dapat memeberi tanda kerusakan jaringan lanjut dan perlu
pemeriksaan luas<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosa Keperawatan : </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">K</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ecemasan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> yang
berhubungan dengan kurangnya informasi tentang proses penyakit, metode </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pencegahan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">, dan instruksi
perawatan di rumah.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">tujuan : Kecemasan berkurang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kreteria Hasil : Klien mengatakan
rasa cemasnya berkurang<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 45.9pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.5pt;" valign="top" width="270">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasional</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.5pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kaji tingkat kecemasan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui berat ringannya kecemasan klien</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.5pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Beri kesempatan klien untuk mengungkapkan perasaannya</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Agar klien mempunyai semangat dan mau empati terhadap perawatan dan
pengobatan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.5pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Beri support pada klien</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276"></td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.5pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Beri dorongan spiritual</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Agar klien kembali menyerahkan sepenuhnya kepada Tuhan YME</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.5pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Beri penjelasan tentang penyakitnya</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Agar klien mengerti sepenuhnya tentang penyakit yang dialaminya</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.0pt; mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 4.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.5pt;" valign="top" width="270"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 4.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276"></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosa Keperawatan : Kurangnya
pengetahuan tentang kondisi, prognosis, dan kebutuhan pengobatan berhubungan dengan
kurangnya sumber informasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan : klien mengerti mengerti
mengenai pemyakitnya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Krteteria hasil : klien menyatakan
mengerti tentang kondisi, pemeriksaan diagnostic, rencana pengobatan, dan
tindakan perawatan diri preventif.<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 45.9pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 224.35pt;" valign="top" width="299">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasional</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.15pt;" valign="top" width="247">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kaji
ulang prose pemyakit dan harapan yang akan dating<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 224.35pt;" valign="top" width="299">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">memberikan
pengetahuan dasar dimana pasien dapat membuat pilihan beradasarkan informasi.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.15pt;" valign="top" width="247">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan informasi tentang: sumber
infeksi, tindakan untuk mencegah penyebaran, jelaskna pemberian antibiotic, pemeriksaan
diagnostic: tujuan, gambaran singkat, persiapan ynag dibutuhkan sebelum
pemeriksaan, perawatan sesudah pemeriksaan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 224.35pt;" valign="top" width="299">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pengetahuan
apa yang diharapkan dapat mengurangi ansietas dan m,embantu mengembankan
kepatuhan klien terhadap rencan terapetik.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.15pt;" valign="top" width="247">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pastikan
pasien atau orang terdekat telah menulis perjanjian untuk perawatan lanjut
dan instruksi tertulis untuk perawatn sesudah pemeriksaan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 224.35pt;" valign="top" width="299">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">instruksi
verbal dapat dengan mudah dilupakan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.15pt;" valign="top" width="247">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Instruksikan
pasien untuk menggunakan obat yang diberikan, inum sebanyak kurang lebih
delapan gelas per hari khususnya sari buah berri.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 224.35pt;" valign="top" width="299">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien
sering menghentikan obat mereka, jika tanda-tanda penyakit mereda. Cairan
menolong membilas ginjal. Asam piruvat dari sari buah berri membantu
mempertahankan keadaan asam urin dan mencegah pertumbuhan bakteri<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.15pt;" valign="top" width="247">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan
kesempatan kepada pasien untuk mengekspresikan perasaan dan masalah tentang
rencana pengobatan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 224.35pt;" valign="top" width="299">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk
mendeteksi isyarat indikatif kemungkinan ketidakpatuhan dan membantu
mengembangkan penerimaan rencana terapeutik.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DAFTAR PUSTAKA</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<div class="MsoNormal" style="margin-left: 27.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Doenges, Marilyn E. (1999). Rencana
Asuhan Keperawatan: pedoman untuk perencanaan dan pendokumentasian perawatan
pasien. Alih Bahasa: I Made Kariasa, Ni made Sumarwati. Edisi: 3. Jakrta: EGC.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Enggram, Barbara. (1998). Rencana
Asuhan Keperawatan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Nugroho, Wahyudi. (2000).
Keperawatan Gerontik. Edisi: 2. Jakarta: EGC.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Parsudi, Imam A. (1999). Geriatri
(Ilmu Kesehatan Usia Lanjut). Jakarta: FKUI<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Price,Sylvia Andrson. (1995).
Patofisiologi: konsep klinis proses-proses penyakit: pathophysiologi clinical
concept of disease processes. Alih Bahasa: Peter Anugrah. Edisi: 4. Jakarta:
EGC<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Smeltzer, Suzanne C. (2001). Buku
Ajar Keperawatan Medikal-Bedah Brunner & Suddart. Alih Bhasa: Agung Waluyo.
Edisi: 8. Jakarta: EGC.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Tessy Agus, Ardaya, Suwanto. (2001).
Buku Ajar Ilmu Penyakit Dalam: Infeksi Saluran Kemih. Edisi: 3. Jakarta: FKUI.<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-36015918114239624802016-05-16T08:24:00.001-07:002016-05-16T08:24:01.093-07:00Askep infeksi dan inflamasi traktus urinarius<div class="WordSection1">
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB I<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Latar
Belakang</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pada anak
yang baru lahir hingga umut 1 tahun, dijumpai bakteriuria di 2,7% lelaku dan
0,7% di perempuan. Insiden ISK pada lelaku tidak disunat adalah lebih banyak
berbanding dengan lelaki yang disunat (1,12% berbanding 0,11%) pada usia hidup
6 bulan pertama. Pada anak berusia 1 – 5 tahun, insidens bakteriuria di
perempuan bertambah menjadi 4,5%, sementara berkurang di lelalku menjadi 0,5%.
Kebanyakan ISK pada anak kurang dari 5 tahun adalah berasosiasi dengan kelainan
congenital pada saluran kemih, seperti <i>vesicoureteral
reflux </i>atau <i>obstruction.</i>Insidens
bakteriuria menjadi relative constant pada anak usia 6 – 15 tahun. Namun
infeksi pada anak golongan ini biasanya berasosiasi dengan kelaianan fungsional
pada saluran kemih seperti <i>dysfunction
voiding.</i> Menjelang remaja, insidens ISK bertambah secara signifikan pada
wanita muda mencapai 20%, sementara konstan pada lelalku muda. Sebanyak 7 juta
kasus cystitis akut yanf didiagnosis pada wanita muda tiap tahun, Faktor risiko
yang utama yang berusia 16 – 35 tahun adalah berkaitan dengan hubungan seksual.
Pada usia lanjut, insidens ISK bertambah secara signifikan di wanita dan
lelaki. Morbiditas dan mortilitas ISK paling tinggi pada kumpulan usia yang
<1 tahun dan >65 tahun.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Untuk itu,
penulis akan membahasan masalah ini lebih detil dalam bentuk makalah, agar kita
semua lebih mengerti tentang penyakit infeksi saluran kemih yang sengat
berisiko terhadap semua orang ini.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Rumusan
Masalah</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Apa pengertian dari infeksi dan
inflamasi traktus urinarius?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Bagaimana klasifikasi infeksi dan
inflamasi traktus urinarius?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Apa etiologi infeksi dan inflamasi
traktus urinarius?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Apa faktor risiko yang dapat
menyebabkan penyakit infeksi dan inflamasi traktus urinarius terjadi?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Bagaimana manifestasi klinis infeksi
dan inflamasi traktus urinarius?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Bagaimana mekanisme proses inflamasi
terjadi?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Bagaimana melakukan pemeriksaan
untuk menegakkan diagnosa infeksi dan inflamasi traktus urinarius?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Bagaiamana penatalaksanaan dan
terapi yang dilakukan untuk mengatasi penyakit infeksi dan inflamasi traktus
urinarius?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Bagaiamana asuhan keperawatan yang
dilakukan untuk menangani pasien dengan infeksi dan inflamasi traktus
urinarius?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-outline-level: 2;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-outline-level: 2;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo1; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tujuan
Penulisan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Adapun tujuan penulisan dari makalah
ini adalah sebagai berikut</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan
</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">U</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">mum<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">mampu</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> memahami </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">a</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">suhan keperawatan pada </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">pasien
dengan infeksi dan inflamasi traktus urinarius<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan
</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">K</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">husus<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">mampu</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> menjelaskan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">tentang </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">: </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pengertian
infeksi dan inflamasi traktus urinarius.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Klasifikasi infeksi dan inflamasi
traktus urinarius.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Etiologi infeksi dan inflamasi
traktus urinarius.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Faktor risiko infeksi dan inflamasi
traktus urinarius.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Manifestasi klinis infeksi dan
inflamasi traktus urinarius.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Mekanisme inflamasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pemeriksaan diagnostic yang
dilakukan untuk menegakkan diagnose infeksi dan inflamasi traktus urinarius.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan dan terapi yang
dilakukan untuk mengatasi penyakit infeksi dan inflamasi traktus urinarius.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Asuhan keperawatan yang dilakukan
untuk menangani pasien dengan infeksi dan inflamasi traktus urinarius.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo1; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Metode
Penulisan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Dalam
penulisan makalah ini, penulis menggunakan metode deskriptif, yaitu pengumpulan
data dari berbagai literature, baik sumber-sumber buku cetak maupun buku-buku
online (e-book).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo1; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Sistematika
Penulisan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Makalah ini
terdiri dari 3 bab yang disusun secara sistematis dengan urutan sebagai berikut
: <o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">BAB I</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> :
Pendahuluan yang terdiri dari latar belakang, rumusan masalah, tujuan penulisan,
metode penulisan dan sistematika penulisan.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">BAB II</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> : Tinjauan
teoritis tentang a</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">suhan
keperawatan pada klien dengan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">infeksi dan inflamasi traktus
urinarius<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">BAB III</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> : Penutup
yang teridiri dari kesimpulan dan saran. <o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">DAFTAR
PUSTAKA</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
</div>
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<br />
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">TINJAUAN TEORI<o:p></o:p></span></b></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Anatomi
Fisiologi </span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam buku Asuhan Keperawatan
: Pada Klien dengan Gangguan Sistem Perkemihan (2009), Hal. 12 – 25, Toto
suharyanto menjelaskan system perkemihan sebagai berikut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sistem perkemihan (ginjal) terdiri dari
organ-organ yang memproduksi urine dan mengeluarkannya dari tubuh. Sistem ini
merupakan salah satu sistem utama untuk mempertahankan homeostatis (kestabilan
lingkungan internal).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sistem perkemihan terdiri dari 2 <b>ginjal</b> yang memproduksi urine; 2 <b>ureter </b>yang membawa urin ke dalam <b>kandung kemih </b>untuk penampungan
sementara dan uretra yang mengalirkan urin keluar tubuh melalui <b>orifisium uretra eksternal</b>. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ginjal<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ginjal
merupakan organ yang berbentuk seperti kacang, berwarna merah tua, terletak
dikedua sisi kolumna vertebralis. Ginjal terlindungi dengan baik dari trauma
langsung karena disebelah posterior dilindungi oleh tulang kosta dan otot-otot
yang meeliputi kosta, sedangkan dibagia anterior dilindungi oleh bantalan usus
yang tebal. Ginjal kanan sedikit lebih rendah dibandingkan dengan ginjal kiri
karena tertekan kebawah oleh hati. Pada orang dewasa ginjal panjangnya 12-13
cm, tebalnya 6 cm dan beratnya 120-150 gram.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ginjal
melakukan fungsi vital sebagai pengatur volume dan komposisi kimia darah dan
lingkungan dalam tubuh dengan mengekskresikan solute dan air secara seelektif.
Fungsi vital ginjal dilakukan dengan filtrasi plasma darah melalui glomerulus
diikuti dengan reabsorbsi sejumlah solute dan air akan diekskresikan keluar
tubuh sebagai air kemih melalui sistem peengumpul.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">U</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">reter<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ureter </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">adalah
perpanjangan tubular berpasangan dan berotot dari pelvis ginjal yang merentang
sampai ke kandung kemih.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Setiap
ureter panjangnya 25-30 cm atau 10-12 inci dan berdiameter 4-6 mm.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dinding
ureter terdiri dari 3 lapisan jaringan, yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lapisan
terluar adalah lapisan fibrosa<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lapisan
tengah adalah muskularis longitudinal ke arah dalam dan otot polos sirkular ke
arah luar.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lapisan
terdalam epitelium mukosa yang mengsekresi selaput mukus pelindung<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lapisan
otot memiliki aktivitas peristaltik intrinsik. Gelombang peristaltik
mengeluarkan urine dari kandung kemih ke luar tubuh.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kandung kemih<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kandung
kemih adalah satu kantong berotot yang dapat mengempis, terletak dibelakang
simpisis pubis. Kandung kemih mempunyai 3 muara, yaitu 2 muara ureter dan satu
muara uretra. Sebagian besar dinding kandung kemih tersusun dari otot polos
yang disebut muskulus destrusor. Di dinding kandung kemih terdapat scratch
reseptor yang akan bekerja memberikan stimulus sensasi berkemih apabila volume
kandung kemih telah mencapai kurang
lebih 150 cc.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dua
fungsi kandung kemih adalah:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sebagai
tempat penyimpanan urin sebelum meninggalkan tubuh.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kandung
kemih berfungsi mendorong urine keluar tubuh dengan dibantu uretra.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uretra<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Saluran
kecil yang dapat mengembang, berjalan dari kandung kemih sampai keluar tubuh.
Panjangnya pada wanita 1,5 inci dan pada laki-laki sekitar 8 inci. Muara uretra
keluar tubuh disebut meatus urinarius. Pada laki-laki, kalenjar prostat yang
terletak tepat dibawah leher kandung kemih mengelilingi uretra disebelah
posterior dan lateral.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uretra pada
laki-laki terdiri dari: <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uretra
prostatia<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uretra prostatia dikelilingi oleh
kalenjar prostat.uretra ini menerima 2 duktus ejakulator yang masing-masing
terbentuk dari penyatuan duktus aferen dan duktus kalenjar vesikel seminalis,
serta menjadi tempat muaranya sejumlah duktus dari kelenjar prostat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uretra
membranosa<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uretra membranosa adalah bagian yang
berdinding tipis dan dikelilingi otot rangka sfingter uretra eksterna.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uretra
kavernosa<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Uretre kavernosa merupakan bagian
yang menerima duktus kalenjar bulbouretra dan merentang sampai orifisium uretra
eksterna pada ujung penis. <o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pengertian</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Infeksi
saluran kemih adalah infeksi yang terjadi di sepanjang saluran kemih, termasuk
ginjal itu sendiri, akibat proliferasi suatu mikroorganisme. Sebagian besar
infeksi saluran kemih disebabkan oleh bakteri, tetapi jamur dan virus juga dapat
menjadi penyebabnya. Infeksi bakteri tersering disebabkan oleh <i>Escherichia coli</i>, suatu kontaminan tinja
yang sering ditemukan di daerah anus. (Elizabeth J. Corwin, Patofisiologi :
Buku Saku, 2009, Hal.718)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Infeksi
saluran kemih (ISK) adalah kolonisasi bakteri di berbagai segmen di saluran
kemih. Jumlah organism dalam urin lebih besar dari yang dapat ditampung.
Kriteria diagnostic paling umum untuk ISK adalah terdapat minimal 100.000
koloni bakteri dalam 1 ml urine pancar tengah pada dua biakan berturut-turut. ISK
adalah penyakit infeksi kedua terbanyak setelah infeksi saluran napas bagian
atas (ISPA). (Cecily Lynn Betz, Buku Saku Keperawatan Pediatri, 2009, Hal.680)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Sebagian
besar dari gangguan saluran kemih adalah disebabkan oleh infeksi saluran kemih
(ISK). Infeksi saluran kemih dapat terjadi akibat infeksi saluran kemih bagian
atas, seperti pielonefritis, atau dari infeksi saluran kemih bagian bawah,
seperti sistitis atau prostatitis. Sistitis, suatu ISK bagian bawah yang sering
terjadi pada wanita karena uretra yang pendek (dibandingkan dengan pria),
umumnya disebabkan oleh <i>Escherichia coli
(E. coli).</i> (Joyce L. Kee, Farmakologi : Pendekatan Proses Keperawatan,
1996, Hal.368)<o:p></o:p></span></div>
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<i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Infeksi saluran kemih</span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> (ISK)
adalah episode bakteriuria signifikan yaitu infeksi dengan jumlah koloni >
100.000 mikroorganisme tunggal per ml) yang mengenai saluran kemih bagian atas
(<i>pielonefritis), abses ginjal</i>) atau
bagian bawah (<i>sistitis</i>), atau
keduanya. (Pierce A. Grace & Neil R. Borley, At a Glance : Ilmu Bedah,
2006, Hal.167)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Jadi dapat
disimpulkan bahwa, <b><i>infeksi inflamasi saluran kemih</i></b> (ISK) adalah</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">invasi
virus, jamur ataupun bakteri yang mengakibatkan peradangan yang terjadi pada
saluran kemih</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">biasanya
disebabkan oleh</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Escherichia coli</span></i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, dimana jumlah koloninya > 100.000 / ml urin.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<v:imagedata cropbottom="4786f" croptop="10410f" o:href="http://antranik.org/wp-content/uploads/2011/12/organs-of-urinary-system-cadaverrenal-artery-renal-hilum-renal-vein-1024x558.jpg?08b933" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image001.jpg">
</v:imagedata></v:shape><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: center;">
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Etiologi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Infeksi saluran kemih (ISK) didiagnosis dengan membiak
organism spesifik. Infeksi aktif umumnya menunjukkkan pembiakan > 100.000
bakteri/mL urine (urine yang dipakai adalah urin <i>midstream</i> dalam pot steril). Bakteri penyebab paling umum adalah,
organism aerobic yang banyak terdapat di daerah usus bagian bawah. ISK dapat
pula disebabkan organism lain, seperti <i>Proteus</i>,
<i>Klebsiella</i>, dan <i>Staphylococcs</i>, terutama bila sedang terpasang kateter. (Jan
Tambayong, Patofisiologi Untuk Keperawatan, 2000, Hal. 112 – 113)<o:p></o:p></span></div>
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<v:imagedata o:href="http://upload.wikimedia.org/wikipedia/commons/2/29/Pyuria2011.JPG" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image003.jpg">
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 10.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sumber : <a href="http://www.keepourfoodsafe.org/2010/05/e-coli-outbreaks-focus-attention-on-food-safety/">http://www.keepourfoodsafe.org/2010/05/e-coli-outbreaks-focus-attention-on-food-safety/</a><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Sumber
:</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%;"> <a href="http://en.wikipedia.org/wiki/Urinary_tract_infection">http://en.wikipedia.org/wiki/Urinary_tract_infection</a><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anatomi wanita (khususnya uretra wanita yang lebih pendek bila
dibandingkan uretra laki-laki) merupakan predisposisi terjadinya infeksi
saluran kemih (ISK) yang lebih sering pada wanita. Frekuensi gejala ISK bawah
akan meningkat pada dua keadaan berikut: masa kehamilan dan awal aktivitas
seksual. Patogenesis ISK pada wanita berhubungan paling erat dengan migrasi
asenderen nikroorganisme yang ada dalam vagina. Delapan pulih hingga Sembilan
puluh lima persen dari mikroorganisme penyebab ISK adalah <i>Enterobacteriaceae</i>. Mikroorganisme lainnya meliputi spesies <i>Klebsiella</i>, <i>Proteus</i>, dan <i>Enterobacter</i>.
(Kathleen S. Oman, <i>Panduan Belajar
Keperawatan Emergensi</i>, 2008, Hal 225)<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Patofisiologi</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Infeksi saluran
kemih (ISK) adalah invasi virus, jamur ataupun bakteri yang mengakibatkan
peradangan yang terjadi pada saluran kemih. Infeksi ini umumnya disebabkan oleh
bakteri <i>Escherichia coli</i>, selain itu
bakteri <i>Proteus</i>, <i>Klebsiella</i> dan <i>Staphylococcus
</i>juga sering menjadi pencetusnya, namun dalam jumlah kasus yang lebih
sedikit. Ada beberapa hal yang menjadi pencetus terjadinya ISK ini, yaitu :
jarang berkemih / menahan kencing, gangguan pengosongan kandung kemih karena
penyakit batu ginjal, kurangnya kebersihan diri, prosedur invasive kateter dan
senggama serta penyakit diabetes mellitus, yang keseluruhannya berefek buruk
bagi saluran kemih, seperti menyebabkan perlukaan pada lapisan mumosa saluran
kemih sehingga infektan lebih mudah masuk, terganggunya fungsi ginjal karena
ketidakmampuan memfiltrasi jumlah glukosa yang terlalu banyak di dalam urin dan
lain sebagainya, selain itu ISK juga dapat disebabkan oleh infeksi pada organ
atau daerah lain di tubuh, dimana infektan menyebar dan berproliferasi hingga
ke saluran kemih melalui peredaran darah dan limfe.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Infeksi
saluran kemih berdampak pada beberapa bagian tubuh maupun keseluruhannya,
seperti ginjal, kandung kemih dan sistemik (keseluruhannya). Pada cakupan
keseluruhan tubuh, akan terjadi inflamasi sistemik yang merupakan hasil dari
interpretasi respon fisiologis hipotalamus terhadap pengaturan suhu, akibat
dari itu terjadilah demam dan rasa gigil atau tidak enak badan yang menyebabkan
suhu tubuh menjadi meningkat (>37<sup>o</sup>C). Pada ginjal dan kandung
kemih akan terjadi perforasi jaringan mukosanya, sehingga kondisi ini
mengakibatkan terjadi pelepasan mediator nyeri dan inflamasi berupa <i>histamine</i>, <i>bradikinin</i>, <i>prostaglandin</i>
dan <i>serotonin</i> yang akan merangsang <i>nosi-reseptor</i> untuk menyampaikan sinyal
ke SSP untuk mempersepsikan nyeri sebagai kompensasi pertahanan tubuh, nyeri
yang terjadi pada ISK umumnya berbentuk nyeri pinggang dan nyeri tekan pada
sudut kostovetebra karena radang pada organ ginjalnya (<i>pielonefritis</i>) dan nyeri pada bagian suprapubis karena radang pada
kandung kemihnya (<i>sistitis</i>), selain
itu invasi bakteri pada kandung kemih akan menyebabkan perforasi lapisan
mukosanya, perlukaan ini mengakibatkan cedera pada kapiler kandung kemih
sehingga terjadilah perdarahan <i>massif </i>yang
mengakibatkan terdapatnya kandungan darah dalam urin (<i>hematuria</i>), di lain sisi, apabila respons psikologis pasien tidak
adekuat akan mengakibatkan terjadinya stress psikologis yang berujung pada
ansietas (cemas). Selain itu, invasi bakteri tadi juga akan mengakibatkan
gangguan pada fungsi sfingter uretra eksterna yang berakhir pada peningkatan
frekuensi BAK – karena ketidakmampuan sfingter untuk menahan volume urin,
sehingga tecipta kondisi urgensi. <i><o:p></o:p></i></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Manifestasi
Klinis</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam buku At a Glance Ilmu
Bedah (2006), Hal, 167, Pierce A. Grace mengklasifikasikan manifestasi infeksi
saluran kemih (ISK) menjadi 2 kelompok, yaitu :<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Infeksi
saluran kemih bagian atas<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Demam,
Menggigil.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nyeri
pinggang.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Malaise.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Malaise adalah perasaan umum tidak sehat, tidak nyaman, atau lesu
(“tidak enak badan”). (Kamus Kesehatan)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anoreksia.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anoreksia nervosa (juga disebut anoreksia) adalah gangguan makan
yang ditandai dengan berat badan rendah ( < 85% dari BB normal untuk tinggi
dan usianya), citra tubuh yang terdistorsi, dan ketakutan intens terhadap
kenaikan berat badan. (Kamus Kesehatan)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nyeri tekan
pada sudut kostovertebra dan abdomen.<o:p></o:p></span></div>
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<span lang="EN-US"><v:shape alt="" id="_x0000_i1030" style="height: 253.5pt; width: 173.25pt;" type="#_x0000_t75">
<v:imagedata o:href="http://www.aafp.org/afp/2002/0501/afp20020501p1817-f2.gif" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image004.png">
</v:imagedata></v:shape><v:shape alt="" id="irc_mi" o:spid="_x0000_s1026" style="height: 169.5pt; mso-position-horizontal-relative: char; mso-position-vertical-relative: line; rotation: 90; width: 255.75pt;" type="#_x0000_t75">
<v:imagedata o:href="http://1.bp.blogspot.com/-NiyYhx4rQhI/UO01zl1ceWI/AAAAAAAAAT4/psVEaGnC_FI/s1600/71334458655889.png" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image005.png">
<w:wrap type="none">
<w:anchorlock>
</w:anchorlock></w:wrap></v:imagedata></v:shape><o:p></o:p></span></div>
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<span lang="EN-US">Sumber
: <a href="http://itsgonnabealongjourney.blogspot.com/2011/02/sudut-cobb.html">http://itsgonnabealongjourney.blogspot.com/2011/02/sudut-cobb.html</a><o:p></o:p></span></div>
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<span lang="EN-US">Sumber
: <a href="http://ayoncrayon1.blogspot.com/2013/01/pemeriksaan-fisik-ginjal.html">http://ayoncrayon1.blogspot.com/2013/01/pemeriksaan-fisik-ginjal.html</a></span><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Infeks
saluran kemih bagian bawah<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Disuria.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Disuria adalah buang air kecil sulit atau menyakitkan. (Kamus
Kesehatan)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Peningkatan frekuensi
BAK dan urgensi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nyeri
suprapubik.<o:p></o:p></span></div>
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<span lang="EN-US"><v:shape alt="" id="_x0000_i1031" style="height: 167.25pt; width: 195pt;" type="#_x0000_t75">
<v:imagedata o:href="http://www.ichrc.org/sites/www.ichrc.org/files/aspirasi%20suprapubik.png" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image006.png">
</v:imagedata></v:shape><o:p></o:p></span></div>
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<span lang="EN-US">Sumber
: <a href="http://www.ichrc.org/a16-aspirasi-suprapubik">http://www.ichrc.org/a16-aspirasi-suprapubik</a><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hematuria.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hematuria adalah setiap kondisi di mana urin mengandung darah atau
sel-sel darah merah. Keberadaan darah dalam urin biasanya akibat perdarahan di
suatu tempat di sepanjang saluran kemih. (Kamus Kesehatan)<o:p></o:p></span></div>
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<span lang="EN-US"><v:shape alt="" id="_x0000_i1032" style="height: 168pt; width: 224.25pt;" type="#_x0000_t75">
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</v:imagedata></v:shape><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Sumber : <a href="http://mifrah.com/abnormal-colors-of-urine/">http://mifrah.com/abnormal-colors-of-urine/</a><o:p></o:p></span></div>
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<br /></div>
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</v:imagedata></v:shape><v:shape alt="" id="_x0000_i1034" style="height: 186.75pt; width: 140.25pt;" type="#_x0000_t75">
<v:imagedata o:href="http://media-cache-ec0.pinimg.com/236x/39/05/6f/39056fb6125ead43cc94ac222f078cfa.jpg" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image009.jpg">
</v:imagedata></v:shape><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Sumber : <a href="http://www.vet.ohio-state.edu/assets/courses/vm718/sam5/hematuria.html">http://www.vet.ohio-state.edu/assets/courses/vm718/sam5/hematuria.html</a><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Sumber : <a href="http://www.pinterest.com/missytunney/nephrotic-syndrome/">http://www.pinterest.com/missytunney/nephrotic-syndrome/</a><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gejala khas <i>ISK bagian bawah</i> – yang tidak perlu
selalu tampak – bertalian dengan peradangan kandng kemih atau uretra dan dapat
berupa sbb.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sering kencing siang dan malam (<i>pollakisuria</i>)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sukar kencing (menetes) (<i>stranguria)</i><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perasaan sakit atau “terbakar” pada saat berkemih (<i>dysuria</i>)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nyeri perut dan pinggang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ada darah dalam urin (<i>hematuria</i>)<o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Urin yang baunya abnormal<o:p></o:p></span></div>
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<i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada nak-anak</span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> terjadi malaise umum, demam, sakit perut, ngompol malam hari dan
hambatan pertumbuhan. <i>Pada lansia </i>juga
malaise, demam, inkontinensia serta adakalanya perasaan kacau yang timbul
mendadak. <i>ISK bagian lebih tinggi </i>bergejala
demam, kadang-kadang dengan menggigil dan sakit pinggang (di lokasi ginjal).
(Tan Hoan Tjay, <i>Obat-Obat Penting :
Khasiat, Penggunaan, Dan Efek-Efek Sampingnya</i>, 2007, Hal. 134 – 135)<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Faktor Predisposisi</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam buku </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Obat-Obat
Penting : Khasiat, Penggunaan, Dan Efek-Efek Sampingnya</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> (2007), Hal. 13</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">, </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tan Hoan Tjay</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> mengatakan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">: Ada beberapa faktor penting yang mempermudah timbulnya infeksi, yakni:<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jarang berkemih</span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">. Pengeluaran urin (<i>mictio</i>) merupakan mekanisme ketahanan penting dari kandung kemih.
Bila <i>mictio </i>normal terhambat karena
misalnya obstruksi, ISK dapat lebih mudah terjadi.<i><o:p></o:p></i></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gangguan pengosongan kandung kemih</span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> akibat obstruksi (batu ginjal), disfungsi
atau hipertrofi prostat bisa mengakibatkan tertinggalnya <i>residu </i>di mana kuman-kuman mudah berproliferasi.<i><o:p></o:p></i></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hygiene pribadi kurang baik </span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">bisa menyebabkan kolonisasi kuman
uropatogen di sekitar (ujung) <i>uretra</i>,
mis. Penggunaan pembalut wanita. Kuman lalu menjalar ke atas menuju uretra,
lalu ke kandung kemih dan kemudian menyebar melalui <i>ureter </i>ke ginjal (<i>ISK bagian
atas</i>).<i><o:p></o:p></i></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penggunaan kateter </span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">dan <i>senggama</i> menyebabkan
peningkatan risiko infeksi local (misalnya <i>vaginitas</i>)
dapat mempermudah infeksi.<i><o:p></o:p></i></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penderita diabetes </span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">lebih peka untuk ISK karena meningkatnya daya melekat bakteri pada
epitel SK akibat beberapa sebab terntetu.<i><o:p></o:p></i></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gejala khas <i>ISK bagian bawah</i> – yang tidak perlu
selalu tampak – bertalian dengan peradangan kandng kemih atau uretra dan dapat
berupa sbb.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sering kencing siang dan malam (<i>pollakisuria</i>)<o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sukar kencing (menetes) (<i>stranguria)</i><o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perasaan sakit atau “terbakar” pada saat berkemih (<i>dysuria</i>)<o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nyeri perut dan pinggang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ada darah dalam urin (<i>hematuria</i>)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Urin yang baunya abnormal<o:p></o:p></span></div>
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<i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada nak-anak</span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> terjadi malaise umum, demam, akit perut, ngompol malam (lagi) dan
hambatan pertumbuhan. <i>Pada lansia </i>juga
malaise, demam, inkontinensia serta adakalanya perasaan kacau yang timbul
mendadak. <i>ISK bagian lebih tinggi </i>bergejala
demam, kadang-kadang dengan menggigil dan sakit pinggang (di lokasi ginjal).
(Tan Hoan Tjay, <i>Obat-Obat Penting :
Khasiat, Penggunaan, Dan Efek-Efek Sampingnya</i>, 2007, Hal. 134 – 135)<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Klasifkasi</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Dalam buku
Anatomi Dan Fisiologi Untuk Pemula (2003), Hal 329, Ethel Sloane
mengklasifikasikan infeksi saluran kemih menjadi 2 bagian, yaitu:<o:p></o:p></span></div>
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<b><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pielonefritis</span></i></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> adalah
inflamasi ginjal dan pelvis ginjal akibat infeksi bakteri. Inflamasi dapat
berawal di traktus urinaria bawah (kandung kemih) dan menyebar ke ureter, atau
karena infeksi yang dibawa darah dan limfe ke ginjal. Obstruksi traktus
urinaria terjadi akibat pembesaran kelenjar prostat, batu ginjal atau defek
kongenital yang memicu terjadinya pielonefritis.<o:p></o:p></span></div>
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<b><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Sistitis</span></i></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> adalah
adalah inflamasi kandung kemih. Inflamasi ini dapat disebabkan oleh infeksi bakteri
(biasanya <b><i>Escherichia coli</i></b>) yang menyebar dari uretra atau karena respons
alergik atau akibat iritasi mekanis pada kandung kemih. Gejalanya adalah sering
berkemih dan nyeri (disuria) yang disertai darah dalam urine (hematuria).<o:p></o:p></span></div>
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<b><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ureteritis </span></i></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">adalah suatu
inflamasi pada uretra. Biasanya adalah suatu infeksi yang menyebar secara naik
yang digolongkan sebagai gonorrheal dan atau non-gonorheal.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">(Toto
Suharyanto, Asuhan Keperawatan Pada Klien Dengan Gangguna Sistem Perkemihan,
2009, Hal.112.)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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</w:anchorlock></w:wrap></v:imagedata></v:shape><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sumber :</span><span lang="EN-US"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><a href="https://www.meducation.net/resources/26754-Ureter-Ureteritis-Cystica-Gross-Natural-Color-Very-Close-Up-View-Excellent-Pho">https://www.meducation.net/resources/26754-Ureter-Ureteritis-Cystica-Gross-Natural-Color-Very-Close-Up-View-Excellent-Pho</a><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam buku </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Obat-Obat Penting : Khasiat,
Penggunaan, Dan Efek-Efek Sampingnya</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
(2007), Hal. 134, </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tan
Hoan Tjay</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> mengatakan bahwa : Jenis ISK
dapat dibedakan menjadi dua bentuk infeksi saluran kemih, yaitu <i>ISK</i> <i>bagian
bawah </i>dan <i>ISK bagian atas.<o:p></o:p></i></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ISK bagian bawah </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">(<i>tanpa komplikasi</i>), umumnya radang
kandung kemih pada pasien dengan saluran kemih normal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ISK bagian lebih tinggi (atas) </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">(<i>dengan komplikasi</i>)
terdapat pada pasien dengan saluran kemih abnormal, mis. Adanya batu,
penyumbatan atau diabetes. Contoh-contoh dari ISK ini adalah radang pasu-ginjal
(<i>pyelitis</i>), <i>pyelonephritis & prostatitis</i>, pada mana jaringan organ
terinfeksi. Kombinasi dari infeksi dan obstruksi saluran kemih dapat
menimbulkan dengan cepat kerusakan ginjal serius. Keadaan ini merupakan
penyebab penting terjadinya keracunan darah (<i>septicemia sepsis</i>) oleh kuman-kuman Gram-negatif yang dapat
membahayakan jiwa.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Mekanisme Inflamasi
</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam buku Anatomi dan
Fisiologi Untuk Pemula (2003), Ethel Sloane mengatakan bahwa : <b>Inflamasi </b>adalah respons jaringan
terhadap cedera akibat infeks, pungsi, abrasi, terbakar, objek asing, atau
toksin (produk bakteri yang merusak sel hospes atau jaringan hospes). Inflamasi
meliputi rangkaian peristiwa kompleks yang dapat bersifat <b>akut </b>(jangka pendek) atau <b>kronik</b>.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda-tanda
lokal respons inflamasi meliputi <b>kemerahan</b>
(<i>rubor</i>), <b>panas</b> (<i>kalor</i>), <b>pembengkakan</b> (<i>tumor</i>), dan <b>nyeri</b> (<i>dolor</i>). Gejala kelima yang kadang sering
terjadi adalah <b>hilangnya fungsi</b> (<i>fungsio laesa</i>), bergantung luas area
cedera.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Rangkaian
peristiwa dalam inflamasi adalah sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tahap pertama
adalah produksi faktor-faktor kimia vasoaktif oleh sel rusak di area cedera.
Faktor-faktor ini meliputi <b>histamin </b>(dari
sel mast), <b>serotonin</b> (dari
trombosit), devirat asam arakidonat (leukotrien, <b>prostaglandin</b> dan tromboksan) dan <b>kinin </b>(protein plasma teraktivasi). Faktor-faktor ini mengakibatkan
efek berikut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Vasodilatasi </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">atau
pelebaran diameter pembuluh darah pada area yang rusak meningkatkan aliran
darah dan menyebabkan kemerahan (eritema), nyeri berdenyut, dan panas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Peningkatan permeabilitas kapiler </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">mengakibatkan hilangnya cairan dari pembuluh ke dalam ruang
interselular. Akumulasi cairan dalam jaringan menyebabkan pembengkakan, atau
edema.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pembatasan area cedera </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">terjadi akibat lepasnya fibrinogen dari plasma ke dalam jaringan.
Fibrinogen diubah menjadi fibrin untuk membentuk bekuan yang akan mengisolasi
lokasi yang rusak dari jaringan yang masih utuh.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tahap kedua
adalah <b>kemotaksis </b>(gerakan fagosit
ke area cedera), terjadi dalam satu jam setelah permulaan proses inflamasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Marginasi </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">adalah
perlekatan fagosit (neutrofil dan monosit) ke dinding endothelial kapilar pada
area yang rusak.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Diapedesis</span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> adalah
migrasi fagosit melalui dinding kapilar menuju area cedera. Yang pertama kali
sampai di area yang rusak adalah neutrofil; monosit menyusul ke dalam jaringan
dan menjadi makrofag.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Fagositosis </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">agens
berbahaya terjadi pada area cedera.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Neutrofil dan
makrofag akan terurai secara enzimatik dan mati setelah menelan sejumlah besar
mikroorganisme.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Leukosit
mati, sel jaringan mati, dan berbagai jenis cairan tubuh membentuk pus yang
terus terbentuk sampai infeksi teratasi. Pus bergerak menuju permukaan tubuh
untuk diuraikan atau menuju rongga internal yang pada akhirnya akan dihancurkan
dan diabsorpsi tubuh.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Abses atau
granuloma akan terbentuk jika respons inflamasi tidak dapat mengatasi cedera
atau invasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Abses </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">adalah
kantong pus terbatas yang dikelilingi jaringan terinflamasi. Abses ini biasanya
tidak terurai secara spontan dan harus dikeluarkan.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Granuloma </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">biasanya
terjadi akibat proses inflamasi kronik dalam merespons iritasi berulang.
Granuloma merupakan akumulasi sel-sel fagositik dan mikroorganisme yang
dikelilingi kapsul fibrosa.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pemulihan </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">melalui
regenerasi jaringan atau pembentukan jaringan parut merupakan tahap akhir
proses inflamasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada<b> regenerasi jaringan</b>, sel-sel sehat
dalam jaringan yang terkena akan membelah secara mitosis untuk berproliferasi
dan mengembalikan massa jaringan.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pembentukan jaringan parut</span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> oleh fibroblast adalah respons alternative terhadap regenerasi
jaringan. Jaringan parut mengganti jaringan asli yang rusak.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sifat
jaringan yang rusak dan luasnya area cedera akan menentukan apakah akan terjadi
regenerasi atau pembentukan jaringan parut. Kulit memiliki kemampuan yang tinggi
untuk melakukan regenerasi lengkap kecuali jika cedera terlalu dalam atau luas.
<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
Diagnostik</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam buku </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Obat-Obat Penting : Khasiat,
Penggunaan, Dan Efek-Efek Sampingnya</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
(2007), Hal. 135, </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tan
Hoan Tjay</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> mengatakan pemeriksaan
diagnostic untuk infeksi saluran kemih (ISK) adalah sebagai berikut : Guna
menentukan adanya <i>bakteriuria</i>,
artinya ISK dengan bakteri, sekrang tersedia beberapa cara diagnose, yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tes sedimentasi </span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">mendeteksi
secara mikroskopis adanya kuman dan lekosit di endapan urin. Tes positif perlu
dipastikan dengan dip-slide test.<o:p></o:p></span></div>
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<span lang="EN-US"><v:shape alt="" id="_x0000_i1037" style="height: 179.25pt; width: 289.5pt;" type="#_x0000_t75">
<v:imagedata o:href="http://dokterarrazi.files.wordpress.com/2013/04/10tes_urine.jpg" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image013.jpg">
</v:imagedata></v:shape><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Sumber : <a href="http://dokterarrazi.wordpress.com/2013/04/02/pemeriksaan-urine-secara-biokimia/">http://dokterarrazi.wordpress.com/2013/04/02/pemeriksaan-urine-secara-biokimia/</a><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tes nitrit</span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> (<i>Nephur R</i>) menggunakan strip mengandung
nitrat yang dicelupkan ke urin. Praktis semua kuman <i>Gram-negatif </i>dapat mereduksi nitrat menjadi nitrit, yang tampil sebagai
perubahan warna tertentu pada strip. Kuman-kuman <i>Gram-positif </i>tidak terdeteksi.<o:p></o:p></span></div>
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<span lang="EN-US"><v:shape alt="" id="_x0000_i1038" style="height: 206.25pt; width: 137.25pt;" type="#_x0000_t75">
<v:imagedata o:href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFyjr1P7xYXivq0trg9hjWinmCN6EOcGOaciVeb30a1I5mRBQrN1TDRebNbuFl4qrY_weXRXBJYU-9ZTZIgOymZZGLXll-IyqhquT6h5cvOVf0P0MAsUB3-IKCxXZDEyoZzs-siR4YEbw/s1600/images+%281%29.jpg" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image014.jpg">
</v:imagedata></v:shape><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Sumber
: <a href="http://niespyline.blogspot.com/2012/10/cara-menguji-protein-dalam-urine.html">http://niespyline.blogspot.com/2012/10/cara-menguji-protein-dalam-urine.html</a><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dip-slide test </span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">(<i>Uricult</i>) menggunakan persemaian kuman di
kaca obyek, yang sesuai inkubasi ditentukan jumlah koloninya secara
mikroskopis. Tes ini dapat dipercaya dan lebih cepat daripada pembiakan lengkap
dan jauh lebih murah.<o:p></o:p></span></div>
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<span lang="EN-US"><v:shape alt="" id="_x0000_i1039" style="height: 254.25pt; width: 381pt;" type="#_x0000_t75">
<v:imagedata o:href="http://gonorekencingnanah.files.wordpress.com/2014/01/pemeriksaan-gonorrhea-dengan-kultur-bakteri.jpg" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image015.jpg">
</v:imagedata></v:shape><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Sumber : <a href="http://gonorekencingnanah.wordpress.com/2014/01/08/pemeriksaan-gonore-dengan-metode-kultur-neisseria-gonorrhoeae/">http://gonorekencingnanah.wordpress.com/2014/01/08/pemeriksaan-gonore-dengan-metode-kultur-neisseria-gonorrhoeae/</a><o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US"><v:shape alt="http://upload.wikimedia.org/wikipedia/commons/thumb/c/c4/Pyuria.JPG/230px-Pyuria.JPG" id="_x0000_i1040" style="height: 2in; width: 172.5pt;" type="#_x0000_t75">
<v:imagedata o:href="http://upload.wikimedia.org/wikipedia/commons/thumb/c/c4/Pyuria.JPG/230px-Pyuria.JPG" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image016.jpg">
</v:imagedata></v:shape><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 10pt; line-height: 150%;">Sumber : <a href="http://en.wikipedia.org/wiki/Urinary_tract_infection">http://en.wikipedia.org/wiki/Urinary_tract_infection</a><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pembiakan lengkap </span></i><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">terutama
dilakukan sesudah terjadinya residif 1 – 2 kali, terlebih-lebih pada ISK
anak-anak dan pria.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tes ABC (<i>antibody coated bacteria</i>) adalah cara
imunologi guna menentukan <b>ISK </b>yang
letaknya <b>“lebih tinggi”. </b>Dalam hal
ini tubuli secara local membentuk anti-bodies terhadap kuman, yang bereaksi
dengan <b>antigen</b> yang berada di
dinding kuman. Kompleks yang terbentuk dapat diperlihatkan dengan cara <i>imunofluorensi</i>.<o:p></o:p></span></div>
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<span lang="EN-US"><v:shape alt="" id="_x0000_i1041" style="height: 175.5pt; width: 260.25pt;" type="#_x0000_t75">
<v:imagedata cropbottom="3440f" cropleft="893f" cropright="1148f" croptop="1448f" o:href="http://www.vcharkarn.com/userfiles/245093/01-05_Penicillin_1.jpg" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image017.jpg">
</v:imagedata></v:shape><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Sumber : <a href="http://www.vcharkarn.com/varticle/44132">http://www.vcharkarn.com/varticle/44132</a><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">J.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan
Dan Terapi</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengobatan ISK bertujuan untuk
membebaskan saluran kemih dari bakteri dan mencegah atau mengendalikan infeksi
berulang. Ada beberapa metode pengobatan ISK yang lazi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">m</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> di pakai, yaitu:<b><o:p></o:p></b></span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l30 level1 lfo28; mso-outline-level: 2; text-align: justify;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pengobatan
dosis tunggal, yaitu obat diberikan satu kali.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l30 level1 lfo28; mso-outline-level: 2; text-align: justify;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pengobatan
jangka pendek, yaitu 1-2 minggu.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l30 level1 lfo28; mso-outline-level: 2; text-align: justify;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pengobatan
jangka panjang, yaitu 3-4 minggu.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l30 level1 lfo28; mso-outline-level: 2; text-align: justify;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pengobatan
rofilaktik, yaitu 1 kali sehari dalam waktu 3-6 bulan<o:p></o:p></span></li>
</ol>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam pendekatan klinis pengobatan
ISK, pemilihan antibiotik adalah penting. Antibiotik sering digunakan adalah
ampicilin, trimetoprim-sulfametoksasol, kloramfenikol, sefotaksim, amikasim.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> Selain itu,
untuk meregulasi infektan yang terdapat di dalam saluran kemih dapat dilakukan
pemberian cairan dalam jumlah banyak (>2,5 liter / hari).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2;">
<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">K.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pencegahan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam buku </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Obat-Obat
Penting : Khasiat, Penggunaan, Dan Efek-Efek Sampingnya</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> (2007), Hal. 13</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">, </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tan Hoan Tjay</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">memaparkan
tindakan pencegahan infeksi saluran kemih sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tidakan pertama adalah menjauhi
(re-)infeksi dengan memperhatikan faktor-faktor tersebut di atas. Sebagai
tindakan pencegahan penting adalah <b><i>minum air lebih banyak </i></b>dan <b><i>berkemih
lebih sering </i></b>terutama bagi pasien diabetes dan manula.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengenalan
infeksi saluran kemih (ISK) secara dini dan penanganan yang tepat sangat
penting untuk mencegah kekambuhan infeksi dan kemungkinan komplikasi seperti
gagal ginjal dan sepsis, dengan cara:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terapi antimikrobial yang tepat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Minim cairan dalam jumlah bebas (banyak)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sering berkemih<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Personal higiene (terutama kebesihan pada
daerah periuretral)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Melakukan tehnik aseptik yang ketat selama
melakukkan tindakan insersi misalnya memasang kateter.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Melakukan inspeksi sesering mungkin
terhadap bau warna dan konsistensi urin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Melakukan perawatan perineal dengan
mengunakan sabun dan air bersih setiap hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pergunakan sistem tertutup ketika
mengambil contoh spesimen.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kaji dengan cermat tanda atanda vital dan
tingkat kesadaran yang menunjukkan adanya sepsis.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo5; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">L.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Komplikasi</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam buku At a Glance Ilmu
Bedah (2006), hal.167, Pierce A. Grace menyatakan komplikasi infeksi saluran
kemih sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo18; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Bakteremia dan syok septic.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo18; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Abses ginjal, perinefrik, dan
metastasis.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo18; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Kerusakan ginjal dan gagal ginjal
akut/kronis.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo18; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pielonefritis kronik dan
xantogranulomatosa.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo5; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">M.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Asuhan
Keperawatan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengkajian<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Riwayat</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">tanda dan gejala didapatkan dari
klien yang diduga mengalami infeksi saluran perkemihan, diantaranya</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> adalah</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Demam, menggigil</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nyeri pinggang</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Malaise</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anoreksia</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nyeri tekan pada sudut kostovetebra dan abdomen</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Disuria</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Peningkatan frekuensi BAK</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Urgensi / Inkontinensia</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hematuria
</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nokturia</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bau urin abnormal</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nyeri
perut</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pola
berkemih klien juga perlu dikaji untuk mendektesi faktor predisposisi terjadinya
infeksi saluran kemih. Pengosongan kandung kemih yang tidak teratur, hubungan
gejala infeksi saluran kemih dengan hubungan seksual, praktek kontrasepsi, dan
personal higiene juga perlu di kaji. Pengetahuan klien tentang resep pengobatan
agen anti-mikrobial dan tindakan pencegahan juga dikaji.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa keperawatan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
data hasil pengkajian, diagnosa keperawatan kepada klien dengan infeksi saluran
kemih bagian bawah</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> adalah
sebagai berikut</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nyeri
b/d inflamasi </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">perforasi jaringan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
uretra, kandung kemih dan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">ginjal</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ansietas
b/d</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> <span lang="EN-US">hematuria, peningkatan frekuensi
berkemih dan urgensi berkemih</span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Infeksi
b/d</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> <span lang="EN-US">hygiene pribadi yang kurang dan
prosedur invasive (penggunaan dower kateter)</span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan
pola eliminasi </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">urin </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b/d
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">peningkatan frekuensi BAK dan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">urgensi / inkontinensia</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kekurangan
volume cairan b/d</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> perlukaan
kapiler saluran kemih dan hematuria </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipertermi
b/d respon fisiologis inflamasi sistemik</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi
(NIC) dan Kriteria Hasil (NOC)</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nyeri
b/d inflamasi </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">perforasi jaringan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
uretra, kandung kemih dan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">ginjal</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi (NIC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kaji
nyeri komperhensif (P, Q, R, S dan T)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ajarkan
teknik relaksasi atau distraksi untuk pengalihan nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Lakukan
masase punggung atau kompres hangat / dingin untuk meminimalisir nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kolaborasikan
untuk pemberian terapi anti-analgetik : dexametason<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kriteria Hasil (NOC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien
tampak rileks<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien
terlihat tidak memegangi daerah yang nyeri (mis. Daerah kostovetebra atau supra
pubis)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien
mengatakan nyeri berkurang / hilang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ansietas
b/d</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> hematuria, peningkatan
frekuensi berkemih dan urgensi berkemih</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi (NIC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dengarkan
penjelasan pasien, kaji kecemasan (hal yang dicemaskan, penyebabnya dan
lain-lain)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jelaskan
tentang kondisi pasien dan semua prosedur, termasuk sensasi yang akan dirasakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Motivasi
dan yakinkan pasien terhadap hal yang positif atau kemungkinan positif atas
diri pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kriteria Hasil (NOC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien
tampak tenang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien
mampu memahami tentang kondisinya dan prosedur yang akan dilakuakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Infeksi
b/d</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> hygiene pribadi yang kurang
dan prosedur invasive (penggunaan dower kateter)</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi (NIC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kaji
tanda infeksi dan inflamasi komperhensif (rubor, kalor, tumor, dolor dan
fungsio laesa)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kaji
kadar leukosit <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kolaborasikan
untuk pemberian terapi anti-biotik : kloramfenikol<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kriteria Hasil (NOC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tidak
terdapat tanda infeksi dan inflamasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kadar
leukosit dalam rentang normal 5000 – 10000 <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perubahan
pola eliminasi </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">urin </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b/d
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">peningkatan frekuensi BAK dan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">urgensi / inkontinensia</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi (NIC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pantau
eliminasi urin (frekuensi, konsistensi, volume, bau, dan warna)<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ambil
specimen urin untuk urin-analisis<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rujuk
ke dokter jika terdapat tanda dan gejala infeksi saluran kemih<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kriteria Hasil (NOC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pantau
eliminasi urin (frekuensi, konsistensi, volume, bau, dan warna)<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tidak
adanya infeksi saluran kemih (SDP [sel darah putih] <100.000)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Volume
urin > 150cc setiap kali berkemih<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kekurangan
volume cairan b/d</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> perlukaan
kapiler saluran kemih dan hematuria </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi (NIC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pantau
tanda-tanda kekurangan cairan (dehidrasi) (kulit kering, mukosa pucat,
capillary refill > 2 detik, lemah, pusing, palpitasi, )<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pantau
eliminasi urin (frekuensi, konsistensi, volume, bau, dan warna)<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hitung
input dan output cairan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Berikan
terapi cairan seusai kebutuhan pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kriteria Hasil (NOC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tidak
terdapat tanda dehidrasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Frekuensi,
konsistensi, volume, bau dan warna urin normal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipertermi
b/d respon fisiologis inflamasi sistemik</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi (NIC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kaji
TTV (Suhu, tekanan darah, tekanan nadi dan napas)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kaji
tanda dehidrasi (turgor kulit dan kelembapan membrane mukosa)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kaji
tanda-tanda infeksi dan inflamasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Berikan
kompres hangat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kriteria Hasil (NOC) :<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nilai
TTV dalam rentang normal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tidak
terdapat tanda dehidrasi dan infeksi maupun inflamasi<o:p></o:p></span></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection3">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo2; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Kesimpulan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<b><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Infeksi
saluran kemih</span></i></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> (ISK) adalah</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> infeksi yang terjadi di sepanjang
saluran kemih (bagian atas dan bawah), disebabkan oleh bakteri</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">jamur ataupun virus, seperti <i>Escherichia coli</i>, dimana jumlah
koloninya > 100.000 / ml urin</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">. Infeksi saluran kemih (ISK)
terbagi menjadi dalam beberap klasifikasi yaitu ISK bagian atas dan ISK bagian bawah,
yang terdiri dari: pielonefritis, sistitis, ureteritis. Tanda dan gejala yang
sering muncul adalah seperti demam, menggigil, nyeri pinggang, malaise, nyeri
tekan pada sudut kostovetebra dan abdomens, disuria, peningkatan frekuensi BAK
dan urgensi, nyeri suprapubis dan hematuria. Untuk menegakkan suatu diagnosa
medis Infeksi saluran kemih / infeksi dan inflamasi traktus urinarius perlu
dilakukan pemeriksaan diagnostic, khususnya terhadap urin, yaitu dengan cara
urin-analisis, yang mencakup tes sedimentasi, tes pH, tes kultur bakteri dan
pemilihan terapi obat yang tepat untuk mengatasi infeksi tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo2; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Saran</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Untuk kita
semua agar dapat memberikan asuhan keperawatan pada pasien dengan infeksi dan
inflamasi traktus urinarius dengan benar, memhami masalah yang dialami pasien,
menyelesaikan masalah sesuai prioritasnya dengan hasil yang sesempurna mungkin
agar kualitas hidup pasien meningkat dan tetap sehat setelahnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<br /></div>
</div>
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 266.25pt;">
<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> <o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Betz, Cecily Lynn. 2009. <i>Buku Saku Keperawatan Pediatri</i>. Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Corwin, Elizabeth J. 2009. <i>Patofisiologi : Buku Saku</i>. Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Grace, Pierce A. 2006. <i>At a Glance : Ilmu Bedah.</i> Erlangga Medical Series<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kee, Joyce L. 1996. <i>Farmakologi : Pendekatan Proses Keperawatan. </i>Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Oman, Kathleen S. 2008. <i>Panduan Belajar Keperawatan Emergensi.</i>
Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sloane, Ethel. 2003. <i>Anatomi Dan Fisiologi Untuk Pemula</i>. Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tambayong Jan. 2000. <i>Patofisiologi Untuk Keperawatan.</i> Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tjay, Tan Hoan. 2007. <i>Obat-Obat Penting : Khasiat, Penggunaan, Dan Efek-Efek Sampingnya</i>.
Jakarta : Elex Media Komputindo<o:p></o:p></span></div>
<br />
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Suharyanto, Toto. 2009. <i>Asuhan Keperawatan Pada Klien Dengan
Gangguna Sistem Perkemihan</i>. Jakarta : TM<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-47426029760464338692016-05-16T08:20:00.001-07:002016-05-16T08:20:37.385-07:00Askep Sindrome Nefrotik <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">BAB </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">I</span></b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">PENDAHULUAN</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">LATAR BELAKANG</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindrom nefrotik
(SN) ialah keadaan klinis yang ditandai oleh proteinuria masif,
hipoproteinemia, edema, dan dapat disertai dengan hiperlipidemia. Angka
kejadian SN di Amerika dan Inggris berkisar antara 2-7 per 100.000 anak berusia
di bawah 18 tahun per tahun, sedangkan di Indonesia dilaporkan 6 per 100.000
anak per tahun, dengan perbandingan anak laki-laki dan perempuan 2:1. Di
Departemen Ilmu Kesehatan Anak FKUI/RSCM Jakarta, sindrom nefrotik merupakan
penyebab kunjungan sebagian besar pasien di Poliklinik Khusus Nefrologi, dan
merupakan penyebab tersering gagal ginjal anak yang dirawat antara tahun
1995-2000.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Semua penyakit
yang mengubah fungsi glomerulus sehingga mengakibatkan kebocoran protein
(khususnya albumin) ke dalam ruang Bowman akan menyebabkan terjadinya sindrom
ini. Etiologi SN secara garis besar dapat dibagi 3, yaitu kongenital,
glomerulopati primer/idiopatik, dan sekunder mengikuti penyakit sistemik
seperti pada purpura Henoch-Schonlein dan lupus eritematosus sitemik. Sindrom
nefrotik pada tahun pertama kehidupan, terlebih pada bayi berusia kurang dari 6
bulan, merupakan kelainan kongenital (umumnya herediter) dan mempunyai
prognosis buruk. Pada tulisan ini hanya akan dibicarakan SN idiopatik.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">RUMUSAN MASALAH</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan anatomi dan fisiologi glomerulus ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Apa pengertian sindrom
nefrotik ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan etiologi
sindrom nefrotik ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Apa saja manifestasi
klinis sindrom nefrot</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ik</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">klasifikasi sindrom
nefrotik</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan patofisologi
sindrom nefrotik ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan pathway sindrom
nefrotik ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan pemeriksaan
penunjang sindrom nefrotik ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> komplikasi sindrom
nefrotik</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bagaimana
penatalaksanaan sindrom nefrotik ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> asuhan keperawatan
sindrom nefrotik</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> ?</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">TUJUAN</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tujuan Umum<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mendapatkan gambaran
tentang asuhan keperawatn dengan sindrom nefrotik serta fa</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">k</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">tor-faktor yang berhubungan dengan masal</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">h tersebut.</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tujuan Khusus<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan anatomi dan fisiologi glomerulus</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">pengertian sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">etiologi sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">manifestasi klinis sindrom nefrot</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">klasifikasi sindrom nefrotik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">patofisologi sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">pathway sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">pemeriksaan penunjang sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">komplikasi sindrom nefrotik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">penatalaksanaan sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">asuhan keperawatan sindrom nefrotik<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">MANFAAT</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami anatomi dan fisiologi glomerulus</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami pengertian dari </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">etiologi dari penyakit sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">manifestasi klinis sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mengetahui klasifikasi sindrom nefrotik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">patofisologi sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami pathway sindrom
nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami pemeriksaan
penunjang sindrom nefrotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mengetahui komplikasi sindrom nefrotik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami
penatalaksanaan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">sindrom nefrotik<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mengetahui asuhan
keperawatan sindrom nefrotik<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">METODE PENULISAN<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penulisan makalah ini menggunakan
berdasarkan literatur ya</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">n</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">g
diperoleh dari buku ataupun sumber dari internet.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">SISTEMATIKA
PENULISAN</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Makalah ini terdiri dari 3 bab yang
disusun dengan sistematika penulisan sebagai berikut :<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB I</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">: Pendahuluan yang terdiri dari latar belakang,
rumusan masalah, tujuan penulisan dan sistematika penulisan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB II</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Pembahasan </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">yang
terdiri dari </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">anfis glomerulus,
definisi</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">,
etiologi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, manifestasi
klinis, klasifikasi, patofisiologi, pathway, pemeriksaan penunjang, komplikasi,
penatalaksanaan klien dengan sindrom nefrotik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -22.5pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB III</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Asuhan
keperawatan pada klien </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">sindrom nefrotik</span><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -22.5pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB IV</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penutup
terdiri dari kesimpulan dan saran</span></div>
<a name='more'></a><b><o:p></o:p></b><br />
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">BAB </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">II</span></b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">PEMBAHASAN</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Glomerulus merupakan gulungan pembuluh darah kapiler
yang berada di dalam sebuah kapsul sirkuler, yang disebut kapsula Bowman.
Secara bersamaan, glomerulus dan kapsula.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bowman disebut dengan korpuskulum renalis. Ginjal manusia memiliki sekitar satu jutaglomerulus
di dalamnya. Glomerulus terdiri atas tiga tipe sel intrinsik: sel endotel
kapiler, selepitel yang dipisahkan dari sel endotel oleh membrana basalis
glomerular, serta sel mesangial <o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Fungsi terpenting
dari glomerolus adalah membentuk ultrafiltrat yang dapat masuk ke tubulus
akibat tekanan hidrostatik kapiler yang lebih besar dibanding tekanan
hidrostatik intra kapiler dan tekanan koloid osmotik. Volume ultrafiltrat tiap
menit per luas permukaan tubuh disebut glomerula filtration rate (GFR). GFR
normal dewasa : 120 cc/menit/1,73 m2 (luas pemukaan tubuh). GFR normal umur
2-12 tahun : 30-90 cc/menit/luas permukaan tubuh anak</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><!--[if gte vml 1]><v:shape
id="Picture_x0020_4" o:spid="_x0000_s1029" type="#_x0000_t75" style='position:absolute;
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height:159.15pt;z-index:251659264;visibility:visible'>
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</v:shape><![endif]--><!--[if !vml]--><span style="height: 212px; left: 0px; margin-left: 138px; margin-top: 24px; mso-ignore: vglayout; position: absolute; width: 309px; z-index: 251659264;"><img height="212" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image005.jpg" v:shapes="Picture_x0020_4" width="309" /></span><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENGERTIAN</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<b><i><span lang="EN-GB" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Sindrome
Nefrotik Normal<o:p></o:p></span></i></b></div>
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<span lang="EN-GB" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menurut
Smeltzer dan Bare (2001), sindrom nefrotik merupakan gangguan klinis yang
ditandai dengan peningkatan protein dalam urine secara bermakna (proteinuria),
penurunan albumin dalam darah (hipoalbuminemia), edema dan serum koesterol yang
tinggi dan lipoprotein densitas rendah (hiperlipidemia). Tanda – tanda tersebut
dijumpai sampai disetiap kondisi yang sangat merusak membrane kapiler
glomerulus dan menyebabkan peningkatan permeabilitas glomerulus.<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindrom Nefrotik
adalah Status klinis yang ditandai dengan peningkatan permeabilitas membran
glomerulus terhadap protein, yang mengakibatkan kehilangan protein urinaris
yang massif (Donna L. Wong, 2004)<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindroma Nefrotik
(NEPHROTIC SYNDROME) adalah suatu sindroma (kumpulan gejala-gejala) yang
terjadi akibat berbagai penyakit yang menyerang ginjal dan menyebabkan: –
proteinuria (protein di dalam air kemih) – menurunnya kadar albumin dalam darah
– penimbunan garam dan air yang berlebihan – meningkatnya kadar lemak dalam
darah.<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindroma ini bisa
terjadi pada segala usia. Pada anak-anak, paling sering timbul pada usia 18
bulan sampai 4 tahun, dan lebih banyak menyerang anak laki-laki.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ETIOLOGI</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sebab penyakit
sindrom nefrotik yang pasti belum diketahui, akhir-akhir ini dianggap sebagai
suatu penyakit autoimun. Jadi merupakan suatu reaksi antigen-antibodi. Umumnya
para ahli membagi etiologinya menjadi:<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindrom nefrotik bawaan</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Diturunkan sebagai resesif autosomal atau karena
reaksi maternofetal. Gejalanya adalah edema pada masa neonatus. Sindrom
nefrotik jenis ini resisten terhadap semua pengobatan. Salah satu cara yang
bisa dilakukan adalah pencangkokan ginjal pada masa neonatus namun tidak
berhasil. Prognosis buruk dan biasanya penderita meninggal dalam bulan-bulan
pertama kehidupannya.</span><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindrom nefrotik sekunder</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Disebabkan oleh:</span><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penyakit kolagen seperti lupus eritematosus diseminata, purpura
anafilaktoid.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Glumeronefritis akut atau glumeronefritis kronis, trombisis vena renalis.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bahan kimia seperti trimetadion, paradion, penisilamin, garam emas,
sengatan lebah, racun oak, air raksa.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Amiloidosis, penyakit sel sabit,
hiperprolinemia, nefritis membranoproliferatif hipokomplementemik. Sindrom
nefrotik idiopatik ( tidak diketahui sebabnya)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Berdasarkan histopatologis yang tampak pada biopsi
ginjal dengan pemeriksaan mikroskop biasa dan mikroskop elektron, Churg dkk
membagi dalam 4 golongan yaitu: kelainan minimal,nefropati membranosa,
glumerulonefritis proliferatif dan glomerulosklerosis fokal segmental.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">TANDA dan GEJALA</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda dan gejala yang muncul
pada anak yang mengalami <b>Sindrom
nefrotik</b> adalah:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="PT-BR" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Oedem umum ( anasarka ), terutama jelas pada muka dan jaringan periorbital.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Proteinuria dan albuminemia.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hipoproteinemi dan albuminemia.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hiperlipidemi khususnya hipercholedterolemi.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Lipid uria.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mual, anoreksia, diare.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anemia, pasien mengalami edema paru.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">KLASIFIKASI</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Whaley dan Wong (1999 : 1385) membagi tipe-tipe
sindrom nefrotik: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindrom Nefrotik Lesi Minimal (<i>MCNS :
minimal change nephrotic syndrome</i>)</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kondisi yang sering menyebabkan sindrom nefrotik pada
anak usia sekolah. Anak dengan sindrom nefrotik ini, pada biopsi ginjalnya
terlihat hampir normal bila dilihat dengan mikroskop cahaya</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindrom Nefrotik Sekunder</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terjadi selama perjalanan penyakit vaskuler seperti
lupus eritematosus sistemik, purpura anafilaktik, glomerulonefritis, infeksi
system endokarditis, bakterialis dan neoplasma limfoproliferatif.</span><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindrom Nefrotik Kongenital</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Faktor herediter sindrom nefrotik disebabkan oleh gen
resesif autosomal. Bayi yang terkena sindrom nefrotik, usia gestasinya pendek
dan gejala awalnya adalah edema dan proteinuria. Penyakit ini resisten terhadap
semua pengobatan dan kematian dapat terjadi pada tahun-yahun pertama kehidupan
bayi jika tidak dilakukan dialysis.</span><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PATOFISIOLOGI</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelainan yang
terjadi pada sindrom nefrotik yang paling utama adalah proteinuria sedangkan
yang lain dianggap sebagai manifestasi sekunder. Kelainan ini disebabkan oleh
karena kenaikan permeabilitas dinding kapiler glomerulus yang sebabnya belum
diketahui yang terkait dengan hilannya muatan negative gliko protein dalam
dinding kapiler. Pada sindrom nefrotik keluarnya protein terdiri atas campuran
albumin dan protein yang sebelumnya terjadi filtrasi protein didalam tubulus
terlalu banyak akibat dari kebocoran glomerolus dan akhirnya diekskresikan
dalam urin. (Husein A Latas, 2002 : 383).<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada sindrom
nefrotik protein hilang lebih dari 2 gram perhari yang terutama terdiri dari
albumin yang mengakibatkan hipoalbuminemia, pada umumnya edema muncul bila
kadar albumin serum turun dibawah 2,5 gram/dl. Mekanisme edema belum diketahui
secara fisiologi tetapi kemungkinan edema terjadi karena penurunan tekanan
onkotik/ osmotic intravaskuler yang memungkinkan cairan menembus keruang
intertisial, hal ini disebabkan oleh karena hipoalbuminemia. Keluarnya cairan
keruang intertisial menyebabkan edema yang diakibatkan pergeseran cairan.
(Silvia A Price, 1995: 833).<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Akibat dari
pergeseran cairan ini volume plasma total dan volume darah arteri menurun
dibandingkan dengan volume sirkulasi efektif, sehingga mengakibatkan penurunan
volume intravaskuler yang mengakibatkan menurunnya tekanan perfusi ginjal. Hal
ini mengaktifkan system rennin angiotensin yang akan meningkatkan konstriksi
pembuluh darah dan juga akan mengakibatkan rangsangan pada reseptor volume
atrium yang akan merangsang peningkatan aldosteron yang merangsang reabsorbsi
natrium ditubulus distal dan merangsang pelepasan hormone anti diuretic yang
meningkatkan reabsorbsi air dalam duktus kolektifus. Hal ini mengakibatkan
peningkatan volume plasma tetapi karena onkotik plasma berkurang natrium dan
air yang direabsorbsi akan memperberat edema. (Husein A Latas, 2002: 383).<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Stimulasi renis
angiotensin, aktivasi aldosteron dan anti diuretic hormone akan mengaktifasi
terjadinya hipertensi. Pada sindrom nefrotik kadar kolesterol, trigliserid, dan
lipoprotein serum meningkat yang disebabkan oleh hipoproteinemia yang
merangsang sintesis protein menyeluruh dalam hati, dan terjadinya katabolisme
lemak yang menurun karena penurunan kadar lipoprotein lipase plasma. Hal ini
dapat menyebabkan arteriosclerosis. (Husein A Latas, 2002: 383).<o:p></o:p></span></div>
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</span></span></b><!--[endif]--><!--[if gte vml 1]><v:shape id="Picture_x0020_1"
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</v:shape><![endif]--><!--[if !vml]--><span style="height: 659px; left: 0px; margin-left: -5px; margin-top: 22px; mso-ignore: vglayout; position: absolute; width: 641px; z-index: 251656192;"><img height="659" src="file:///C:/Users/AC_DIS~1/AppData/Local/Temp/msohtmlclip1/01/clip_image007.png" v:shapes="Picture_x0020_1" width="641" /></span><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PATHWAY</span></b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PEMERIKSAAN PENUNJANG</span></b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Laboratorium<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Urine</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Volume biasanya
kurang dari 400 ml/24 jam (fase oliguria). Warna urine kotor, sediment
kecoklatan menunjukkan adanya darah, hemoglobin, mioglobin, porfirin</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Darah</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hemoglobin menurun
karena adanya anemia. Hematokrit menurun. Natrium biasanya meningkat, tetapi
dapat bervariasi. Kalium meningkat sehubungan dengan retensi seiring dengan
perpindahan seluler (asidosis) atau pengeluaran jaringan (hemolisis sel darah
merah). </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bio</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">p</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">si ginjal
dilakukan untuk memperkuat diagnosa.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">KOMPLIKASI</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menurut Rauf, .2002 : .27-28 :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Infeksi sekunder mungkin karena kadar imunoglobulin yang rendah akibat
hipoalbuminemia.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-GB" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Shock : terjadi terutama pada hipoalbuminemia
berat (< 1 gram/100ml) yang</span><span lang="EN-GB" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-GB" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">menyebabkan hipovolemia berat sehingga
menyebabkan shock.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-GB" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trombosis vaskuler : mungkin akibat gangguan
sistem koagulasi sehingga terjadi peninggian fibrinogen plasma.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-GB" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi yang bisa timbul adalah malnutrisi
atau kegagalan ginjal.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></li>
</ol>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENATALAKSANAAN</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Diperlukan tirah baring selama masa edema parah yang menimbulkan keadaan
tidak berdaya dan selama infeksi yang interkuten. Juga dianjurkan untuk
mempertahankan tirah baring selama diuresis jika terdapat kehilangan berat
badan yang cepat.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level2 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Diit. Pada beberapa unit masukan cairan dikurangi menjadi 900 sampai 1200
ml/ hari dan masukan natrium dibatasi menjadi 2 gram/ hari. Jika telah terjadi
diuresis dan edema menghilang, pembatasan ini dapat dihilangkan. Usahakan
masukan protein yang seimbang dalam usaha memperkecil keseimbangan negatif
nitrogen yang persisten dan kehabisan jaringan yang timbul akibat kehilangan
protein. Diit harus mengandung 2-3 gram protein/ kg berat badan/ hari. Anak
yang mengalami anoreksia akan memerlukan bujukan untuk menjamin masukan yang
adekuat.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level2 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perawatan kulit. Edema masif merupakan masalah dalam perawatan kulit.
Trauma terhadap kulit dengan pemakaian kantong urin yang sering, plester atau
verban harus dikurangi sampai minimum. Kantong urin dan plester harus diangkat
dengan lembut, menggunakan pelarut dan bukan dengan cara mengelupaskan. Daerah
popok harus dijaga tetap bersih dan kering dan scrotum harus disokong dengan
popok yang tidak menimbulkan kontriksi, hindarkan menggosok kulit.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perawatan mata. Tidak jarang mata anak tertutup akibat edema kelopak mata
dan untuk mencegah alis mata yang melekat, mereka harus diswab dengan air
hangat.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kemoterapi:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Prednisolon digunakan secra luas. Merupakan kortokisteroid yang mempunyai
efek samping minimal. Dosis dikurangi setiap 10 hari hingga dosis pemeliharaan
sebesar 5 mg diberikan dua kali sehari. Diuresis umumnya sering terjadi dengan
cepat dan obat dihentikan setelah 6-10 minggu. Jika obat dilanjutkan atau
diperpanjang, efek samping dapat terjadi meliputi terhentinya pertumbuhan,
osteoporosis, ulkus peptikum, diabeters mellitus, konvulsi dan hipertensi.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jika terjadi resisten steroid dapat diterapi dengan diuretika untuk
mengangkat cairan berlebihan, misalnya obat-obatan spironolakton dan sitotoksik
(imunosupresif). Pemilihan obat-obatan ini didasarkan pada dugaan imunologis
dari keadaan penyakit. Ini termasuk obat-obatan seperti 6-merkaptopurin dan
siklofosfamid. </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penatalaksanaan krisis hipovolemik. Anak akan mengeluh nyeri abdomen dan
mungkin juga muntah dan pingsan. Terapinya dengan memberikan infus plasma
intravena. Monitor nadi dan tekanan darah.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pencegahan infeksi. Anak yang mengalami sindrom nefrotik cenderung
mengalami infeksi dengan pneumokokus kendatipun infeksi virus juga merupakan
hal yang menganggu pada anak dengan steroid dan siklofosfamid.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perawatan spesifik meliputi: mempertahankan grafik cairan yang tepat,
penimbnagan harian, pencatatan tekanan darah dan pencegahan dekubitus.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dukungan bagi orang tua dan anak. Orang tua dan anak sering kali tergangu
dengan penampilan anak. Pengertian akan perasan ini merupakan hal yang penting.
Penyakit ini menimbulkan tegangan yang berta pada keluarga dengan masa remisi,
eksaserbasi dan masuk rumah sakit secara periodik. Kondisi ini harus diterangkan
pada orang tua sehingga mereka mereka dapat mengerti perjalanan penyakit ini.
Keadaan depresi dan frustasi akan timbul pada mereka karena mengalami relaps
yang memaksa perawatan di rumahn sakit. </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">BAB </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">III</span></b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></div>
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<b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">ASUHAN KEPERAWATAN PADA PASIEN DENGAN <o:p></o:p></span></b></div>
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<b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">SINDROM NEFROTIK</span></b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENGKAJIAN</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Identitas</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umumnya
90 % dijumpai pada kasus anak. Enam (6) kasus pertahun setiap 100.000 anak
terjadi pada usia kurang dari 14 tahun. Rasio laki-laki dan perempuan
yaitu 2 : 1. Pada daerah endemik malaria banyak mengalami komplikasi sindrom
nefrotik.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
Kesehatan</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keluhan utama</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Badan bengkak, muka sembab dan napsu makan menurun</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat penyakit dahulu</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Edema masa neonatus, malaria, riwayat GNA dan GNK,
terpapar bahan kimia.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat penyakit
sekarang</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Badan bengkak, muka sembab, muntah, napsu
makan menurun, </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://nursingbegin.com/konstipasi-dan-patofisiologinya/" target="_blank" title="konstipasi"><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">konstipas</span></a></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">i,
diare, urine menurun.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
Kesehatan Keluarga</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Karena
kelainan gen autosom resesif. Kelainan ini tidak dapat ditangani dengan terapi
biasa dan bayi biasanya mati pada tahun pertama atau dua tahun setelah
kelahiran.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level2 lfo3; text-align: justify; text-indent: -21.75pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat Kehamilan dan
Persalinan<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tidak ada hubungan.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level2 lfo3; text-align: justify; text-indent: -21.75pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat kesehatan
lingkungan</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Endemik malaria sering
terjadi kasus NS.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level2 lfo3; text-align: justify; text-indent: -21.75pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Imunisasi</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tidak ada hubungan.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level2 lfo3; text-align: justify; text-indent: -21.75pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat Pertumbuhan dan
Perkembangan</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Berat badan = umur
(tahun) X 2 + 8</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tinggi badan = 2 kali
tinggi badan lahir.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perkembangan
psikoseksual : anak berada pada fase oedipal/falik dengan ciri meraba-raba dan
merasakan kenikmatan dari beberapa daerah erogennya, senang bermain dengan anak
berjenis kelamin beda, oedipus kompleks untuk anak laki-laki lebih dekat dengan
ibu, elektra kompleks untuk anak perempuan lebih dekat dengan ayah.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perkembangan psikososial
: anak berada pada fase pre school (inisiative vs rasa bersalah) yaitu memiliki
inisiatif untuk belajar mencari pengalaman baru. Jika usahanya diomeli atau
dicela anak akan merasa bersalah dan menjadi anak peragu.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perkembangan kognitif :
masuk tahap pre operasional yaitu mulai mempresentasekan dunia dengan bahasa,
bermain dan meniru, menggunakan alat-alat sederhana.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perkembangan fisik dan
mental : melompat, menari, menggambar orang dengan kepala, lengan dan badan,
segiempat, segitiga, menghitung jari-jarinya, menyebut hari dalam seminggu,
protes bila dilarang, mengenal empat warna, membedakan besar dan kecil, meniru
aktivitas orang dewasa.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Respon hospitalisasi :
sedih, perasaan berduka, gangguan tidur, kecemasan, keterbatasan dalam bermain,
rewel, gelisah, regresi, perasaan berpisah dari orang tua, teman.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l14 level2 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
Nutrisi</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Usia
pre school nutrisi seperti makanan yang dihidangkan dalam keluarga. Status
gizinya adalah dihitung dengan rumus (BB terukur dibagi BB standar) X 100 %,
dengan interpretasi : < 60 % (gizi buruk), < 30 % (gizi sedang) dan >
80 % (gizi baik).</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pengkajian Persistem</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem pernapasan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Frekuensi </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://nursingbegin.com/proses-respirasi/" target="_blank" title="respirasi"><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">pernapasan</span></a></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> 15
– 32 X/menit, rata-rata 18 X/menit, efusi pleura karena distensi abdomen</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem kardiovaskuler</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nadi
70 – 110 X/mnt, tekanan darah 95/65 – 100/60 mmHg, </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><a href="http://nursingbegin.com/askep-hipertensi/" target="_blank" title="askep hipertensi"><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">hipertensi</span></a></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ringan
bisa dijumpai.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem persarafan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam batas normal.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem perkemihan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Urine/24 jam 600-700 ml,
hematuri, proteinuria, oliguri.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem pencernaan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Diare,
napsu makan menurun, anoreksia, hepatomegali, nyeri daerah perut, malnutrisi
berat, hernia umbilikalis, prolaps anii.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem musculoskeletal</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam batas normal.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem integument</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Edema periorbital, ascites.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem endokrin</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam batas normal</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem reproduksi</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dalam batas normal.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Persepsi orang tua</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kecemasan orang tua
terhadap kondisi anaknya.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PRIORITAS DIAGNOSA KEPERAWATAN</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -17.45pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gangguan</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> pola nafas b.d. penurunan ekspansi paru.(Doengoes,
2000: 177)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -17.45pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelebihan volume cairan b. d. penurunan tekanan osmotic plasma. ( Wong,
Donna L, 2004 : 550)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -17.45pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">N</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">utrisi kurang dari kebutuhan tubuh b.d. anoreksia. (Carpenito,1999: 204)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hipertensi b.d. kontriksi pembuluh darah (</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Doengoes, 2000: 177)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -17.45pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anemia b.d produksi sel darah merah menurun
</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> (Carpenito,1999: 204)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -17.45pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Proteinuria b.d. protein tidak mengalami
filtrasi (</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Doengoes, 2000:
177)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -17.45pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Intoleransi aktivitas b.d. kelelahan. (Wong, Donna L, 2004:550)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -17.45pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Resiko </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gangguan integritas kulit b.d. immobilitas.</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">(Wong,Donna,2004:550)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -17.45pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gangguan pola eliminasi:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ur</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> b.d. </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">oliguri</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">INTERVENSI KEPERAWATAN</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><i><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perubahan pola nafas b.d. penurunan ekspansi
paru.(Doengoes, 2000: 177)</span></i></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kolaborasi pemberian obat-obatan sesuai program dan monitor efeknya </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tujuan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">setelah dilakukan tindakan selama 1x24 jam
pola pernafasan pasien kembali efektif.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kriteria Hasil</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">: Frekuensi dan kedalaman nafas dalam batas normal</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Intervensi:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">uskultasi bidang paru</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: penurunan area ventilasi menujukkan adanya atelektasis dimana bunyi
nafas adventisius menunjukkan kelebihan volume cairan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level2 lfo4; text-align: justify; text-indent: -18.55pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">erikan posisi semi fowler</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">kan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: Memudah expansi dada atau ventilasi dan mobilisasi sekret.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">K</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">olaborasi </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">pemberian O2 sesuai indikasi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: memaksimalkan ogsigen untuk penyerapan vaskuler, pencegahan atau
pengurangan hipoksia<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level2 lfo4; text-align: justify; text-indent: -18.55pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kolaborasi pemberian analgesik sesuai
indikasi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: menghilangkan nyeri, meningkatkan pernafasan nyaman,upaya batuk maksimal
<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
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<!--[if !supportLists]--><b><i><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelebihan volume cairan b. d. penurunan tekanan
osmotic plasma (Wong, Donna L, 2004 : 550)</span></i></b><i><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></i></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tujuan : tidak terjadi akumulasi
cairan dan dapat mempertahankan keseimbangan intake dan output.</span><i><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></i></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kriteria Hasil</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">: menunjukkan keseimbangan dan haluaran, tidak</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">terjadi
peningkatan berat badan, tidak terjadi edema.</span><i><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></i></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Intervensi:</span><i><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></i></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.55pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Timbang</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> berat badan/ hari</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">penimbangan berat
badan harian adalah pengawasan status cairan terbaik. Peningkatan BB lebih dari
0,5 kg/hari diduga ada retensi cairan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ukur input dan output.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> membantu memperkirakan kebutuhan penggantian
cairan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pantau TD dan CVP</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">takikardia dan
hipertensi terjadi karena kegagalan ginjal untuk mengeluarkan urine</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Awasi berat jenis urine</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">mengukur kemampuan
ginjal untuk mengkonsentrasikan urine. Pada gagal intrarenal berat jenis
biasanya sama/kurang dari 1,010 menunjukan kehilangan kemampuan untuk
memekatkan urine.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Evaluasi derajat edema</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">edema terjadi
terutama pada jaringan yang tergantung pada tubuh, contoh tangan, kaki, area
lumbosakral. BB dapat meningkat sampai 4,5 kg cairan sebelum edema pitting
terdeteksi.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Auskultasi bunyi jantung dan paru</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">kelebihan cairan
dapat menimbulkan edema paru dan GJK dibuktikan dengan adanya bunyi nafas
tambahan,bunyi jantung ekstra. </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kolab dengan tim medis dalam pemberian obat diuretic, contoh
furosemid(lasix), manitol (osmitrol)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><i><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perubahan nutrisi kurang dari kebutuhan tubuh b.d.
anoreksia. (Carpenito,1999: 204)</span></i></b><i><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></i></div>
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<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tujuan</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">: kebutuhan nutrisi terpenuhi</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kriteria Hasil : tidak terjadi mual
dan muntah, menunjukkan masukan yang adekuat, mempertahankan berat badan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Intervensi:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kaji pemasukan diet</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> membantu dalam mengidentifikasi defisiensi dan
kebutuhan diet.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Berikan makan sedikit tapi sering</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">meminimalkan
anoreksia dan mual sehubungan dengan status uremik/</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">menurunnya
peristaltic</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level4 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Lakukan oral hygiene</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> perawatan mulut menyejukan, meminyaki, dan
membantu menyegarkan rasa mulut, yang sering tidak nyaman</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Timbang BB/hari</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> pasien puasa/katabolic akan secara normal
kehilangan 0,2-0,5 kg/hari.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kolab dengan ahli gizi dalam pemberian diet</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">menentukan kalori
individu dan kebutuhan nutrisi dalam pembatasan.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">BAB IV</span></b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">PENUTUP</span></b><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">KESIMPULAN</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sindroma Nefrotic (SN) adalah gambaran
klinis dengan ciri khusus proteinuri massif</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">lebih
dari 3,5 gram per 1,73 m2 luas permukaan tubuh per hari (dalam praktek, cukup
></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3,0-3,5 gr per 24 jam) disertai
hipoalbuminemi kurang dari 3,0 gram per ml. Pada SN</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">didapatkan
pula lipiduria, kenaikan serum lipid lipoprotein, globulin, kolesterol total
dan</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">trigliserida, serta adanya sembab sebagai akibat dari
proteinuri masif dan</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">hipoproteinemi. Beberapa ahli penyakit
ginjal menambahkan kriteria lain :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l18 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Lipiduria yang terlihat sebagai oval fat bodies atau maltase cross
bodies.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l18 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kenaikan serum lipid, lipoprotein, globulin, kolesterol total dan
trigliserida<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l18 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sembab</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masalah keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gangguan</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> pola nafas </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelebihan volume cairan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">N</span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">utrisi kurang dari kebutuhan tubuh </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hipertensi <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PK :Anemia <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Proteinuria <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Intoleransi aktivitas </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Resiko </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gangguan integritas kulit </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l19 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gangguan pola eliminasi urin</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="background: rgb(254, 253, 250); font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">SARAN</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Semoga makalah ini dapat
bermanfaat bagi yang pembaca, terutama mahasiswa keperawatan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Semoga dapat menjadi
bahan acuan pembelajaran bagi mahasiswa keperawatan.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Semoga makalah ini dapat
menjadi pokok bahasan dalam berbagai diskusi dan forum terbuka.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 150%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Brunner &
Suddarth. (2003). <i>Medical Surgical Nursing (Perawatan Medikal Bedah)</i>,
alih bahasa: Monica Ester. EGC: Jakarta.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Carpenito, L.
J.(1999). <i>Hand Book of Nursing (Buku Saku Diagnosa Keperawatan)</i>, alih
bahasa: Monica Ester. EGC: Jakarta.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Doengoes,
Marilyinn E, Mary Frances Moorhouse. (2000). <i>Nursing Care Plan: Guidelines
for Planning and Documenting Patient Care (Rencana Asuhan Keperawatan Pedoman
Untuk Perencanaan dan Pendokumentasian Perawatan Pasien)</i>, alih bahasa: I
Made Kariasa. EGC: Jakarta.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Donna L, Wong.
(2004). <i>Pedoman Klinis Keperawatan Anak</i>, alih bahasa: Monica Ester. EGC:
Jakarta.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Husein A Latas.
(2002). <i>Buku Ajar Nefrologi</i>. EGC: </span><span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jakarta.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ngastiyah. (1997).
<i>Perawatan Anak Sakit</i>. EGC: Jakarta.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-GB" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Price A &
Wilson L. (1995). <i>Pathofisiology Clinical Concept of Disease Process
(Patofisiologi konsep klinis proses-proses penyakit)</i>, alih bahasa: Dr.
Peter Anugrah. EGC: Jakarta.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-17955962389525108862016-05-16T08:15:00.003-07:002016-05-16T08:15:44.849-07:00Makalah Berpikir Kritis Dalam Transcultural Nursing<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: dotted 14.0cm blank 404.0pt; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB I<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: dotted 14.0cm blank 404.0pt; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: dotted 14.0cm blank 404.0pt; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar Belakang<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 40.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Di
Indonesia banyak sekali kita temui budaya dan adat istiadat yang dianut oleh
masyarakat sehingga cara berfikir masyarakat satu dengan lainnya berbeda-beda
.Dengan nilai yang mereka anut sudah menjadi suatu kebiasaan dan terkadang
sulit untuk dirubah. Mereka sering kali memecahkan masalah terutama untuk kesehatan
dengan hal-hal yang kadang tidak rasional , bersifat mistis dan sangat bertolak
jauh dengan ilmu medis. Kepercayaan ini didapat sejak dari nenek moyang dan
sudah diturunkan kepada generasi berikutnya sehingga sangat sulit untuk
mengubah persepsi dan kepercayaan mereka .yang kita lihat mereka masih nyaman
dan masih tetap dengan cara yang mereka lakukan , mereka berfikir hal tersebut
yang paling ampuh untuk menyembuhkan penyakit walaupun pada kenyataannya sangat
bertolak belakang dengan ilmu medis. Ada sebagian orang yang masih mengganggap
ilmu medis itu merepotkan dan memerlukan biaya yang sangat mahal ,mereka lebih
senang memanfaatkan ilmu dukun yang mereka percayai dapat menyebuhkan penyakit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 40.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan Masalah<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
latar belakang diatas, kami dapat mengambil rumusan masalah sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa pengertian dari
berfikir kritis?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa definisi dari
transcultural nursing?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana berpikir kritis
dalam transcultural nursing?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa saja aspek-aspek
dalam berfikir kritis?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana trend dan issue
dalam transcultural nursing?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
rumusan masalah diatas, kami dapat mengambil tujuan sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan definisi dari
berpikir kritis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan definisi dari
transcultural nursing.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan berpikir
kritis dalam transcultural nursing.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan aspek-aspek
dalam berpikir kritis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan trend dan
issue dalam transcultural nursing.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Critical Thinking dalam
Transkultural Nursing<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir Kritis<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir
kritis adalah suatu kegiatan penyelidikan yang melibatkan penggunaan
fakta-fakta, prinsip-prinsip, teori, abstrak, deduksi, interprestasi, dan
analisis argumen (mathews, 1979). Berpikir kritis adalah pemikiran reflektif
dan beralasan yang berfokus pada penutusan apa yang diyakini atau dikerjakan (Ennis,
1988).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Transcultural Nursing<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keperawatan
transkultural adalah suatu pelayanan keperawatan yang berfokus pada analisis
dan studi perbandingan tentang perbedaan budaya (Leininger,1987). Keperawatan
transkultural merupakan ilmu dan kiat yang humanis, yang difokuskan pada
prilaku individu atau kelompok, serta proses untuk mempertahankan atau
meningkatkan perilaku yang sehat atau perilaku sakit secara fisik dan
psikokultural sesuai latar belakang budaya (Leininger, 1984). Pelayanan
keperawatan transkultural diberikan kepada klien sesuai dengan latar belakang
budayanya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir Kritis dalam
Transkultural Nursing</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir
kritis dalam transkultural keperawatan merupakan suatu kegiatan penyelidikan,
pemecahan masalah, proses berpikir, yang mana terdapat tujuan yang jelas,
abstrak, sesuai dengan teori, realistis, dapat diyakini, dan semuanya ini
berhubungan langsung dengan kebudayaan-kebudayaan masyarakat seperti menghargai
kebudayaan mereka, melakukan tindakan keperawatan yang tepat sesuai dengan
teori dan kepercayaan serta nilai budaya dan tentunya tidak melenceng dari
dunia keperawatan, bagaimana perawat profesional dapat memecahkan suatu masalah
dalam persoalan keperawatan terhadap klien-klien yang berbeda budaya, kemudian
bagaimana perawat dapat beradaptasi dengan baik terhadap klien agar dalam
pelayanan keperawatan maupun kesehatan tidak terjadi ketidaknyamanan dari diri
klien maupun perawat.<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir kritis dalam transkultural keperawatan
merupakan hal penting. Seperti contoh misalnya seorang perawat dihadapkan
dengan seorang klien atau pasien yang berbeda budaya, maka perawat yang
profesional tetap harus mampu memberikan pelayanan yang tinggi untuk memenuhi
kebutuhan dasar pasien tersebut. Berpikir kritis diperlukan untuk menangani hal
ini agar terdapat kenyamanan dalam memberi pelayanan dan bagi pasien tersendiri
merasa nyaman ketika diberi pelayanan. Berpikir kritis dan segera bertindak
ketika pasien merasakan sesutu yang tidak nyaman akan dilakukan oleh perawat
profesional yang begitu paham dengan budaya-budaya yang ada. Inilah pentingnya
transkultural keperawatan yang mana para perawat diharapkan memahami
budaya-budaya di negara ini maupun negara lain agar siap ketika menghadapi
persoalan kebudayaan. Paham terhadap budaya-budaya tetapi tidak dapat berpikir
secara kritis dalam menghadapi masalah itu tidaklah baik bagi pelayanan. Ketika
para perawat telah memahami budaya-budaya dan dapat berpikir kritis serta
bertindak tepat dan cepat, maka inilah yang akan melengkapi tingginya suatu
layanan ke masyarakat nantinya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Leininger beranggapan bahwa sangatlah penting
memperhatikan keanekaragaman budaya dan nilai-nilai dalam penerapan asuhan
keperawatan kepada klien. Bila hal tersebut diabaikan oleh perawat, akan
mengakibatkan terjadinya cultural shock. Disinilah perawat harus berpikir dan
bertindak tepat agar tidak terjadi cultural shock. <br />
Seperti contoh berikut, cultural shock akan dialami oleh klien pada suatu
kondisi dimana perawat tidak mampu beradaptasi dengan perbedaan nilai budaya
dan kepercayaan. Hal ini dapat menyebabkan munculnya rasa ketidaknyamanan,
ketidakberdayaan dan beberapa mengalami disorientasi. Salah satu contoh yang
sering ditemukan adalah ketika klien sedang mengalami nyeri. Pada beberapa
daerah atau Negara diperbolehkan seseorang untuk mengungkapkan rasa nyerinya
dengan berteriak atau menangis. Tetapi karena perawat memiliki kebiasaan bila
merasa nyeri hanya dengan meringis pelan, bila berteriak atau menangis akan
dianggap tidak sopan, maka ketika ia mendapati klien tersebut menangis atau berteriak,
maka perawat akan memintanya untuk bersuara pelan-pelan, atau memintanya berdoa
atau malah memarahi pasien karena dianggap telah mengganggu pasien lainnya.
Kebutaan budaya yang dialami oleh perawat ini akan berakibat pada penurunan
kualitas pelayanan keperawatan yang diberikan. Agar tidak terjadi penurunan
pelayanan terhadap masyarakat dan masyarakat tetap percaya dengan pelayanan
kesehatan, maka perawat harus mampu memahami budaya masyarakat yang ada, mampu
beradaptasi dengan baik, mampu berpikir secara kritis dan bertindak tepat.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aspek - aspek Dalam
Berfikir Kritis<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berfikir merupakan suatu proses yang berjalan secara
berkesinambungan. Namun, beberapa aktifitas kognitif atau mental dapat
diidentifikasi sebagai komponen-komponen utama dalam berfikir kritis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengajukan sebuah
pertanyaan untuk menentukan alasan dan penyebab<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengumpulkan data<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memvalidasi informasi
yang tersedia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menganalisa informasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menggunakan pengalaman
dan pengetahuan klinis yang lalu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempertahankan suatu
sikap fleksibel<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempertimbangkan pilihan
yang tersedia dan menilai tiap pilihan menurut keuntungan dan kerugian<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Merumuskan suatu
keputusan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><br />
Perawat harus menggunakan keterampilan berfikir kritis dalam semua keadaan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perawatan klinis,
faktor-faktor yang dibawa oleh pasien dalam situasi perawatan kesehatan
dipertimbangkan, dipelajari, dianalisa, dan diinterpretasikan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ambulatori<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perawatan extended dalam
panti dan komunitas<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Trend dan Isuue dalam
Transkultural Nursing</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b></span><!--[endif]--><span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian</span></b></span><span class="apple-style-span"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></span></div>
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<!--[if !supportLists]--><span class="apple-style-span"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span></span><!--[endif]--><span class="apple-style-span"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Trend
adalah sesuatu yang sedang di bicarakan oleh banyak orang saat ini dan
kejadiannya berdasarkan fakta.<o:p></o:p></span></span></div>
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<!--[if !supportLists]--><span class="apple-style-span"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span></span><!--[endif]--><span class="apple-style-span"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Issue
adalah sesuatu yang sedang di bicarakan oleh banyak namun belum jelas faktannya
atau buktinya.<o:p></o:p></span></span></div>
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<span class="apple-style-span"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--><o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b></span><!--[endif]--><span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh Trend dan Issue
dalam Transkultural Nursing<o:p></o:p></span></b></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kalkun</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ada mitos yang menyebutkan bahwa mengkonsumsi
kalkun menyebabkan kantuk. Hal itu tidak benar, rasa kantuk seseorang
disebabkan oleh kandungan tryptophan atau asam amino dalam tubuh. Daging kalkun
tidak memiliki asam yang memungkinkan terciptanya zat – zat tersebut. Daging
kalkun memiliki banyak kelebihan karena selain bergizi tinggi, dapat
menyembuhkan penyakit. Di samping itu, daging kalkun membantu pertumbuhan dan
kecerdasan anak. Masih banyak manfaat daging kalkun seperti mencegah penuaan
dini. Daging kalkun diyakini memiliki kandungan protein 34,3 persen atau setara
dengan dua kali daging sapi dan sangat baik untuk mengganti sel tubuh yang
rusak.</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Selain itu, daging kalkun memiliki kandungan asam
amino dan lysine yang banyak dibutuhkan untuk pertumbuhan dan perkembangan otak
dan kecerdasan anak mulai 3-6 tahun. Daging kalkun mempunyai kandungan rendah
lemak yang bisa menghindari kelebihan kolesterol. Daging kalkun juga mengandung
energi yang lebih tinggi dari ayam maupun telur ayam. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kolostrum</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Pada mitos yang salah disebutkan bahwa ASI pertama
atau kolostrum (yang berwarna kekuningan) tidak baik bagi bayi, karena ASI
pertama atau kolostrum adalah susu basi. Mitos tersebut sangat tidak benar.
Kolostrum adalah zat terbaik bagi bayi. Kolostrum adalah cairan yang kaya
dengan zat kekebalan tubuh dan zat penting lain yang harus dimiliki bayi. Bayi
menyusui langsung akan merangsang ASI cepat keluar. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kedelai</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mitos bahwa jika ingin hamil hindari kedelai.mitos
ini tidak benar. Anak adalah dambaan tiap pasangan suami istri. Namun untuk
memperoleh keturunan sangatlah salah apabila menghindari kedelai agar hamil.
Kacang kedelai dikenal sebagai makanan terbaik kadar proteinnya, dapat mencapai
35 persen daripada beratnya. Dikatakan bahwa kacang kedelai dibandingkan dengan
beratnya dapat menghasilkan dua kali protein daging, empat kali telur, empat
kali gandum, lima atau enam kali roti dan dua belas kali susu.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ternyata protein kacang kedelai bukan saja
jumlahnya yang banyak, tetapi juga mempunyai kualitas yang baik. Umumnya cukup
dikenal bahwa protein hewani seperti daging, susu, dan telur adalah protein
yang lengkap, sementara protein nabati adalah protein yang tidak lengkap.
Tetapi ternyata protein kacang kedelai, walaupun termasuk protein nabati lebih
mirip menggambarkan protein hewani dari pada protei nabati.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Penggunaan minyak kacang kedelai ternyata dapat
menghindarkan penyakit jantung. Sebab utamanya adalah, oleh karena minyak
kacang kedelai adalah sumber lechitin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Berbagai penelitian yang dibuat menunjukkan bahwa
lechitin dari kacang kedelai bila diberikan kepada binatang atau manusia dapat
menurunkan kadar kolesterolnya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Jumlah mineral – mineral dari 100 gram kacang
kedelai sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kedelai memiliki mineral yang tertinggi dari semua
makanan, yaitu 3261 mg, dibandingkan dengan makanan berikut yang terbanyak
hanya 2121 mg, yaitu terdapat dalam air tebu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kacang kedelai mempunyai mineral kalium yang
tertinggi dari semua makanan yaitu 1835 mg, sedangkan yang kedua tertinggi
ialah buah apricot kering yang mengandung 1790 mg kalium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Setelah coklat pahit 292 mg, dan kacang mente 267
mg, kacang kedelai adalah sumber magnesium yang ketiga tertinggi dengan jumlah
225 mg.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kacang kedelai mengandung natrium yang rendah,
hanya 4 mg saja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kacang kedelai mempunyai kalsium yang kaya yaitu
227 mg, dikalahkan hanya oleh tujuh makanan yang lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Setelah hati, (12.1 mg) kacang kedelai adalah
sumber besi yang kedua tertinggi, dengan jumlah 8 mg.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kedelai terkenal sebagai makanan antikanker. Dalam
kedelai terdapat sejumlah zat yang secara bersama – sama saling menguatkan
dalam menghabisi benih kanker. Senyawa inhibitor protease kedelai, yang punya
nama khusus inhibitor Bowman-Birk, ampuh melumpuhkan berbagai jenis kanker.
Daya bunuh kanker tersebut dibantu serat kasar kedelai, yang kadarnya lumayan
tinggi (2 gram per 100 gram). Dalam hal melawan kanker, inhibitor protease dan
serat kasar bekerja sama dengan genistein. Senyawa satu ini akan menghentikan
pembentukan suatu enzim pemasok “makanan” bagi benih kanker dan merusak
lintasan penyalurannya. Karena pasokan makanannya dihabisi, maka terhenti
pulalah pertumbuhan kanker. Itulah sebabnya mengapa kedelai dipastikan mampu
mencegah dan membantu penyembuhan segala jenis kanker. Dari kanker usus besar,
kanker paru-paru, kanker kulit, kanker payudara, kanker prostat, hingga kanker
darah (leukimia).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Nanas </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">dan</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"> Pisang<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ibu hamil tidak boleh mengkonsumsi pisang dan
nanas. Mitos ini sangat dipercaya oleh sebagian masyarakat di Jawa, karena bisa
mengakibatkan keputihan. Konsumsi pisang dan nanas justru disarankan karena
kaya akan vitamin C dan serat yang penting untuk menjaga kesehatan tubuh dan
melancarkan proses pembuangan sisa – sisa pencernaan. Adapun keputihan tidak
selalu membahayakan. Saat hamil maupun setelah melahirkan adalah normal apabila
ibu mengalami keputihan. Kecuali jika keputihan tersebut terinfeksi bakteri,
jamur, & virus yang biasanya dengan keluhan gatal, bau, dan warnanya
kekuningan atau kecoklatan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mungkin pernah mendengar bahwa nanas dan pisang
menyebabkan keputihan? Padahal, tak ada bukti ilmiahnya. Jadi, sama sekali tidak
beralasan karena takut dan membatasi diri untuk menyantapnya. Apalagi, tidak
ada kaitan jelas antara mengonsumsi buah-buahan tersebut dan kerja organ-organ
seksual, baik pria maupun wanita. Nanas dan pisang justru mengandung zat-zat
tertentu yang dibutuhkan tubuh, terutama vitamin C dan kalium dalam pisang yang
justru berkhasiat menahan cairan tubuh. Lagi pula kondisi basah sebetulnya
merupakan pertanda alamiah bahwa pihak istri telah siap menerima kehangatan
dari suaminya. Sementara kondisi kering malah akan menimbulkan lecet dan rasa
sakit yang bakal menyiksa keduanya. Boleh dibilang yang paling berperan dalam
hal ini adalah sensitivitas dan kekencangan otot-otot tubuh, terutama otot-otot
dasar panggul yang melingkari tulang organ kelamin. Kedua hal inilah yang amat
berperan menentukan daya cengkeram sekaligus meningkatkan kualitas hubungan
suami-istri. Jadi, pada mereka yang sensitivitasnya tidak mengalami gangguan,
tersentuh sedikit saja sudah akan terbangkitkan gairahnya. Jika pun menurun
tingkat kepekaannya, entah pada bagian-bagian tertentu atau justru seluruh
tubuh, masih memungkinkan untuk diterapi lewat pengobatan dan pelatihan. Sambil
tak lupa menggali akar permasalahannya kenapa bisa terjadi demikian, mengingat
akibatnya dirasakan secara fisik, meski awalnya bersifat psikis.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">“Nanas mengakibatkan keguguran“ Pendapat ini belum
dibuktikan secara medis. Tetapi bagi beberapa orang, nanas bisa menyebabkan
gangguan lambung, terlebih asam lambung memang meningkat dikala hamil. Tentu
orang yang sensitive lambungnya terhadap nanas, sebaiknya menghindari buah ini
dikala hamil. Tetapi bagi mereka yang aman-aman saja terhadap nanas justru baik
menyantap buah ini. Tak lain karena nanas mengandung vitamin A dan C serta
mengandung enzim bromelin yang baik untuk mencerna protein. Apalagi bila nanas
ada pada acar dan beberapa masakan dengan variasi olahan menggunakan nanas.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Pisang bisa membuat gemuk. Mungkin pernyataan ini
sudah akrab di telinga Anda. Tetapi, apakah pernyataan ini benar? Pisang
merupakan buah yang sarat gizi, hampir tidak mengandung lemak dan mudah
dicerna. Karbohidrat didalam pisang sekitar 23-35%, lemak 0,2% dan seperti
bahan nabati lainnya, pisang bebas kolesterol. Sebanyak 100 gram pisang akan
memberikan kalori sebesar 120 kalori.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Buah ini juga kaya kalium dan mengandung magnesium,
selenium, besi dan vitamin – vitamin serta bebas Natrium. Pisang kaya dengan
vitamin B-6 yang dibutuhkan untuk kesehatan mental seseorang. Kekurangan
vitamin B-6 ini dapat menyebabkan seseorang mudah lelah dan marah serta susah
tidur.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mengkonsumsi satu setengah buah pisang setiap hari
akan mencukupi kebutuhan tubuh terhadap vitamin B-6 ini. Menyantap makanan kaya
kalium dan vitamin B6, khususnya pisang segar (bukan pisang rebus atau pisang
goreng) juga dapat mengurangi rasa nyeri, ngilu dan sakit pada persendian.
Mengkonsumsi pisang 3-4 kali sehari bahkan dipercaya dapat membantu mengurangi
gejala radang sendi (arthritis). Pisang merupakan makanan kaya kalium. Satu
buah pisang berukuran sedang mengandung 467 mg kalium, yang memberikan 13%
kebutuhan kalium harian. Data penelitian menunjukkan bahwa pengambilan kalium
oleh tubuh berhubungan dengan efek penurunan tekanan darah.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Pada tahun 2001, FDA (Food and Drug Administration;
semacam Badan POM di USA), menyetujui bahwa makanan yang merupakan sumber
kalium dan rendah natrium barangkali dapat mengurangi resiko terjadinya
peningkatan tekanan darah dan stroke. Sebagai sumber kalium, pisang dapat
membantu mengurangi resiko peningkatan tekanan darah.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Di dalam New England Journal of Medicine bahkan
disebutkan, bahwa mengkonsumsi satu buah pisang sehari dapat menurunkan resiko
stroke sampai 40%. Jika anda merasa lesu di antara waktu makan, ambil saja
pisang. Gula buah yang terkandung di dalamnya (yang tergolong karbohidrat
sederhana), akan mudah dicerna dan masuk ke aliran darah sehingga menghasilkan
energi instant. Selain itu, dengan pasokan kalium dari pisang, jaringan otot
akan bertenaga kembali selama beberapa saat sebelum tubuh mendapatkan pasokan
energi darurat dari makanan utama. Karena hal ini pula, tidak heran jika para
atlet terutama atlet tennis seringkali mengkonsumsi pisang sebelum dan pada
saat bertanding untuk pengusir lelah dan pemberi tenaga. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Didalam The Food Pharmacy oleh Jean Carper, pisang
bahkan disebut sebagai makanan mujarab bagi penderita penyakit mag. Barangkali
sifat spasmolitik pisang, yang menurunkan kerja lambung dan mengurangi sekresi
enzim serta asam lambung, turut berperan dalam menghasilkan khasiat
ini.Kandungan pektin yang tinggi didalam pisang juga dapat melindungi selaput
lendir lambung terhadap pengaruh asam lambung dan enzim (pepsin). Pisang juga
kaya serat makanan atau karbohidrat kompleks yang akan membantu memperlancar
buang air besar dan sangat baik untuk mencegah kanker usus besar. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Telur</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ibu hamil dilarang mengkonsumsi telur, karena
dikhawatirkan ASI-nya berbau amis. Mitos tersebut tidak benar. Telur mengandung
protein hewani yang sangat dibutuhkan ibu hamil. Selain itu, seiring dengan
meningkatnya kesadaran masyarakat akan bahaya kolesterol, selain daging, kuning
telur kini termasuk makanan yang dihindari. Padahal, para ahli kini
menyimpulkan bahwa telur tidak mempengaruhi kadar kolesterol secara signifikan.
Bukan kolesterol yang mempengaruhi kadar kolesterol dalam darah, tetapi lemak
jenuh. Telur diketahui hanya mengandung sedikit lemak jenuh. Mengkonsumsi telur
bisa memperbaiki kadar lipid (kolesterol) seseorang yang kolesterolnya naik
saat mengkonsumsi makanan kaya kolesterol.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ada begitu banyak nutrisi penting dalam sebutir
telur. Sebut saja choline, yang sangat penting untuk fungsi otak dan kesehatan.
Satu buah kuning telur mengandung lebih dari 25 persen kebutuhan choline setiap
hari. Orang dewasa membutuhkan 425 gram choline per hari, sedangkan anak balita
butuh 250 gram per hari. Sebuah penelitian mengungkapkan konsumsi choline yang
cukup bias menurunkan risiko kanker payudara.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Telur juga mengandung antioksidan serta lutein yang
membantu mencegah gangguan penglihatan akibat penuaan dan katarak. Kadar lutein
dalam telur bahkan lebih banyak dibanding pada sayuran berdaun hijau. Telur
mempunyai kandungan zat gizi yang cukup tinggi, antara lain mengandung delapan
asam amino esensial yang baik untuk pertumbuhan anak dan kesehatan tubuh.
Selain itu, telur juga mengandung mineral selenium (Se). Pria membutuhkan
asupan selenium untuk pembentukan kualitas dan kuantitas sperma. Satu butir
telur dapat menghasilkan 10 persen dari total kebutuhan tubuh terhadap
selenium. Telur juga mengandung vitamin D yang dapat membantu penyerapan
kalsium untuk pembentukan tulang. Selain itu, telur juga mengandung vitamin E.
Kombinasi antara selenium dan vitamin E berperan sebagai antioksidan yang dapat
mengurangi risiko kerusakan sel tubuh akibat radikal bebas.Telur juga diketahui
sebagai sumber vitamin B12, vitamin B6, dan folat yang dibutuhkan untuk
kesehatan tubuh dan melindungi sel – sel saraf. Kekurangan vitamin B12 dapat
mengakibatkan terjadinya kerusakan sel – sel saraf. Wanita hamil yang
kekurangan vitamin B12 mempunyai risiko anaknya akan mengalami kerusakan pada
sistem saraf. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Jeruk</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ada mitos yang menyatakan bahwa jeruk menyebabkan
meningkatkan lendir pada paru bayi dan resiko kuning saat bayi lahir. Justru
jeruk sumber vitamin C yang tinggi. Kandungan jeruk bukan hanya vitamin C
tinggi, tetapi juga potasium, folat, kalsium, thiamin, niacin, vitamin B6,
fosfor, dan lain sebagainya. Kelebihan jeruk, mengandung serat tinggi. Walau
begitu, tidak mengandum sodium, lemak, dan kolesterol, karena itu aman bagi
yang berdiet. Serat membantu menurunkan kadar kolesterol dalam plasma dengan
cara mengganggu proses reabsorpsi asam empedu. Vitamin C dalam jeruk berperan
menyerap zat besi non-organik (zat besi dari makanan non – hewani), sehingga
dapat mencegah dan membantu penyembuhan penyakit. Vitamin C juga berfungsi
sebagai antioksidan yang dapat mencegah kerusakan sel serta penyakit jantung
dan kanker. Vitamin C berguna sekali bagi mereka yang menderita infeksi atau
penyakit yang telah berlarut – larut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Makanan Laut <o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mungkin kita sering mendengar ungkapan bahwa ibu
hamil dilarang mengkonsumsi ikan laut karena menyebabkan ASI berbau amis dan
luka jahitan sulit kering. Mitos tersebut tidak benar. Justru ikan laut
mengandung protein yang sangat dibutuhkan ibu hamil untuk mengganti sel – sel
rusak.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ada juga pernyataan bahwa salah satu cara
menurunkan kolesterol dengan pantang makanan laut. Tidak perlu menghindari
makanan laut sama sekali. Kuncinya adalah konsumsi dalam jumlah wajar karena
makanan laut memang mengandung kolesterol. Kadar kolesterol dalam tubuh
sebagian besar dipengaruhi oleh lemak jenuh dan trans fatty acid. Keduanya ini
terdapat dalam daging merah dan makanan kemasan olahan. Trans fatty acid
terdapat di snack kemasan, gorengan, atau margarin yang berisi minyak hydro
genated.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Protein, zat besi, serta asam lemak omega-3 dalam
makanan laut bisa membantu meningkatkan pertumbuhan otak bayi. Menurut
penelitian yang dilakukan di Inggris, kekurangan konsumsi makanan laut selama
masa kehamilan bisa mengakibatkan lemahnya kemampuan verbal, gangguan perilaku,
serta masalah tumbuh kembang lain pada anak.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ikan dan kerang – kerangan saat ini sudah terbukti
merupakan makanan yang baik untuk otak. Makanan – makanan tersebut mengandung
asam lemak esensial yang bermanfaat, yakni Omega-3, serta sejumlah vitamin,
mineral,dan asam amino. Asam lemak omega-3 jenin DHA dan EPA yang banyak
ditemukan dalam ikan berminyak terbukti berperan sangat penting untuk kesehatan
dan perkembangan fungsi saraf dan otak. Minyak hati ikan cod yang menjadi
favorit pada zaman dulu, ternyata bukanlah sumber utama lemak esensial untuk
anak- anak karena sisa polutan yang tersimpan dalam hati ikan cod.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Asam lemak esensial tidak dihasilkan di dalam
tubuh, karena itu kita harus mendapatkannya dari luar, yaitu dari makanan. Ada
kekhawatiran bahwa makanan modern tidak mengandung cukup lemak Omega-3.
Kekurangan zat gizi ini dikaitkan dengan lemahnya konsentrasi dan memori,
disleksia, masalah perilaku, kesulitan belajar, juga hiperaktif pada beberapa
anak yang sensitive.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ikan juga merupakan sumber kolin, yaitu nutrisi
yang diperlukan (bersama lesitin dan vitamin B kompleks) untuk menghasilkan
bahan kimia asetilkolin di otak, agar memori dapat bekerja cepat dan
meningkatkan kemampuan belajar. Kerang – kerangan merupakan sumber seng,
mineral penting bagi kemampuan memori dan konsentrasi otak. Penelitian
menunjukkan bahwa kekurangan sedikit saja seng dapat mengakibatkan
ketidakseimbangan fungsi mental. Akibatnya, anak menjadi sensitif, suasana hati
mudah berubah, dan hilang nafsu makan. Bila kekurangan tersebut teratasi, biasanya
kemampuan memori akan membaik kembali. Hidangan laut juga mengandung asam amino
tirosin, yang dikaitkan dengan peningkatan energi mental dan kewaspadaan jika
digunakan bersama vitamin B kompleks dalam jumlah cukup, yang penting untuk
produksi energi. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Daging Kambing<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Benarkah ibu hamil dilarang mengkonsumsi daging
kambing ? Jawabannya adalah ibu hamil boleh saja mengkonsumsi daging kambing
dengan porsi yang wajar, kecuali ibu hamil yang menderita kelebihan kolesterol
atau penyakit jantung.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Daging kambing mentah memiliki kandungan lemak 50
persen hingga 60 persen lebih rendah dibandingkan dengan daging sapi, akan
tetapi kandungan proteinnya hampir sama. Daging kambing juga memiliki kandungan
lemak 42 persen hingga 59 persen lebih rendah jika dibandingkan dengan daging
domba.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Hal yang sama untuk daging kambing yang sudah
dimasak, presentase lemak jenuh daging kambing 40 persen lebih rendah jika
dibandingkan dengan daging ayam (tanpa kulit) dan masing – masing 850 persen,
1100 persen, dan 900 persen lebih rendah jika dibandingkan dengan daging sapi,
babi, dan domba.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kandungan kolesterol daging kambing ternyata hampir
sama dengan daging sapi, domba, babi, dan ayam dan lebih rendah jika
dibandingkan dengan beberapa produk susu dan daging ayam olahan dan makanan laut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Daging kambing mengandung kolesterol sebanyak 76 mg
persen, sedangkan untuk daging sapi, ikan, dan domba adalah 70 mg persen.
Kandungan kolesterol daging babi dan ayam adalah 60 mg persen. Daging kambing
juga sumber lemak yang sehat dengan risiko mengkonsumsi kolesterol yang
minimum. Di samping itu, daging kambing mengandung lebih banyak zat besi,
potasium dan tiamin yang berhubungan dengan kandungan garam yang lebih rendah.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Daging kambing mengandung semua asam amino esensial
dan mengandung lebih rendah kalori. Oleh karena itu, daging kambing tergolong
ke dalam bahan makanan yang bersahabat dan sehat untuk dikonsumsi, asalkan saja
tidak secara berlebihan. <o:p></o:p></span></div>
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</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ibu hamil tidak boleh minum yoghurt. Tidak ada
penelitian yang mendukung pernyataan ini. Jadi pernyataan ini hanya mitos
belaka. Lagipula yoghurt itu baik untuk melancarkan pencernaan ibu hamil. Yang
mana semenjak dalam kehamilan tidak jarang ibu hamil mengalami namanya
sembelit.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt memiliki gizi yang lebih tinggi dibanding
susu segar. Kandungan lemaknya pun juga lebih rendah, sehingga cocok bagi
mereka yang sedang menjalankan diet rendah kalori. Yoghurt juga dapat membantu
proses penyembuhan lambung dan usus yang luka. Meminum yoghurt secara teratur
dapat menurunkan kadar kolesterol dalam darah. Selain itu juga yoghurt diyakini
baik untuk memperpanjang umur.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt dapat membantu penderita lactose
intolerance. Penyebabnya adalah defisiensi/kekurangan enzim pencerna laktosa.
Sehingga setiap kali minum susu, butiran laktosanya akan tertinggal di
permukaan lubang usus halus dan menyerap air dari sekitarnya yang kemudian
memunculkan diare. Dalam yoghurt, laktosa susunya sudah dipecah oleh bakteri
baik Lactobacillus bulgaricus melalui proses fermentasi, hingga mudah diserap
tubuh. Itulah mengapa yoghurt sangat disarankan sebagai pengganti susu bagi
orang / anak yang tidak mampu mencerna laktosa dengan baik. Dengan minum
yoghurt, anda dan si kecil tidak akan diare lagi.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt dapat menghambat pathogen flora usus
pengonsumsi yoghurt terbukti sulit ditumbuhi kuman – kuman patogen atau kuman
yang dapat menyebabkan penyakit. Dengan terhambatnya pertumbuhan sekaligus
matinya mikroba patogen dalam lambung dan usus halus bisa menghindari munculnya
berbagai penyakit akibat infeksi atau intoksikasi mikroba. Dengan kata lain,
mengonsumsi yoghurt secara teratur dapat membantu menjaga kesehatan saluran
pencernaan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mengkonsumsi antibiotik memang berfungsi mematikan
kuman, namun ia tidak pandang bulu mana kuman yang perlu dibunuh dan mana yang
sebetulnya tidak perlu dimusnahkan.sebenarnya ada kuman yang harus berada di
saluran cerna guna menjaga keseimbangan flora usus. Yoghurt dapat menetralisir
efek samping antibiotik ini.Yoghurt sebagai antikanker saluran cerna.
Bakteri-bakteri yang berperan dalam yoghurt dapat mengubah zat-zat
prekarsinogenik (zat-zat pemicu kanker) yang ada dalam saluran pencernaan,
hingga mampu menghambat terjadinya kanker.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt dapat mencegah jantung koroner. Bakteri
baik yakni, Lactobacillus bulgaricus dan Streptococcus yang terdapat dalam
yoghurt, akan menghasilkan asam folat dan vitamin B kompleks, kedua vitamin ini
berguna mencegah munculnya penyakit jantung koroner. <o:p></o:p></span></div>
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<span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
III<o:p></o:p></span></b></span></div>
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<span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></span></div>
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<span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></b></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir
kritis dalam transkultural keperawatan merupakan suatu kegiatan penyelidikan,
pemecahan masalah, proses berpikir, yang mana terdapat tujuan yang jelas,
abstrak, sesuai dengan teori, realistis, dapat diyakini, dan semuanya ini
berhubungan langsung dengan kebudayaan-kebudayaan masyarakat seperti menghargai
kebudayaan mereka, melakukan tindakan keperawatan yang tepat sesuai dengan
teori dan kepercayaan serta nilai budaya dan tentunya tidak melenceng dari
dunia keperawatan, bagaimana perawat profesional dapat memecahkan suatu masalah
dalam persoalan keperawatan terhadap klien-klien yang berbeda budaya, kemudian
bagaimana perawat dapat beradaptasi dengan baik terhadap klien agar dalam
pelayanan keperawatan maupun kesehatan tidak terjadi ketidaknyamanan dari diri
klien maupun perawat.<o:p></o:p></span></div>
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<span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DAFTAR
PUSTAKA<o:p></o:p></span></b></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Efendi, Ferry dan Makhfudli. 2009. <i>Keperawatan Kesehatan Komunitas Teori dan
Praktik dalam Keperawatan</i>. Jakarta: Salemba Medika.</span>Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-52199103810569498442016-05-16T08:12:00.001-07:002016-05-16T08:12:44.809-07:00Makalah Hubungan Nutrisi dengan transcultural nursing<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
I<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar
Belakang<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
budaya sangat berperan penting dalam status gizi seseorang. Budaya memberi
peranan dan nilai yang berbeda terhadap pangan dan makanan. Misalnya tabu
makanan yang masih dijumpai di beberapa daerah. Tabu makanan yang merupakan
bagian dari budaya menganggap makanan makanan tertentu berbahaya karena alasan
- alasan yang tidak logis. Hal ini mengindikasikan masih rendahnya pemahaman
gizi masyarakat dan oleh sebab itu perlu berbagai upaya untuk memperbaikinya.
Pantangan atau tabu adalah suatu larangan untuk mengkonsumsi suatu jenis
makanan tertentu karena terdapat ancaman bahaya atau hukuman terhadap yang
melanggarnya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Selain
itu unsur - unsur budaya mampu menciptakan suatu kebiasaan makan penduduk yang
kadang bertentangan dengan prinsip prinsip ilmu gizi. Kebiasaan makan adalah
tingkah laku manusia atau kelompok manusia dalam memenuhi kebutuhannya akan
makan yang meliputi sikap, kepercayaan dan pemilihan makanan (Khumaidi, 1989).
Suhardjo (1989) menyatakan bahwa kebiasaan makan individu atau kelompok
individu adalah memilih pangan dan mengonsumsi sebagai reaksi terhadap pengaruh
fisiologis, pskologis, social dan budaya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kebiasaan
makan yang terbentuk sejak kecil dapat dipngaruhi oleh berbagai hal antara lain
perbedaan etnis, tingkat social ekonomi, geografi, iklim, agama dan kepercayaan
serta tingkat kemajuan teknologi (wardiatmo,1989). Kebiasaan makan banyak
dipengaruhi oleh variable lingkungan. Menurut den Harog (1995) kebiasaan makan
dapat dibentuk oleh lingkungan sekitar dimana seseorang hidup. Adapun beberapa
variable lingkungan yang berpengaruh terhadap kebiasaan makan suatu masyarakat
adalah lingkungan hidup yang meliputi topografi, keadaan tanah, iklim, dan
flora, lingkungan budaya (system produksi pertanian) dan populasi (kelahiran,
kematian, migrasi, pertambahan penduduk, umur dan jenis kelamin). <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Oleh
karena itu, penyuluhan gizi penting untuk terus menerus dilakukan untuk
memperbaiki pengetahuan izi dan kebiasaan makan masyarakat. Penyuluhan gizi
menjadi landasan terjadinya perubahan pengetahuan, sikap, dan keterampilan.
Kelembagaan penyuluhan gizi seperti posyandu perlu lebih diperkuat sehingga
penyuluhan aktivitas tidak terabaikan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
yang dimaksud dengan nutrisi ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
yang dimaksud dengan transkultural nursing ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Bagaimana
hubungan antara budaya dengan makanan ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Bagaimana
pengaruh akibat kekurangan nutrisi dalam suatu kebudayaan atau transkultural ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Apa saja
contoh – contoh makanan pantangan yang justru adalah makanan bergizi ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Bagaimana
gambaran masyarakat dengan kasus nutrisi yang berhubungan dengan budaya?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pengertian nutrisi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pengertian transkultural nursing.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> hubungan antara budaya dengan makanan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> pengaruh akibat kekurangan nutrisi dalam suatu
kebudayaan atau transkultural.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">contoh – contoh makanan pantangan yang justru
adalah makanan bergizi.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> gambaran masyarakat dengan kasus nutrisi yang
berhubungan dengan budaya.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Definisi
Nutrisi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nutrisi
adalah zat-zat yang terkandung dalam makanan. Nutrien (zat gizi) adalah
komponen kimia dalam makanan yang digunakan oleh tubuh sebagai sumber energi
dan membantu pertumbuhan, perbaikan, dan perawatan sel – sel tubuh. Terdapat
enam kelas zat gizi yaitu protein, karbohidrat, lemak, vitamin, mineral, dan air.
Protein, karbohidrat, lemak merupakan termasuk makronutrien, sedangkan vitamin,
mineral, dan air merupakan termasuk mikronutrien. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa
ahli memberikan penjelasan mengenai pengertian nutrisi adalah ikatan kimia yang
diperlukan oleh tubuh untuk melakukan fungsinya yang berupa energi. Selain itu
energi juga dapat membangun dan memelihara jaringan dalam tubuh serta mengatur
proses kehidupan. Nutrisi digunakan untuk makanan sebagai pembentuk energi,
dimana setiap jaringan dalam tubuh bekerja dengan baik. Nutrisi juga dapat
dikatakan sebagai suatu proses organism yang menggunakan objek utamanya yaitu
makanan yang sering dikonsumsi dalam kondisi yang normal, dengan menggunakan
proses degesti, absorsi serta metabolisme yang pada nantinya akan membuang
beberapa zat yang memang tidak digunakan oleh tubuh.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Definisi
Transkultural Nursing<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keperawatan
transkultural adalah suatu pelayanan keperawatan yang berfokus pada analisis
dan studi perbandingan tentang perbedaan budaya (Leininger,1987). Keperawatan
transkultural merupakan ilmu dan kiat yang humanis, yang difokuskan pada
prilaku individu atau kelompok, serta proses untuk mempertahankan atau
meningkatkan perilaku yang sehat atau perilaku sakit secara fisik dan
psikokultural sesuai latar belakang budaya (Leininger, 1984). Pelayanan
keperawatan transkultural diberikan kepada klien sesuai dengan latar belakang
budayanya.</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Hubungan
antara Budaya dengan Makanan</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Budaya dan makanan memiliki
hubungan yang sangat erat<i>. <o:p></o:p></i></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan berfungsi untuk
mempertahankan, meningkatkan dan mengembalikan kesehatan yang optimal.</span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">
Pemilihan bahan, pengelolahan, penyajian dan pengomsumsiannya berkaitan dengan
budaya individu, keluarga, dan komunitas tempat. Misalkan budaya makan nasi
saat panen padi dan meninggalkan makan sayur-sayuran (wortel) di daerah Cianjur
pada era 70-an, ternyata menyebabkan angka rabun senja meningkat saat musim
padi dan menurun saat musim tanam padi, dll.<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Budaya mempengaruhi individu dan
keluarga dalam menentukan makanan yang dikonsumsi</span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">. Orang
muslim tidak akan memakan daging anjing, babi, atau hewan yang dianggap halal,
misalnya ayam, jika tidak disembelih dengan menyebut nama Allah SWT, dll.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan juga dikaitatkan dengan
jenis kelamin, makanan maskulin atau feminim. </span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Gado-gado,
rujak, ketoprak, sate ayam, soto ayam, atau teh adalah makanan yang feminim yang
identik dengan perempuan. Sate kambing, sop kambing, atau kopi adalah makanan
maskulin yang berindentik dengan lelaki.<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan juga dikaitkan dengan
usia</span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">, susu dan madu adalah makanan untuk anak-anak<i>.</i> Makanan untuk orang dewasa adalah
kacang goreng, kopi atau teh tubruk.<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan juga berkaitan dengan
kondisi kesehatan seseorang,</span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> makanan orang sakit biasanya
dengan sedikit garam dan tanpa cabe sehingga terasa hambar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan dapat juga memperat
hubungan kekerabatan.</span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> Pada orang jawa atau orang sunda
saat lebaran, mereka akan mengantar makanan kepada orang yang lebih dituakan
walaupun yang lebih muda lebih miskin. Makanan hantaran di sini berfungsi
sebagai bentuk pengakuan bahwa yang menerima dituakan dihormati sekaligus
ucapan syukur orang yang lebih muda
kepada orang yang lebih tua. <o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan dapat membangun dan
mempertahankan hubungan antar manusia,</span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> misalnya
makanan yang dibawa sendiri-sendiri kemudian diletakkan ke suatu tempat
selanjutnya di santap bersama-sama.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pengaruh akibat Kekurangan
Nutrisi dalam Suatu Kebudayaan atau Transkultural<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kekurangan gizi secara umum
(makanan kurang dalam kuantitas dan kualitas) menyebabkan pada proses-proses
yakni :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pertumbuhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">anak-anak tidak tumbuh menurut
potensialnya. Protein digunakan sebagai zat pembakar, sehingga otot-otot
menjadi lembek dan rambut mudah rontok. Anak-anak yang berasal dari tingkat
social ekonomi menengah keatas rata-rata lebih tinggi daripada yang
berasal dari keadaan social ekonomi rendah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Produksi tenaga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kekurangan
energy berasal dari makanan, menyebabkan seorang kekurangan tenaga untuk
bergerak,bekerja, dan melakukan aktivitas. Orang menjadi malas, merasa lemah,
dan produktivitas kerja menurun.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pertahanan tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Daya
tahan terhadap tekanan atau stress menurun. System imunitas dan anti bodi
berkurang, sehingga orang mudah terserang infeksi seperti pilek, batuk, dan
diare. Pada anak-anak hal ini dapat membawa kematian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Stuktur fungsi otak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kurang
gizi pada usia muda dapat berpengaruh terhadap perkembangan mental, dengan
demikian kemampuan berpikir. Otak mencapai bentuk maksimal pada usia dua tahun.
Kekurangan gizi dapat berakibat terganggunya fungsi otak secara permanen.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Perilaku<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Bagi
anak-anak maupun orang dewasa yang kurang gizi menunjukkan perilaku tidak
tenang. Mereka mudah tersinggung, cengeng, dan apatis. Dari keterangan diatas
tampak, bahwa gizi yang baik merupakan modal bagi pengembangan sumberdaya
manusia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Akibat gizi lebih pada proses
tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Gizi
lebih menyebabkan kegemukan atau obesitas. Kelebihan energi yang dikonsumsi
disimpan di dalam jaringan dalam bentuk lemak. Kegemukan merupakan salah satu
faktor risiko dalam terjadinya berbagai penyakit degenerative, seperti
hipertensi atau tekaan darah tinggi, penyakit-penyakit diabetes, jantung
koroner, hati dan kantung empedu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kebutuhan
gizi tiap orang berbeda-beda dan hal tersebut berhubungan dengan jenis kelamin,
usia, berat badan, tinggi badan dan juga aktifitas seseorang. Oleh karena itu
setiap individu sangat berbeda dalam menerima konsumsi makanan. Di samping itu
keanekaragaman makanan juga harus diperhatikan karena pada dasarnya setiap
jenis makanan tertentu tidak mengandung semua kebutuhan yang dibutuhkan oleh
tubuh sehingga perlu beberapa makanan lain untuk mendapatkan komposisi makanan
sesuai yang dianjurkan. Oleh karena makanan yang beraneka ragam yang mengandung
protein, lemak, karbohidrat serta beberapa mineral lain yang dibutuhkan tubuh
dari beragam jenis makanan yang dikonsumsi setiap hari. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Contoh – contoh Makanan Pantangan
yang Justru Adalah Makanan Bergizi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kalkun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ada mitos
yang menyebutkan bahwa mengkonsumsi kalkun menyebabkan kantuk. Hal itu tidak
benar, rasa kantuk seseorang disebabkan oleh kandungan tryptophan atau asam
amino dalam tubuh. Daging kalkun tidak memiliki asam yang memungkinkan
terciptanya zat – zat tersebut. Daging kalkun memiliki banyak kelebihan karena
selain bergizi tinggi, dapat menyembuhkan penyakit. Di samping itu, daging
kalkun membantu pertumbuhan dan kecerdasan anak. Masih banyak manfaat daging
kalkun seperti mencegah penuaan dini. Daging kalkun diyakini memiliki kandungan
protein 34,3 persen atau setara dengan dua kali daging sapi dan sangat baik
untuk mengganti sel tubuh yang rusak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Selain
itu, daging kalkun memiliki kandungan asam amino dan lysine yang banyak
dibutuhkan untuk pertumbuhan dan perkembangan otak dan kecerdasan anak mulai
3-6 tahun. Daging kalkun mempunyai kandungan rendah lemak yang bisa menghindari
kelebihan kolesterol. Daging kalkun juga mengandung energi yang lebih tinggi
dari ayam maupun telur ayam. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kolostrum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pada
mitos yang salah disebutkan bahwa ASI pertama atau kolostrum (yang berwarna
kekuningan) tidak baik bagi bayi, karena ASI pertama atau kolostrum adalah susu
basi. Mitos tersebut sangat tidak benar. Kolostrum adalah zat terbaik bagi
bayi. Kolostrum adalah cairan yang kaya dengan zat kekebalan tubuh dan zat
penting lain yang harus dimiliki bayi. Bayi menyusui langsung akan merangsang
ASI cepat keluar. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kedelai<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Mitos
bahwa jika ingin hamil hindari kedelai.mitos ini tidak benar. Anak adalah
dambaan tiap pasangan suami istri. Namun untuk memperoleh keturunan sangatlah
salah apabila menghindari kedelai agar hamil. <b>Kacang kedelai dikenal sebagai makanan terbaik kadar proteinnya, dapat
mencapai 35 persen daripada beratnya. Dikatakan bahwa kacang kedelai
dibandingkan dengan beratnya dapat menghasilkan dua kali protein daging, empat
kali telur, empat kali gandum, lima atau enam kali roti dan dua belas kali
susu.<o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ternyata
protein kacang kedelai bukan saja jumlahnya yang banyak, tetapi juga mempunyai
kualitas yang baik. Umumnya cukup dikenal bahwa protein hewani seperti daging,
susu, dan telur adalah protein yang lengkap, sementara protein nabati adalah
protein yang tidak lengkap. Tetapi ternyata protein kacang kedelai, walaupun
termasuk protein nabati lebih mirip menggambarkan protein hewani daripada
protei nabati.<br />
<b>Penggunaan minyak kacang kedelai
ternyata dapat menghindarkan penyakit jantung. Sebab utamanya adalah, oleh
karena minyak kacang kedelai adalah sumber lechitin.<o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Berbagai
penelitian yang dibuat menunjukkan bahwa lechitin dari kacang kedelai bila
diberikan kepada binatang atau manusia dapat menurunkan kadar kolesterolnya.<br />
Jumlah mineral – mineral dari 100 gram kacang kedelai sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kedelai memiliki mineral yang
tertinggi dari semua makanan, yaitu 3261 mg, dibandingkan dengan makanan
berikut yang terbanyak hanya 2121 mg, yaitu terdapat dalam air tebu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kacang kedelai mempunyai mineral
kalium yang tertinggi dari semua makanan yaitu 1835 mg, sedangkan yang kedua
tertinggi ialah buah apricot kering yang mengandung 1790 mg kalium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Setelah coklat pahit 292 mg, dan
kacang mente 267 mg, kacang kedelai adalah sumber magnesium yang ketiga
tertinggi dengan jumlah 225 mg.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kacang kedelai mengandung natrium
yang rendah, hanya 4 mg saja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kacang kedelai mempunyai kalsium
yang kaya yaitu 227 mg, dikalahkan hanya oleh tujuh makanan yang lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Setelah hati, (12.1 mg) kacang
kedelai adalah sumber besi yang kedua tertinggi, dengan jumlah 8 mg.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kedelai terkenal sebagai makanan antikanker. Dalam kedelai terdapat
sejumlah zat yang secara bersama – sama saling menguatkan dalam menghabisi
benih kanker.</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"> Senyawa inhibitor protease kedelai, yang punya
nama khusus inhibitor Bowman-Birk, ampuh melumpuhkan berbagai jenis kanker.
Daya bunuh kanker tersebut dibantu serat kasar kedelai, yang kadarnya lumayan
tinggi (2 gram per 100 gram). Dalam hal melawan kanker, inhibitor protease dan
serat kasar bekerja sama dengan genistein. Senyawa satu ini akan menghentikan
pembentukan suatu enzim pemasok “makanan” bagi benih kanker dan merusak
lintasan penyalurannya. Karena pasokan makanannya dihabisi, maka terhenti
pulalah pertumbuhan kanker. Itulah sebabnya mengapa kedelai dipastikan mampu
mencegah dan membantu penyembuhan segala jenis kanker. Dari kanker usus besar,
kanker paru-paru, kanker kulit, kanker payudara, kanker prostat, hingga kanker
darah (leukimia).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Nanas dan Pisang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ibu hamil tidak boleh mengkonsumsi pisang dan nanas. Mitos ini sangat
dipercaya oleh sebagian masyarakat di Jawa, karena bisa mengakibatkan
keputihan. Konsumsi pisang dan nanas justru disarankan karena kaya akan vitamin
C dan serat yang penting untuk menjaga kesehatan tubuh dan melancarkan proses
pembuangan sisa – sisa pencernaan. Adapun keputihan tidak selalu membahayakan.
Saat hamil maupun setelah melahirkan adalah normal apabila ibu mengalami
keputihan. Kecuali jika keputihan tersebut terinfeksi bakteri, jamur, &
virus yang biasanya dengan keluhan gatal, bau, dan warnanya kekuningan atau
kecoklatan.<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Mungki
pernah mendengar bahwa nanas dan pisang menyebabkan becek ? Padahal, tak ada
bukti ilmiahnya. Jadi, sama sekali tidak beralasan karena takut dan membatasi
diri untuk menyantapnya. Apalagi, tidak ada kaitan jelas antara mengonsumsi
buah-buahan tersebut dan kerja organ-organ seksual, baik pria maupun wanita.
Nanas dan pisang justru mengandung zat-zat tertentu yang dibutuhkan tubuh,
terutama vitamin C dan kalium dalam pisang yang justru berkhasiat menahan
cairan tubuh. Lagi pula kondisi basah sebetulnya merupakan pertanda alamiah
bahwa pihak istri telah siap menerima kehangatan dari suaminya. Sementara
kondisi kering malah akan menimbulkan lecet dan rasa sakit yang bakal menyiksa
keduanya. Boleh dibilang yang paling berperan dalam hal ini adalah sensitivitas
dan kekencangan otot-otot tubuh, terutama otot-otot dasar panggul yang
melingkari tulang organ kelamin. Kedua hal inilah yang amat berperan menentukan
daya cengkeram sekaligus meningkatkan kualitas hubungan suami-istri. Jadi, pada
mereka yang sensitivitasnya tidak mengalami gangguan, tersentuh sedikit saja
sudah akan terbangkitkan gairahnya. Jika pun menurun tingkat kepekaannya, entah
pada bagian-bagian tertentu atau justru seluruh tubuh, masih memungkinkan untuk
diterapi lewat pengobatan dan pelatihan. Sambil tak lupa menggali akar
permasalahannya kenapa bisa terjadi demikian, mengingat akibatnya dirasakan
secara fisik, meski awalnya bersifat psikis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">“ Nanas mengakibatkan keguguran</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">.“
Pendapat ini belum dibuktikan secara medis. Tetapi bagi beberapa orang, nanas
bisa menyebabkan gangguan lambung, terlebih asam lambung memang meningkat
dikala hamil. Tentu orang yang sensitive lambungnya terhadap nanas, sebaiknya
menghindari buah ini dikala hamil. Tetapi bagi mereka yang aman-aman saja
terhadap nanas justru baik menyantap buah ini. Tak lain karena nanas mengandung
vitamin A dan C serta mengandung enzim bromelin yang baik untuk mencerna
protein. Apalagi bila nanas ada pada acar dan beberapa masakan dengan variasi
olahan menggunakan nanas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pisang
bisa membuat gemuk. Mungkin pernyataan ini sudah akrab di telinga Anda. Tetapi,
apakah pernyataan ini benar? Pisang merupakan buah yang sarat gizi, hampir
tidak mengandung lemak dan mudah dicerna. Karbohidrat didalam pisang sekitar
23-35%, lemak 0,2% dan seperti bahan nabati lainnya, pisang bebas kolesterol.
Sebanyak 100 gram pisang akan memberikan kalori sebesar 120 kalori.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Buah ini
juga kaya kalium dan mengandung magnesium, selenium, besi dan vitamin – vitamin
serta bebas Natrium. Pisang kaya dengan vitamin B-6 yang dibutuhkan untuk
kesehatan mental seseorang. Kekurangan vitamin B-6 ini dapat menyebabkan
seseorang mudah lelah dan marah serta susah tidur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Mengkonsumsi
satu setengah buah pisang setiap hari akan mencukupi kebutuhan tubuh terhadap
vitamin B-6 ini. Menyantap makanan kaya kalium dan vitamin B6, khususnya pisang
segar (bukan pisang rebus atau pisang goreng) juga dapat mengurangi rasa nyeri,
ngilu dan sakit pada persendian. Mengkonsumsi pisang 3-4 kali sehari bahkan
dipercaya dapat membantu mengurangi gejala radang sendi (arthritis). Pisang
merupakan makanan kaya kalium. Satu buah pisang berukuran sedang mengandung 467
mg kalium, yang memberikan 13% kebutuhan kalium harian. Data penelitian
menunjukkan bahwa pengambilan kalium oleh tubuh berhubungan dengan efek penurunan
tekanan darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pada
tahun 2001, FDA (Food and Drug Administration; semacam Badan POM di USA),
menyetujui bahwa makanan yang merupakan sumber kalium dan rendah natrium
barangkali dapat mengurangi resiko terjadinya peningkatan tekanan darah dan
stroke. Sebagai sumber kalium, pisang dapat membantu mengurangi resiko
peningkatan tekanan darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Di dalam
New England Journal of Medicine bahkan disebutkan, bahwa mengkonsumsi satu buah
pisang sehari dapat menurunkan resiko stroke sampai 40%. Jika anda merasa lesu
di antara waktu makan, ambil saja pisang. Gula buah yang terkandung di dalamnya
(yang tergolong karbohidrat sederhana), akan mudah dicerna dan masuk ke aliran
darah sehingga menghasilkan energi instant. Selain itu, dengan pasokan kalium
dari pisang, jaringan otot akan bertenaga kembali selama beberapa saat sebelum
tubuh mendapatkan pasokan energi darurat dari makanan utama. Karena hal ini
pula, tidak heran jika para atlet terutama atlet tennis seringkali mengkonsumsi
pisang sebelum dan pada saat bertanding untuk pengusir lelah dan pemberi
tenaga. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Didalam
The Food Pharmacy oleh Jean Carper, pisang bahkan disebut sebagai makanan
mujarab bagi penderita penyakit mag. Barangkali sifat spasmolitik pisang, yang
menurunkan kerja lambung dan mengurangi sekresi enzim serta asam lambung, turut
berperan dalam menghasilkan khasiat ini.Kandungan pektin yang tinggi didalam
pisang juga dapat melindungi selaput lendir lambung terhadap pengaruh asam
lambung dan enzim (pepsin). Pisang juga kaya serat makanan atau karbohidrat
kompleks yang akan membantu memperlancar buang air besar dan sangat baik untuk
mencegah kanker usus besar. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Telur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ibu hamil
dilarang mengkonsumsi telur, karena dikhawatirkan ASI-nya berbau amis. Mitos
tersebut tidak benar. Telur mengandung protein hewani yang sangat dibutuhkan
ibu hamil. Selain itu, seiring dengan meningkatnya kesadaran masyarakat akan
bahaya kolesterol, selain daging, kuning telur kini termasuk makanan yang
dihindari. Padahal, para ahli kini menyimpulkan bahwa telur tidak mempengaruhi
kadar kolesterol secara signifikan. Bukan kolesterol yang mempengaruhi kadar
kolesterol dalam darah, tetapi lemak jenuh. Telur diketahui hanya mengandung
sedikit lemak jenuh. Mengkonsumsi telur bisa memperbaiki kadar lipid
(kolesterol) seseorang yang kolesterolnya naik saat mengkonsumsi makanan kaya
kolesterol.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ada
begitu banyak nutrisi penting dalam sebutir telur. Sebut saja choline, yang
sangat penting untuk fungsi otak dan kesehatan. Satu buah kuning telur
mengandung lebih dari 25 persen kebutuhan choline setiap hari. Orang dewasa
membutuhkan 425 gram choline per hari, sedangkan anak balita butuh 250 gram per
hari. Sebuah penelitian mengungkapkan konsumsi choline yang cukup bias menurunkan
risiko kanker payudara.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Telur
juga mengandung antioksidan serta lutein yang membantu mencegah gangguan
penglihatan akibat penuaan dan katarak. Kadar lutein dalam telur bahkan lebih
banyak dibanding pada sayuran berdaun hijau. Telur mempunyai kandungan zat gizi
yang cukup tinggi, antara lain mengandung delapan asam amino esensial yang baik
untuk pertumbuhan anak dan kesehatan tubuh. Selain itu, telur juga mengandung
mineral selenium (Se). Pria membutuhkan asupan selenium untuk pembentukan
kualitas dan kuantitas sperma. Satu butir telur dapat menghasilkan 10 persen
dari total kebutuhan tubuh terhadap selenium. Telur juga mengandung vitamin D
yang dapat membantu penyerapan kalsium untuk pembentukan tulang. Selain itu,
telur juga mengandung vitamin E. Kombinasi antara selenium dan vitamin E
berperan sebagai antioksidan yang dapat mengurangi risiko kerusakan sel tubuh
akibat radikal bebas.Telur juga diketahui sebagai sumber vitamin B12, vitamin
B6, dan folat yang dibutuhkan untuk kesehatan tubuh dan melindungi sel – sel
saraf. Kekurangan vitamin B12 dapat mengakibatkan terjadinya kerusakan sel –
sel saraf. Wanita hamil yang kekurangan vitamin B12 mempunyai risiko anaknya
akan mengalami kerusakan pada sistem saraf. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Jeruk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ada mitos
yang menyatakan bahwa jeruk menyebabkan meningkatkan lendir pada paru bayi dan
resiko kuning saat bayi lahir. Justru jeruk sumber vitamin C yang tinggi.
Kandungan jeruk bukan hanya vitamin C tinggi, tetapi juga potasium, folat,
kalsium, thiamin, niacin, vitamin B6, fosfor, dan lain sebagainya. Kelebihan
jeruk, mengandung serat tinggi. Walau begitu, tidak mengandum sodium, lemak,
dan kolesterol, karena itu aman bagi yang berdiet. Serat membantu menurunkan
kadar kolesterol dalam plasma dengan cara mengganggu proses reabsorpsi asam
empedu. Vitamin C dalam jeruk berperan menyerap zat besi non-organik (zat besi
dari makanan non – hewani), sehingga dapat mencegah dan membantu penyembuhan
penyakit. Vitamin C juga berfungsi sebagai antioksidan yang dapat mencegah
kerusakan sel serta penyakit jantung dan kanker. Vitamin C berguna sekali bagi
mereka yang menderita infeksi atau penyakit yang telah berlarut – larut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan Laut <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Mungkin
kita sering mendengar ungkapan bahwa ibu hamil dilarang mengkonsumsi ikan laut
karena menyebabkan ASI berbau amis dan luka jahitan sulit kering. Mitos
tersebut tidak benar. Justru ikan laut mengandung protein yang sangat dibutuhkan
ibu hamil untuk mengganti sel – sel rusak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ada juga
pernyataan bahwa salah satu cara menurunkan kolesterol dengan pantang makanan
laut. Tidak perlu menghindari makanan laut sama sekali. Kuncinya adalah
konsumsi dalam jumlah wajar karena makanan laut memang mengandung kolesterol.
Kadar kolesterol dalam tubuh sebagian besar dipengaruhi oleh lemak jenuh dan
trans fatty acid. Keduanya ini terdapat dalam daging merah dan makanan kemasan
olahan. Trans fatty acid terdapat di snack kemasan, gorengan, atau margarin yang
berisi minyak hydro genated.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Protein,
zat besi, serta asam lemak omega-3 dalam makanan laut bisa membantu
meningkatkan pertumbuhan otak bayi. Menurut penelitian yang dilakukan di
Inggris, kekurangan konsumsi makanan laut selama masa kehamilan bisa
mengakibatkan lemahnya kemampuan verbal, gangguan perilaku, serta masalah
tumbuh kembang lain pada anak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ikan dan
kerang – kerangan saat ini sudah terbukti merupakan makanan yang baik untuk
otak. Makanan – makanan tersebut mengandung asam lemak esensial yang
bermanfaat, yakni Omega-3, serta sejumlah vitamin, mineral,dan asam amino. Asam
lemak omega-3 jenin DHA dan EPA yang banyak ditemukan dalam ikan berminyak
terbukti berperan sangat penting untuk kesehatan dan perkembangan fungsi saraf
dan otak. Minyak hati ikan cod yang menjadi favorit pada zaman dulu, ternyata
bukanlah sumber utama lemak esensial untuk anak- anak karena sisa polutan yang
tersimpan dalam hati ikan cod.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Asam
lemak esensial tidak dihasilkan di dalam tubuh, karena itu kita harus mendapatkannya
dari luar, yaitu dari makanan. Ada kekhawatiran bahwa makanan modern tidak
mengandung cukup lemak Omega-3. Kekurangan zat gizi ini dikaitkan dengan
lemahnya konsentrasi dan memori, disleksia, masalah perilaku, kesulitan
belajar, juga hiperaktif pada beberapa anak yang sensitive.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ikan juga
merupakan sumber kolin, yaitu nutrisi yang diperlukan (bersama lesitin dan
vitamin B kompleks) untuk menghasilkan bahan kimia asetilkolin di otak, agar
memori dapat bekerja cepat dan meningkatkan kemampuan belajar. Kerang –
kerangan merupakan sumber seng, mineral penting bagi kemampuan memori dan
konsentrasi otak. Penelitian menunjukkan bahwa kekurangan sedikit saja seng
dapat mengakibatkan ketidakseimbangan fungsi mental. Akibatnya, anak menjadi
sensitif, suasana hati mudah berubah, dan hilang nafsu makan. Bila kekurangan
tersebut teratasi, biasanya kemampuan memori akan membaik kembali. Hidangan
laut juga mengandung asam amino tirosin, yang dikaitkan dengan peningkatan
energi mental dan kewaspadaan jika digunakan bersama vitamin B kompleks dalam
jumlah cukup, yang penting untuk produksi energi. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Daging Kambing<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Benarkah
ibu hamil dilarang mengkonsumsi daging kambing ? Jawabannya adalah ibu hamil
boleh saja mengkonsumsi daging kambing dengan porsi yang wajar, kecuali ibu
hamil yang menderita kelebihan kolesterol atau penyakit jantung.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Daging
kambing mentah memiliki kandungan lemak 50 persen hingga 60 persen lebih rendah
dibandingkan dengan daging sapi, akan tetapi kandungan proteinnya hampir sama.
Daging kambing juga memiliki kandungan lemak 42 persen hingga 59 persen lebih
rendah jika dibandingkan dengan daging domba.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Hal yang
sama untuk daging kambing yang sudah dimasak, presentase lemak jenuh daging
kambing 40 persen lebih rendah jika dibandingkan dengan daging ayam (tanpa
kulit) dan masing – masing 850 persen, 1100 persen, dan 900 persen lebih rendah
jika dibandingkan dengan daging sapi, babi, dan domba.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kandungan
kolesterol daging kambing ternyata hampir sama dengan daging sapi, domba, babi,
dan ayam dan lebih rendah jika dibandingkan dengan beberapa produk susu dan
daging ayam olahan dan makanan laut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Daging
kambing mengandung kolesterol sebanyak 76 mg persen, sedangkan untuk daging
sapi, ikan, dan domba adalah 70 mg persen. Kandungan kolesterol daging babi dan
ayam adalah 60 mg persen. Daging kambing juga sumber lemak yang sehat dengan
risiko mengkonsumsi kolesterol yang minimum. Di samping itu, daging kambing
mengandung lebih banyak zat besi, potasium dan tiamin yang berhubungan dengan
kandungan garam yang lebih rendah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Daging
kambing mengandung semua asam amino esensial dan mengandung lebih rendah
kalori. Oleh karena itu, daging kambing tergolong ke dalam bahan makanan yang
bersahabat dan sehat untuk dikonsumsi, asalkan saja tidak secara berlebihan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Yoghurt<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Ibu hamil
tidak boleh minum yoghurt. Tidak ada penelitian yang mendukung pernyataan ini.
Jadi pernyataan ini hanya mitos belaka. Lagipula yoghurt itu baik untuk
melancarkan pencernaan ibu hamil. Yang mana semenjak dalam kehamilan tidak
jarang ibu hamil mengalami namanya sembelit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Yoghurt
memiliki gizi yang lebih tinggi dibanding susu segar. Kandungan lemaknya pun
juga lebih rendah, sehingga cocok bagi mereka yang sedang menjalankan diet
rendah kalori. Yoghurt juga dapat membantu proses penyembuhan lambung dan usus yang
luka. Meminum yoghurt secara teratur dapat menurunkan kadar kolesterol dalam
darah. Selain itu juga yoghurt diyakini baik untuk memperpanjang umur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Yoghurt
dapat membantu penderita lactose intolerance. Penyebabnya adalah
defisiensi/kekurangan enzim pencerna laktosa. Sehingga setiap kali minum susu,
butiran laktosanya akan tertinggal di permukaan lubang usus halus dan menyerap
air dari sekitarnya yang kemudian memunculkan diare. Dalam yoghurt, laktosa
susunya sudah dipecah oleh bakteri baik Lactobacillus bulgaricus melalui proses
fermentasi, hingga mudah diserap tubuh. Itulah mengapa yoghurt sangat
disarankan sebagai pengganti susu bagi orang / anak yang tidak mampu mencerna
laktosa dengan baik. Dengan minum yoghurt, anda dan si kecil tidak akan diare
lagi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Yoghurt
dapat menghambat pathogen flora usus pengonsumsi yoghurt terbukti sulit
ditumbuhi kuman – kuman patogen atau kuman yang dapat menyebabkan penyakit.
Dengan terhambatnya pertumbuhan sekaligus matinya mikroba patogen dalam lambung
dan usus halus bisa menghindari munculnya berbagai penyakit akibat infeksi atau
intoksikasi mikroba. Dengan kata lain, mengonsumsi yoghurt secara teratur dapat
membantu menjaga kesehatan saluran pencernaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Mengkonsumsi
antibiotik memang berfungsi mematikan kuman, namun ia tidak pandang bulu mana
kuman yang perlu dibunuh dan mana yang sebetulnya tidak perlu
dimusnahkan.sebenarnya ada kuman yang harus berada di saluran cerna guna
menjaga keseimbangan flora usus. Yoghurt dapat menetralisir efek samping
antibiotik ini.<br />
Yoghurt sebagai antikanker saluran cerna. Bakteri-bakteri yang berperan dalam
yoghurt dapat mengubah zat-zat prekarsinogenik (zat-zat pemicu kanker) yang ada
dalam saluran pencernaan, hingga mampu menghambat terjadinya kanker.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Yoghurt
dapat mencegah jantung koroner. Bakteri baik yakni, Lactobacillus bulgaricus
dan Streptococcus yang terdapat dalam yoghurt, akan menghasilkan asam folat dan
vitamin B kompleks, kedua vitamin ini berguna mencegah munculnya penyakit
jantung koroner. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Gambaran Masyarakat dengan Kasus
Nutrisi yang berhubungan dengan Budaya<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Di Kalimantan Barat masih banyak
yang percaya bahwa ibu yang setelah melahirkan tidak boleh mengkonsumsi ikan
dan telur, karena bisa menyebabkan ASI ibu amis dan luka jahitan lama
kering. Mereka hanya boleh memakan lada
hitam tumbuk yang dicampur ikan teri untuk menghangatkan tubuh.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Di Bogor masih ada yang percaya
bahwa kepada bayi dan balita laki-laki tidak boleh diberikan pisang ambon
karena bisa menyebabkan alat kelamin/skrotumnya bengkak. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Di Indramayu, makanan gurih yang
diberikan kepada bayi dianggap membuat pertumbuhannya menjadi terhambat. Untuk
balita perempuan, mereka dilarang untuk makan nanas dan timun. Selain itu
balita perempuan dan laki-laki juga tidak boleh mengonsumsi ketan karena bisa
menyebabkan anak menjadi cadel. Mereka menganggap bahwa tekstur ketan yang
lengket menyebabkan anak tidak bisa menyebutkan aksara ‘r’ dengan benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Di beberapa daerah seperti
Madura, Surabaya masih banyak ditemukan kepercayaan tentang jenis makanan
tertentu yang dihubungkan dengan mitos dan tabu, seperti mitos
keperkasaan pada laki-laki dengan mengkonsumsi makanan yang dikategorikan
sebagai makanan panas seperti sate kambing. Sebaliknya, tidak dianjurkan untuk
perempuan yang sedang hamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantangan ini pasti sudah
sering didengar karena hampir semua orang yang masih menganut adat Jawa
mengatakan bahwa orang hamil dilarang minum es. Alasannya nanti susah saat
melahirkan karena bayi akan menjadi sangat besar dalam kandungan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penganut adat Jawa
kental, melarang ibu hamil makan telur karena nanti membuat janin di dalam
perut terus gelisah dan terus bergerak sehingga membuat ibu hamil tidak bisa
tidur.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">BAB III<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">PENUTUP<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kesimpulan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nutrisi adalah zat-zat yang terkandung
dalam makanan. Nutrien (zat gizi) adalah komponen kimia dalam makanan yang
digunakan oleh tubuh sebagai sumber energi dan membantu pertumbuhan, perbaikan,
dan perawatan sel – sel tubuh.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Budaya
dan makanan memiliki hubungan yang sangat erat<i>. </i></span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan
berfungsi untuk mempertahankan, meningkatkan dan mengembalikan kesehatan yang
optimal<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Budaya
mempengaruhi individu dan keluarga dalam menentukan makanan yang dikonsumsi<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan
juga dikaitatkan dengan jenis kelamin, makanan maskulin atau feminim.<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan
juga dikaitkan dengan usia<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan
juga berkaitan dengan kondisi kesehatan seseorang<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan
dapat juga memperat hubungan kekerabatan. <o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; line-height: normal;"> </span></span></i><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Makanan
dapat membangun dan mempertahankan hubungan antar manusia.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Kekurangan gizi secara umum
(makanan kurang dalam kuantitas dan kualitas) menyebabkan pada proses-proses
yakni :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pertumbuhan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Produksi tenaga<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Pertahanan tubuh<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Stuktur fungsi otak<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Perilaku<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Akibat gizi lebih pada proses
tubuh<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">DAFTAR
PUSTAKA<o:p></o:p></span></b></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Efendi, Ferry
dan Makhfudli. 2009. <i>Keperawatan
Kesehatan Komunitas Teori dan Praktik dalam Keperawatan</i>. Jakarta: Salemba
Medika.<o:p></o:p></span></div>
<br />
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">James,
Joyce., Colin Baker., & Helen Swain. 2008. <i>Prinsip – Prinsiip Sains untuk Keperawatan. </i>Jakarta: Erlangga.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-87158805159249952012016-05-16T08:09:00.003-07:002016-05-16T08:09:25.060-07:00Makalah Pengkajian Transcultural<div class="WordSection1">
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB I<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Latar
Belakang</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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Multikulturalisme
adalah sebuah <span lang="EN-US">filosofi </span>– terkadang ditafsirkan sebagai <span lang="EN-US">ideologi </span>– yang menghendaki
adanya persatuan dari berbagai kelompok <span lang="EN-US">kebudayaan</span> dengan hak dan status <span lang="EN-US">sosial politik</span> yang sama dalam <span lang="EN-US">masyarakat modern</span>. Istilah
multikultural juga sering digunakan untuk menggambarkan kesatuan berbagai etnis
masyarakat yang berbeda dalam suatu negara.<o:p></o:p></div>
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Indonesia
merupakan salah satu negara multikultural terbesar di dunia, mengingat kondisi <span lang="EN-US">2 komponen holistic (</span>sosio–kultural<span lang="EN-US">)</span> dan geografisnya yang
kompleks <span lang="EN-US">serta</span> beragam.
Draine mengemukakan ”<em>The Indonesian personality has long absorbed foreign
cultural influences and converted them into something indigenous</em>”.
Berbagai macam kultur yang mempengaruhi Indonesia akhirnya melahirkan suatu
kehidupan multikulturalisme yang kompleks dan penuh dengan pluralitas.<o:p></o:p></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk itu, diperlukan
asuhan keperawatan yang khusus yang berfokus pada komponen holistik seluruhnya
(fisiologi – psikologi – sosial – cultural – spiritual) agar dicapai peningkatan
derajat kesehatan masyarakat secara umum dan peningkatan pengetahuannya
mengenai hidup sehat serta mampu merealisasikan ide tersebut kedalam kehidupan
nyata dalam bentuk perilaku sehat yang benar, maka dari itu kami (selaku
penyusun makalah ini), akan menjabarkan tentang </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">elemen
dalam pengkajian keperawatan transkultural dan strategi untuk multikultural
dalam praktik keperawatan agar dapat diterapkan dalam tindakan proses
keperawatan yang nyata sehingga semua tujuan tadi tercapai dengan kualitas maksimal.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Rumusan
Masalah</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Apa pengertian pengkajian
keperawatan transkultural?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Terdiri dari apasajakah
faktor-faktor yang menjadi bagian dari pengkajian keperawatan transkultural
yang terdapat dalam “<i>Leininger’s Sunrise
Model</i>” ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Bagaiamana cara pengisian format
pengkajian keperawatan transkultural?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bagaimana
c</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ontoh
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">h</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">asil
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">p</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">engkajian
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">eperawatan
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">t</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ranskultural</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo1; mso-outline-level: 2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tujuan Penulisan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan
</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">U</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">mum<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">mampu</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> memahami </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">elemen dalam
pengkajian keperawatan transkultural dan strategi untuk multikultural dalam
praktik keperawatan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan
</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">K</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">husus<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mahasiswa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">mampu</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> menjelaskan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">tentang </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">: </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">a.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pengertian pengkajian keperawatan
transkultural.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">b.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Faktor-faktor yang menjadi bagian
dari pengkajian keperawatan transkultural yang terdapat dalam “<i>Leininger’s Sunrise Model</i>”.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">c.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Cara pengisian format pengkajian
keperawatan transkultural</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">d.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Contoh hasil pengkajian keperawatan
transkultural.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo1; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Metode
Penulisan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Penyusunan
makalah ini dibuat dengan menggunakan metode deskriptif melalui pengumpulan
data dari berbagai literatur atau sumber.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo1; mso-outline-level: 2; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Sistematika
Penulisan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-outline-level: 2; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Sistematika
penulisan pada makalah ini yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-indent: -54.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">BAB I</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> :
Pendahuluan yang terdiri dari latar belakang, rumusan masalah, tujuan
penulisan, metode penulisan dan sistematika penulisan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-indent: -54.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">BAB II</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> : Tinjauan
teoritis tentang elemen dalam pengkajian keperawatan transkultural dan strategi
untuk multicultural dalam praktik keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">BAB III</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> : Penutup yang teridiri dari kesimpulan dan
saran. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">DAFTAR
PUSTAKA</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
</div>
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<br />
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PETA KONSEP<o:p></o:p></span></b></div>
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<span lang="EN-US">Proses Keperawatan Transkultural<o:p></o:p></span></div>
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<span lang="EN-US">Pengkajian Keperawatan Transkultural<o:p></o:p></span></div>
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<span lang="EN-US">Diagnose Keperawatan Transkultural<o:p></o:p></span></div>
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<span lang="EN-US">Rencana Tindakan Keperawatan Transkultural<o:p></o:p></span></div>
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<i><span lang="EN-US">Terdiri
dari<o:p></o:p></span></i></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Belajar memahami
budaya klien memerlukan belajar tentang orientasi budaya anda sendiri dan diri
anda sendiri. “seseorang yang akan mengubah orang lain dirinya sendiri harus
berubah”(Milo,1970). Budaya perawat berinteraksi dengan budaya klien (Leininger
2000).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Proses keperawatan
transkultural adalah sistematika pemberian asuhan keperawatan berdasar latar
belakang budaya pasien. Proses keperawatan merupakan pedoman seorng perawat
dalam melakukan tindakan keperawatan terhadap pasien. Proses keperawatan
melalui tahap-tahapnya merupakan sarana untuk mewujudkan praktik keperawatan,
karena melalui tahap-tahap proses keperawatan pelayanan yang diberikan kepada
klien menjadi lebih sistematis dan berkualitas. Alat ukur kompetensi seorang
perawat dalam mengaplikasikan asuhan keperawatan transkultural adalah bagaimana
perawat mengintregasikan komunikasi, perilaku dan keahliannya dalam asuhan
keperawatan melalui proses keperawatan transkultural. Proses keperawatan
transkultural terdiri dari tahap pengkajian keperawatan transkultural ,
diagnosa keperawatan transkultural, rencana tindakan keperawatan transkultural,
tindakan keperawatan dan evaluasi tindakan keperawatan transkultural.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengkajian
Keperawatan Transkultural<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Langkah awal dari
proses keperawatan adalah mencari informasi tentang pasien, informasi mencakup
biopasikososiocultural dan spiritual. Data yang merupakan hasil dan pencarian
informasi bisa diperoleh melalui pasien sendiri berdasarkan wawancara, respon
verbal dan non verbal, keluarga dan orang lain yang terkait.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengkajian bidang
transkultural dilakukan oleh seorang perawat profesional. Perawat transkultural
menggunakan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">banyak
cara dalam memahami untuk mecoba menyesuaikan pengalaman, interpretasi, dan
harapan yang berbeda dalam budaya. Semua kelompok budaya meemiliki sistem waktu
dalam keyakinan dan praktek kesehatan sehingga perawat dapat
menginterpretasikan harapan antar kelompok. Wawancara kultural yang sensitif
diperlukan untuk mengetahui siapa klien mereka. Keperawatan, untuk memberikan
asuhan yang kongruent secara kultural, memeperhatikan hubungan antara diri
sendiri dan orang lain, anatara penyakit psikologis dan fenomena tertentu
seperti kemiskinan, penderitaan, kekerasan, penyakit kronis, dan penuaan,
anatara budaya perawatan dan kejiwaan, dan dari klien, dan antara etika
keperawatan dan ketentuan asuhan yang sesuai. Ketika perawat dan klien berasal
dari latar belakang budaya yang berbeda, diagnosis akurat, keterampilan khusus
dan memerlukan banyak waktu (Benner, Tanner & Chesia, 1996; Lipson &
Streiger, 1996; Westermeyer, 1987 dalam Leininger 2000).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Wawancara dalam
pengkajian merupakan tahap awal dari proses keperawatan, ada beberapa jenis
pengakajian dalam proses keperawatan transkultural, diantaranya dari Purnell,
Giger, dan Davidhizar, Leahy dan Kizilay, Andrews dan Boyle dan sebagainya,
tetapi yang paling komprehensif dan sering digunakan adalah dari Leininger.
Sunrise model yang sudah dijelaskan dibab sebelumnya merupakan prinsip proses
keperawatan mulai tahap pengkajian sampai rencana tindakan keperawatan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketika perawat
akan melakukan pengkajian pada pasien dengan berbagai variasi latar belakang
budaya, perawat harus mengevaluasi kesiapan dirinya dalam hal nilai budaya,
kepercayaan dan perilaku, komunikasi dan kesiapan dalam mengkaji pada pasien
dengan latar belakang budaya berbeda. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut Leiniger
dan Mc Farland (2002) beberapa tujuan dari pengkajian transkultural adalah : 1.
Mencari budaya pasien, pola kesehatan dihubungkan dengan pandangan, gaya hidup,
nilai budaya, kepercayaan dan faktor sosial, 2. Mendapatkan informasi budaya secara
keseluruhan sebagai dasar pembuatan keputudan dan tindakan, 3. Mencari pola dan
spesifikasi budaya, arti dan nilai yang dapat digunakan untuk membedakan
kepetusan tindakan keperawatan bahwa nilai dan gaya hidup pasien dapat dibantu
secara profesional, 4. Mencari area yang berpotensi menjadi konflik budaya,
kelalaian dan perbedaan nilai antara pasien dan tenaga kesehatan, 5.
Mengidentifikasi secara keseluruhan dan spesifik pola keperawatan budaya yang
sesuai untuk pasien, 6. Mengidentifikasi perbandingan informasi keperawatan
budaya diantara pasien yang berbeda atau yang sama untuk dapat digunakan
sebagai pembelajaran dan penelitian, 7. Mengidentifikasi dua persamaan atau
perbedaan pasien dalam pemberian kualitas perawatan, 8. Menggunakan teori dan pendekatan
riset untuk mengartikan dan menjelaskan praktik untuk kesesuaian keperawatan
dan area baru dari pengetahuan keperawatan transkultural.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan pengkajian
tersebut mengambarkan bahwa pengkajian transkultural sangat penting dilakukan,
suatu contoh perbedaan budaya yang digambarkan dalam hasil survei tentang
pengkajian keperawatan transkultural dilakukan oleh Pratiwi Nety, Tambunan dan
Daryo (2002), kelompok ini mengkaji proses keperawatan kemudian menganalisis
dalam perspektik kultural. Adapun hasil penelitiannya adalah dalam pengkajian
yang terdiri dari identitas pasien dan keluarga, riwayat peyakit, keluhan
pasien yang merupakan data fokus dan keluhan utama. Pada identitas pasien
didapatkan bahwa ketika pasien dirawat dirumah sakit ada perbedaan kebiasaan
antar suku dalam memanggil nama, misalnya pada masyarakat jawa atau sunda yang
menjalani rawat inap di rumah sakit, kelompok masyarakat ini akan memanggil
tidak dengan nama aslinya, misalnya nama alias atau nama suaminya. Nama alias
yang sering dipakai misalnya thole, ujang dan sebagainya. Sedangkan suku yang
mempunyai marga ad kelompok tertentu yang memanggil nama marganya. Hasil
penelitian tersebut menunjukkan bahwa penting didalam pengkajian keperawatan
adanya nama alias yatranskultural Leininger yaitung harus dikaji secra formal.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Andrews dan Boyle
(2003) menjelaskan beberapa faktor yang perlu dan penting diperhatikan ketika
pengkajian terhadap pasien, hubungan perawat dan pasien tersebut bisa
menggunakan sunrise model sebagai prinsip dalam melakukan pengkajian.
Pengkajian dirancang berdasarkan 7 komponen yang ada pada “Leninger’s Sunrise
Model” dalam teori keperawatan Leininger yaitu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">T</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">eknologi<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Teknologi
kesehatan adalah sarana yang memungkinkan manusia untuk memilih atau mendapat
penawaran menyelesaikan masalah dalam pelayanan kesehatan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berkaitan
dengan pemanfaatan teknologi kesehatan maka perawat perlu mengkaji berupa :
persepsi klien tentang penggunaan dan pemanafatan teknologi untuk mengatasi
permasalahan kesehtaan saat ini, alasan mencari bantuan kesehatan, persepsi
sehat sakit, kebiasaan berobat atau mengatasi masalah kesehtaan. Alasan klien
tidak mau operasi dan klien memilih pengobatan alternatif. Klien mengikuti tes
laboraturium darah dan memahami makna hasil tes tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">A</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">gama </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">D</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">an </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">F</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">alsafah </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">H</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">idup<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Agama
adalah suatu sistem simbol yang mengakibatkan pandangan dan motivasi yang amat
realistis bagi para pemeluknya. Sifat realistis merupakan ciri khusus agama.
Agama menyediakan motivasi kuat sekali untuk menempatkan kebenarannya diatas
segalanya, bahkan diatas kehidupan sendiri.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
agama yang perlu dikaji perawat seperti : agama yang di anut, kebiasaan agam
yang berdampak positif terhadap kesehatan, berikhtiar sembuh tanpa mengenal
putus asa, mempunyai konsep diri yang utuh, status pernikahan, persepsi klien
terhadap kesehatan dan cara beradaptasi terhadap situasinya saat ini, cara
pandang klien terhadap penyebab penyakit, cara pengobatan dan penularan kepada
orang lain.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Sosial Dan Keterikatan
Kekeluargaan<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
faktor sosial dan kekeluargaan yang perlu dikaji oleh perawat : nam lengkap dan
nama panggilan dalam keluarga, umur atau tempat dan tanggal lahir, jenis
kelamin, status, tipe keluarga, pengambilan keputusan dalam anggota keluarga,
kebiasaan yang dilakukan rutin oleh keluarga misalnya arisan keluarga, kegiatan
yang dilakukan bersama masyarakat misalnya : ikut kelompok olahraga atau
pengajian.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Nilai-Nilai Budaya Dan Gaya
Hidup<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nilai
adalah konsep-konsep abstrak didalam diri manusia, mengenai apa yang dianggap
baik apa yang dianggap buruk. Nilai-nilai
budaya adalah sesuatu yang dirumuskan dan ditetapkan oleh penganut
budaya yang dianggap baik atau buruk. Norma adalah aturan sosial atau patokan
prilaku yang dianggap pantas. Norma-norma budaya adalah suatu kaidah yang
mempunyai sifat penerapan terbatas pada penganut budaya terkait.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hal-hal
yang perlu dikaji berkaitan dengan nilai-nilai budaya dan gaya hidup adalah :
posisi dan jabatan misalnya ketua adat atau direktur, bahasa yang digunakan,
bahasa non verbal yang ditunjukkan klien, kebiasaan membersihkan diri,
kebiasaan makan, makan pantang berkaitan dengan kondisi sakit, saran hiburan
yang biasa dimanfaatkan dan persepsi sakit berkaitan dengan aktivitas
sehari-hari, misalnya sakit apabila sudah tergeletak dan tidak dapat pergi
kesekolah atau ke kantor.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Kebijakan Dan Peraturan Rumah
Sakit Yang Berlaku<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kebijakan
dan peraturan rumah sakit yang berlaku adalah segala sesuatu yang mempengaruhi
kegiatan individu dan kelompok dalam asuhan keperawatan transkultural (Andrew
& Boyle, 1995), seperti peraturan dan jam berkunjung, klien harus memakai
baju seragam, jumlah anggota keluarga yang boleh menunggu, hak dan kewajiban
klien yang harus dikontrakkan oleh rumah sakit, cara pembayaran untuk klien
yang dirawat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Ekonomi<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien
yang dirawat di rumah sakit memanfaatkan sumber-sumber material yang dimiliki
untuk membiayai sakitnya agar segera sembuh. sumber ekonomi yang pada umumnya
dimanfaatkan klien antara lain : asuransi, biaya kantor, tabungan dan patungan
antar anggota keluarga. Faktor ekonomi yang perlu dikaji oleh perawat antara
lain seperti pekerjaan klien, sumber biaya pengobatan, kebiasaan menabung dan
jumlah tabungan dalam sebulan. Faktor ekonimi dapat ikut menentukan pasien atau
keluarganya dirawat di ruang yang sesuai dengan daya embannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Pendidikan<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar
belakang pendidikan klien adalah pengalaman klien dalam menempuh jalur
pendidikan formal tertinggi saat ini. Didalam menempuh pendidikan formal
tersebut terjadi suatu proses eksperimental. Suatu proses menghadapi dan
menyelesaikan masalah yang dimulai dari keluarga dan selanjutnya dilanjutkan
kepada pendidikan diluar keluarga (Leininger, 1984). Semakin tinggi pendidikan
klien maka keyakinannya harus didukung oleh bukti-bukti ilmiah yang rasional
dan dapat belajar beradaptasi terhadap budaya yang sesuai dengan kondisi
kesehatannya.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perawat
perlu mengkaji latar belakang pendidikan klien meliputi tingkat pendidikan
klien dan keluarga, jenis pendidikannya, serta kemampuan klien belajar secara
aktif mandiri tentang pengalaman sakitnya sehingga tidak terulang kembali.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sebelum
mengkaji 7 komponen diatas dalam pengkajian transkutural perlu dikaji data
demografi klien yang meliputi nama lengkap, nama panggilan, nama keluarga,
alamat, lama tinggal di tempat ini, jenis kelamin, tempat lahir, diagnosa
medis, No. Registrasi. Data tersebut perlu dikaji untuk mengetahui data umum
dari klien.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cara
Pengisian Format Pengkajian Keperawatan Transkultural<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cara
pengkajian transkultural ini diterjemahkan dari Leininger (2000) oleh mahasiswa
magister komunitas Universitas Indonesia dan dimodifikasi oleh penulis dari
pengkajian Andrews dan Boyle (2003)<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Data
Demografi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Data Demografi
meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nama lengkap : … <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nama panggilan : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada suku yang berbeda, masing-masing
memiliki nama panggilan yang berbeda pula dengan nama aslinya. Contoh : ujang,
tole, dan sebagainya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada suku tertentu apabila sudah menikah
wanita dipanggil dengan nama suaminya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nama keluarga : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada
suku di Indonesia maupun di luar negeri ada yang mencantumkan nama keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alamat : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lama tinggal di tempat ini : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">(lama
tinggal ini perlu dikaji sebab akan mempengaruhi klien dan perilaku berbudaya.
Menurut Andrew dan Boyle (2003) Budaya akan berubah dari waktu ke waktu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jenis kelamin (laki-laki/perempuan) : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tempat lahir : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosis medis : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">No. register :<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Data
Biologis / Variasi Biokultural<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">…<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dikaji warna
kulit, rambut, struktur tubuh, bentuk wajah; penyakit resiko seperti kanker
kulit, sicle sel; penyakit spesifik genetic seperti hipertensi, kardiovaskular
dan sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
Teknologi<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa
hal yang perlu dikaji dalam faktor teknologi meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alat yang digunakan untuk bepergian
(kebiasaan berjalan kaki pada keyakinan tertentu di anggap melanggar apabila
menggunakan kendaraan bermotor sebagai alat transportasi) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alat yang digunakan untuk berkomunikasi
(bahasa yang digunakan) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alat yang digunakan untuk belajar …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alat yang digunakan untuk berinteraksi.
Sarana yang digunakan untuk mendatangi fasilitas kesehatan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sarana yang digunakan untuk hiburan keluarga
(contoh pada masyarakat suku jawa jathilan, di Banjarmasin habsian, pada
masyarakat modern pergi ke supermarket, dan lain-lain) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Persepsi terhadap teknologi kesehatan
bagaimana klien dan keluarga mempersepsikan teknologi kesehatan, misalnya
imunisasi, injeksi, transfuse, dan lain-lain) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Respon terhadap teknologi kesehatan
(menolak atau menerima) …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sarana dan prasarana teknologi kesehatan
tersedia atau tidak tersedia) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
Agama dan Filosofi<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa hal yang perlu dikaji dalam
faktor agama dan filosofi meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Agama yang dianut …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keyakinan agama yang dianut klien
berhubungan dengan kesehatan (misalnya menolak diperiksa lawan jenis) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana pandangan klien dan keluarga
tentang sakit yang diderita menurut ajaran agamanya (misalnya sakit adalah
cobaan, sakit adalah hukuman, mati adalah renkarnasi) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa yang dilakukan klien dan keluarga
untuk mengatasi sakit berhubungan dengan agama dan filosofi hidupnya (misalnya
dengan rukiyah, diobati oleh pendeta, diberi minum air suci sungai gangga,
dimandikan dengan kembang) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa falsafah hidup klien (keyakinan hidup
klien) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sosial Dan Ikatan Kekerabatan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana cara
mengkaji kekerabatan? Di bawah diantaranya contoh menanyakan tentang faktor
sosial dan kekerabatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Saya ingin
mendengar tentang keluarga anda atau teman dekat anda dan apakah mereka
mengerti anda? Bagaimana lingkungan sosial berpengaruh pada kehidupan anda
khususnya kehidupan kesehatan anda, gaya hidup, bagaimana perhatian seseorang
dalam kehidupan anda, bagaimana cara keluarga anda tentang kepedulian dalam
keluarga, apakah mereka bertanggungjawab bila ada keluarga yang sakit?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa hal yang
perlu dikaji dalam faktor sosial dan ikatan kekerabatan (<i>kindship</i>) meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penyakit klien atau orang lain tentnag
kesehatannya :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Buruk <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Kurang baik <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Sangat baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Status perkawinan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Menikah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Janda / Duda<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Belum pernah
menikah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Orang tua tunggal</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jumlah anak : … orang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Anak kandung …
orang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Anak angkat …
orang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien dirumah tinggal dengan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Orang tua<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> saudara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Anak dan Isteri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Menumpang pada
saudara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Lain-lain …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tindakan apa yang dilakukan keluarga jika
ada anggota keluarga yang sakit …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Komunikasi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kualitas
suara :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Kuat/nyaring<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
lembut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Sedang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Merintih <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pelafasan
dan pengucapan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Jelas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Serak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Dialek ... <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penggunaan
tekhnik diam dalam berbicara :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Jarang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Kadang-kadang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Sering <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Waktu
yang digunakan untuk diam :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Singkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Sedang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Lama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tak terobservasi </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penggunaan
bahasa non-verbal saat berkomunikasi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Gerakan tangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Gerakan mata<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Gerakan badan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Kinetik (sertur, ekspresi dan cara berdiri/duduk)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sentuhan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Terkejut atau menarik diri ketika disentuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Menerima sentuhan tanpa kesulitan<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Menyentuh orang lain tanpa kesulitan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sentuhan:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tingkat
kenyamanan<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Berpindah ketika jarak terinvasi<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak bergerak ketika jarak terinvasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jarak
saat berkomunikasi<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Setengah meter<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Setengah sampai satu meter<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Lebih dari satu meter<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jarak
yang nyaman bagi klien ketika berkomunikasi dengan orang …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
objek tertentu (missal tirai, furniture, dan lain-lain) mempengaruhi sikap
klien dalam berkomunikasi<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya, Jelaskan …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketika
klien berbicara dengan keluarga, seberapa dekat ia berdiri / duduk…<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketika
berkomunikas dengan orang dengan teman, seberapa jarak klien berdiri / duduk …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jika
klien harus bersentuh karena situasi, bagaimana klien bereaksi dan bagaimana
perasaan klien …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jika
orang yang klien cintai menyentuh, bagaimana reaksi klien dan bagaimana
perasaan klien …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
jarak antara klien dan perawat saat ini nyaman bagi klien …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hubungan
dalam keluarga<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaiaman
hubungan klien dan keluarganya …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
fungsi klien dalam keluarga : …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
peran klien dalam keluarga : <o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ayah / Ibu<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Anak<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Penasehat …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apabila
ada sesuatu yang penting untuk didiskusi dengan keluarga, bagaimana klien
melakukannya …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaiaman
klien berespon ketika mendapatkan pertanyaan dari keluarga : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Dengan kata-kata<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Gerakan tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Keduanya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hubungan
dengan teman, tetangga / orang lain<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
penilaian rang lain menurut klien …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Darimana
klien mendapat informasi tentang penilaian tersebut<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
klien berespon ketika mendapatkan pertanyaan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Penggunaan kata-kata<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Gerakan tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Keduanya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hubungan
dengan teman, tetangga / orang lain<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan
sosial/kemasyarakatan yang diikuti<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
pendapat klien tentang aktivitas sosial yang dijalaninya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
aktivitas sosial yang dilakukan klien membuat klien senang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alasannya : …<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
hobi klien <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
yang klien kerjakan jika mempunyai waktu luang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
anda percaya adanya pemimpin / penguasa<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana
anda bersikap terhadap pemimpin atau penguasa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketika
klien masih kecil, siapa yang paling berpengaruh pada klien<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
arti kerja bagi klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nilai-nilai
budaya, kepercayaan dan pandangan hidup<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa hal yang
perlu dikaji dalam nilai-nilai budaya, kepercayaan dan pandangan hidup meliputi
: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah pengertian budaya menurut klien …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa arti penting budaya yang dimiliki
klien …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Suku / bangsa …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">R</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">as
…<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kepercayaan berdasarkan suku / bangsa
berhubungan dengan sehat sakit <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Sehat : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Sakit : …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pandangan hidup klien berhubungan dengan
sehat-sakit …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Waktu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Orientasi
pada waktu<o:p></o:p></span></div>
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<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Orientasi pada masa lalu …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Orientasi pada masa sekarang …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Orientasi pada masa yang akan datang …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cara
melihat waktu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
waktu sosial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Berorientasi pada jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Reaksi
fisiokimia terhadap waktu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berapa
jam tidur pada malam hari : … jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
biasa tidur pada siang hari :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya, berapa … jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
klien tidur dan bangun sesuai jadwal : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
klien memahami pentingnya mendapat pengobatan atau makan obat sesuai jadwal
walaupun dalam waktu tidur klien :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanyakan
hal-hal berikut berhubungan dengan waktu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Alat
penunjuk waktu yang digunakan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Bel<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jika
klien janji pada jam 2 , jam berapa klien biasanya tiba untuk memenuhi janji
tersebut …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jika
perawat berkata pada klien bahwa setengah jam lagi akan menyuntik klien, berapa
waktu yang diperlukan untuk mempersiapkan diri …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Locus Control (Keyakinan seseorang)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kontrol
internal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Percayakah bahwa
kekuatan dipengaruhi perubahan dari dalam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kontrol
eksternal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Percayakan bahwa nasib, keberuntungan
dan kebetulan telah banyak dipengaruhi upaya yang kita lakukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Locus Control (Keyakinan seseorang)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Percayakah
pada kekuatan supernatural :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak, alasan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya, alasan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Percayakah
pada ilmu magik, ilmu gaib, ritual/upacara mempengaruhi perubahan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak, alasan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya, alasan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tanyakan
hal-hal yang berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adakah
obat tradisional yang anda gunakan untuk mengurangi sakit klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak, alasan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya, alasan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adakah
orang disekitar klien yang member obat untuk mengutangi sakit yang diderita<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah
obat yang diberikan oleh paranormal akan digunakan untuk mengobati sakit yang
dialami klien saat ini<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Tidak, alasan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
Ya, alasan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Politik Dan Hukum</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa hal yang perlu dikaji dalam
faktor politik dan hukum meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Partai politik yang diikuti …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dalam partai politik kedudukan klien …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Anggota<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Pengurus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana pandangan politik klien (menurut
klien politik haram) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaiaman pandangan politik mempengaruhi
sikap sehat sakit klien …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sanki atau aturan dan kebijakan yang
dianut keluarga (misalnya menjaga subak di Bali) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
Ekonomi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa hal yang perlu dikaji dalam
faktor ekonomi meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pendapatan sebulan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penghasilan tambahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apakah pendapatan dan penghasilan tambahan
mencukupi untuk kebutuhan hidup sehari-hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Wingdings 2"; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";">£</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> Tidak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jika ya, apakah kelebihan penghasilan
ditabungkan …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sumber pembiayaan kesehatan klien …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Program asuransi kesehatan dan
non-kesehatan yang diikuti (orang-orang Indonesia banyak yang tidak percaya pad
asuransi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
Pendidikan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa hal yang perlu dikaji dalam
faktor pendidikan meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tingkat pendidikan terakhir …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa arti sehat atau kondisi yang bagus
bagi klien sesuai dengan disiplin ilmunya …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa arti sakit atau kesehatan yang buruk
menurut klien dengan disiplin ilmunya …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jenis penyakit apa yang sering diderita
oleh keluarga klien …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemahaman sakit yang sedang diderita klien
…<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa yang dilakukan klien / keluarganya
jika mengalami sakit seperti sekarang …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa yang klien harapkan dari petugas
kesehatan yang sedang menolong memulihkan kesehatan klien …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Persepsi klien dan keluarga tentang
pendidikan (menganggap pendidikan penting atau tidak bagi kehidupan) …<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
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<br /></div>
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<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh
Hasil Pengkajian Keperawatan Transkultural<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berikut
ini merupakan contoh hasil pengkajian aplikasi kasus dengan menggunakan model pengkajian
transkultural yang dimodifikasi dari Leininger :<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penkajian
Kasus<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identifikasi
Klien<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nama : Ny.’Sunia’ Nama panggilan Bu
Edi, Usia : 28 tahun, Agama : Islam, Pendidikan Diploma, Pekerjaan guru play
group, suku Sunda, tidak memepunyai marga, statu anak nomor 3 dari 4
bersaudara, status perkawinan menikah denga</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">n</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> bapak Edi Wahyono suku Jawa, Alamat
kampung Mlinjo desa Gedang Selirang Sukoharjo Jawa Tengah, bahasa yang
digunakan bahasa Sunda dan bahasa Indonesia, diagnos</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">a</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> medis Abosrtus Habitualis G1 P0 A1
(saat ini).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Data
Biokultural <o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pasien mempunyai resiko penyakit
kencing manis, kulit kuning langsat, wajah bulat telur, rambut bergelombang,
saat ini HB pasien 4,8 karena mengalami pendarahan terus menerus.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Beberapa komponen yang spesifik pada
pengkajian transukultural :<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Teknologi <o:p></o:p></span></i></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ny.
Sunia menggunakan teknologi modern diadalam rumah tangganya, tidak mengenal
alat-alat teknologi kesehatan,mempunyai pantangan menolak dilakukan transfuse,
menolak tindakan abortus karena bertentangandengan keyakinannya/<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Agama Dan Faktor Falsafah
Hidup<o:p></o:p></span></i></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mereka
percaya bahwa sekecil apapun nyeri atau sakit merupakan cobaan dari yang maha
kuasa, maka tidak boleh melakukan yang dilarang oleh agama.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
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</span></span></i></b><!--[endif]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Factor Social Dan Keterikatan
Keluarga<o:p></o:p></span></i></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pasien
dan suaminya jarang bertemu keluarga dari kedua belah pihak ada dikampung
halaman, sedangkan pasien adan suaminya hidup dikota rempat mereka bekerja.
Pasien mempunyai peer group kelompok keagamaan yang berkumpul setiap hari
jumat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Nilai Budaya Dan Gaya Hidup<o:p></o:p></span></i></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pasien
pantang memandang ketika berkomunikasi dengan lawan jenis, pasien juga menolak
diperiksa lawan jenis, pasien juga hanya mengkonsumsi daging tertentu dan tidak
mau menyebutkan, menolak makan daging sapi atau ayam, tidur klien maksimal 5
jam setiap hari.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor Kebijakan Dan H</span></i></b><b><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">u</span></i></b><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">kum<o:p></o:p></span></i></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sangsi
aturan dan kebijakan yang dianut pasien diatur oleh pemuka agama sesuai dengan
peer group.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor </span></i></b><b><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">E</span></i></b><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">konomi<o:p></o:p></span></i></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mata
pencaharian klien adalah guru play group dan suaminya adalah berdagang. Klien
menyisihkan uangnya untuk bersedekah setiap bulan. Menabung dibank bertentangan
dengan keyakinannya.<o:p></o:p></span></div>
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</span></span></i></b><!--[endif]--><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor </span></i></b><b><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">P</span></i></b><b><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">endidikan<o:p></o:p></span></i></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
pasien dan suaminya pendidikam adalah penting, orang harus selalu belajar
sampai akhir hayatnya dan mengamalkan pendidikam tersebut.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Kesimpulan</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Dalam
pengkajian keperawatan transkultural, untuk menegakkan suatu diagnosa
keperawatan, dilakukanlah pengumpulan data Subjektif dan Objektif melalui 4
cara, yaitu : Wawancara, Questioner, Observasi dan Pemeriksaan fisik dalam 7
komponen utama dari Leininger’s Sunrise Model, yang terdiri dari : Faktor
teknologi, agama & falsafah hidup, sosial & kekeluargaan, nilai budaya
& gaya hidup, kebijakan & peraturan rumah sakit yang berlaku, Ekonomo
dan Faktor pendidikan secara komperhensif.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Saran</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Untuk
seluruh teman-teman perawat, semoga dengan adanya informasi dari makalah ini,
kita menjadi lebih mampu melakukan pengkajian keperawatan transkultural dengan
cara yang benar. Perlu diperhatikan agar mempelajari lebih dalam tentang
‘komunikasi’ agar kita lebih baik dalam berinteraksi dengan pasien, keluarga
maupun masyarakat yang menjadi sasaran pengkajian kita.<o:p></o:p></span></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pratiwi, Arum. 2010. <b><i>Buku
Ajar Keperawatan Transkultural. </i></b>Yogyakarta : Goysen Publishing<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-9900641611645740692016-05-16T08:05:00.005-07:002016-05-16T08:05:37.990-07:00Makalah Budaya dan Transcultural Nursing<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB I<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Latar Belakang<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berbagai fenomena yang terjadi
di tatanan praktek pelayanan keperawatan klinik dan komunitas menuntut
pengembangan yang adaptif dan fleksibel untuk diterapkan dalam berbagai situasi
dan kondisi. Hal ini tentunya memerlukan teori dan model yang sesuai dengan
mengadopsi berbagai perubahan yang terjadi di lingkungan masyarakat, khususnya
perubahan sosial, budaya, dan sistem nilai yang terjadi di masyarakat.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan dari transkultural dalam
keperawatan adalah untuk membentuk kesadaran dan apresiasi terhadap perbedaan
kultur. Leininger mengembangkan teorinya dari perbedaan kultur yang universal.
Perbedaan kultur tersebut dapat menjadi sumber informasi dalam melaksanakan
keperawatan. Keperawatan sebagai profesi memiliki landasan <i>body of
knowledge</i> yang kuat, dapat dikembangkan serta dapat diaplikasikan
dalam praktek keperawatan. <i>Transcultural nursing</i> ini berasal
dari disiplin ilmu antropologi yang dikembangkan ke dalam konteks keperawatan.
Konsep keperawatan transkultural ini didasari oleh pemahaman tentang adanya
perbedaan nilai-nilai kultural yang melekat dalam masyarakat.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Leininger beranggapan bahwa
sangatlah penting memperhatikan keanekaragaman budaya dan nilai-nilai dalam
penerapan asuhan keperawatan kepada klien. Bila hal tersebut diabaikan oleh
perawat, akan mengakibatkan terjadinya <i>cultural shock</i>. <i>Cultural
shock</i> akan dialami oleh klien pada suatu kondisi dimana perawat tidak
mampu beradaptasi dengan perbedaan nilai budaya dan kepercayaan. Hal ini dapat
menyebabkan munculnya rasa ketidaknyamanan klien, ketidakberdayaan dan beberapa
mengalami disorientasi pada klien.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Melakukan
komunikasi dengan komunitas di lingkungannya untuk mengenal budaya setempat dan
menghormatinya Cara dan gaya hidup manusia, adat istiadat, kebudayaan,
kepercayaan bahkan seluruh peradaban manusia dan lingkungannya berpengaruh
terhadap penyakit. Secara fisiologis dan biologis tubuh manusia selalu
berinteraksi dengan lingkungannya. Manusia mempunyai daya adaptasi terhadap
lingkungan yang selalu berubah, yang sering membawa serta penyakit baru yang
belum dikenal atau perkembangan/perubahan penyakit yang sudah ada. Kajian
mengenai konsekuensi kesehatan perlu memperhatikan konteks budaya dan sosial
masyarakat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rumusan Masalah<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Apa definisi budaya ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Apa saja karakteristik </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">B</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">udaya ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Bagaimana Perilaku </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">B</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">udaya </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">K</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">esehatan ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Apa d</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">efinisi
Keperawatan Transkultural</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Apa k</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">onsep
Utama Keperawatan Transkultural</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Apa Konsep </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Sehat
Sakit Menurut Budaya Masyarakat</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Apa </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Definisi Keperawatan Komunitas</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Bagaimana </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aplikasi Keperawatan Transkultural Dalam Keperawatan
Komunita</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">s ?</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan <o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menjelaskan definisi budaya </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menjelaskan
karakteristik </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">B</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">udaya </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Menjelaskan Perilaku </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">B</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">udaya </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">K</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">esehatan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Menjelaskan d</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">efinisi
Keperawatan Transkultural</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Menjelaskan k</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">onsep
Utama Keperawatan Transkultural</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Menjelaskan Konsep </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Sehat
Sakit Menurut Budaya Masyarakat </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mejelaskan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Definisi Keperawatan Komunitas</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menjelaskan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aplikasi Keperawatan Transkultural Dalam Keperawatan
Komunita</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">s</span></div>
<a name='more'></a> <span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span><br />
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PEMBAHASAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Definisi </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">udaya</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Budaya bisa
diartikan dari berbagai sudut pandang. Berdasarkan wujudnya misalnya,
kebudayaan dapat digolongkan atas dua komponen utama yaitu kebudayaan material
dan nonmaterial. Kebudayaan material mengacu pada semua ciptaan masyarakat yang
nyata, konkret. Termasuk dalam kebudayaan material ini adalah temuan-temuan
yang dihasilkan dari suatu penggalian arkeologi : mangkuk tanah liat,
perhiasan, senjata, dan seterusnya. Kebudayaan material juga mencangkup
barang-barang seperti televisi, pesawat terbang, stadion olah raga, pakaian,
gedung pencakar langit, dan mesin cuci. Kebudayaan nonmaterial adalah
ciptaan-ciptaan abstrak yang diwariskan dari generasi ke generasi,
misalnya berupa dongeng, cerita rakyat, dan lagu atau tarian tradisional.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Perilaku dari
berbagai kelompok masyarakat dunia berbeda-beda, perilaku tersebut akan
membentuk budaya tertentu. Respon masyarakat terhadap suatu peristiwa dalam
kehidupan berbeda-beda bergantung pada bagaimana kebiasaan sekelompok
masyarakat tersebut dalam menangani masalah. Setiap individu memiliki budaya
baik disadari maupun tidak disadari, budaya merupakan struktur dari kehidupan.
Istilah budaya pertama kali di</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">efinisikan oleh antropolog Inggris Tylor tahun 1871 bahwa
budaya yaitu semua yang termasuk dalam pengetahuan, kepercayaan, seni, moral,
hukum, adat dan kebiasaan lain yang dilakukan manusia sebagai anggota
masyarakat. ( Brunner dan Suddart, 2001 ). Sedangkan petter (1993)
mendefinisikan budaya sebagai nilai-nilai, kebudayaan sikap dan adat yang
terbagi dalam suatu kelompok dan berlanjut dari generasi ke generasi
berikutnya. Budaya akan dipakai oleh seseorang atau sekelompok orang dengan
nyaman dari wktu ke waktu tanpa memikirkan rasionalisasinya. The American
Herritage Dictionary mengertikan kebudayaan adalah sebagai suatu keseluruhan dari
pola prilaku yang dikirimkan melalui kerja dan pemikiran manusia dari suatu
kelompok manusia.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Zanden (1990)
menjelaskan bahwa istilah kultur mengacu pada warisan sosial masyarakat yang
mempelajari pola berpikir, merasa, dan bertindak yang ditularkan dari satu
generasi ke generasi berikutnya termasuk penggunaan pola-pola tersebut dalam
sesuatu yang bersifat materi. Sementara itu samovar dan poter (1995) mengutip
pernyataan Adamsom dan Frost yang mengatakan bahwa kultur merupakan pola
tingkah laku yang dipelajari yang merupakan satu kesatuan system yang bukan
hasil dari keturunan. Dari semua definisi diatas jelaslah bahwa kultur atau
memiliki karakteristik sendiri. Dari berbagai definisi tersebut, dapat
diperoleh pengertian mengenai kebudayaan yaitu sistem pengetahuan yang meliputi
sistem ide atau gagasan yang terdapat dalam pemikiran manusia, sehingga dalam
kehidupan sehari-hari, kebudayaan itu bersifat abstrak. Sedangkan perwujudan
kebudayaan kebudayaan adalah benda-benda yang diciptakan oleh manusia sebagai
makhluk yang berbudaya, berupa perilaku dan benda-benda yang bersifat nyata,
misalnya pola-pola perilaku, bahasa, peralatan hidup, organisasi sosial,
religi, seni, dan lain-lain, yang kesemuanya ditunjukan untuk membantu manusia
dalam melangsungkan kehidupan bermasyarakat.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Karakteristik </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">udaya</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Dincker (1996),
menyimpulkan pendapat Boyle dan Andrews (1989), yang menggambarkan empat ciri
esensial budaya yaitu : pertama, budaya dipelajari dan dipindahkan, orang yang
mempelajari budaya mereka sendiri sejak lahir. Kedua, budaya berbagi bersama,
anggota-anggota kelompok yang sama membagi budaya baik secara sadar maupun
tidak sadar, perilaku dalam kelompok merupakan bagian dari identitas budayanya.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Ketiga, budaya
adalah adaptasi pada lingkungan yang mencerminkan kondisi khusus pada
sekelompok manusia seperti bentuk rumah, alat-alat dan sebagainya. Adaptasi
budaya pada negara maju diadopsi sesuai dengan tehnologi yang tinggi. Keempat,
budaya adalah proses yang selalu berubah dan dinamis, berubah seiring kondisi kebutuhan
kelompoknya, misalnya tentang partisipasi wanita dan sebagainya. Penelitian
batak Toba di Indonesia yang beradaptasi dengan suku Sunda dengan merubah adat
ketatnya karena menyesuaikan diri dengan budaya setempat.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menurut Samovar
dan Porter (1995) ada 6 karakteristik budaya :</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Budaya itu bukan keturunan tapi dipelajari, jika seorang
anak lahir di Amerika dan hidup di Amerika dari orangtua yang berkebangsaan
Indonesia maka tidaklah secara otomatis anak itu bisa berbicara dengan bahasa
Indonesia tanpa ada proses pembelajaran oleh orangtuanya.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Budaya itu ditransfer dari satu generasi ke generasi
berikutnya, kita mengetahui banyak hal tentang kehidupan yang berhubungan
dengan budaya kerena generasi sebelum kita mengejarkan kita banyak hal
tersebut. Suatu contoh upacra penguburan placenta pada masyarakat jawa,
masyarakat tersebut tidak belajar secara formal tetapi mengikuti prilaku nenek
moyangnya.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Budaya itu berdasarkan simbol, untuk bisa memepelajari
budaya orang memerlukan simbol. Dengan simbol inilah nantinya kita dapat saling
bertukar pikiran dan komunikasi sehingga memungkinkan terjadinya proses
transfer budaya dari satu generasi ke generasi berikutnya. Contoh beberapa
simbol yang mengkarakteristikkan budaya adalah kalung pada suku dayak,
manik-manik, gelang yang semua itu menandakan simbol pada budaya tertentu.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Budaya itu hal yang bisa berubah, karena budaya merupakan
sistem yang dinamis dan adaftif maka budaya rentan terhadap adanya perubahan.
Misalnya pada sekelompok masyarakat merayakan kelahiran dengan tumpeng atau
nasi kuning, pada zaman modern tradisi tersebut berubah yaitu menjadi kue ulang
tahun</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Budaya itu bersifat menyeluruh, satu elemen budaya dapat
mempengaruhi elemen-elemen budaya yang lain. Misalnya lingkungan sosial akan
dapat memepengaruhi prilaku seseorang yang tinggal dilingkungan tersebut.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Budaya itu etnosentris, adanya anggapan bahwa buadaya
kitalah yang paling baik diantara budaya-buadaya yang lain. Suku badui akan
merasa budaya Badui yang benar, apabila melihat perilaku budaya dari suku lain
dianggap aneh, hal ini terjadi pada kelompok suku yang lain.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Meskipun tiap
kelompok memiliki pola yang dapat dilihat yang membantu membedakannya dengan
kelompok lain, sebagian besar individu juga mengungkapkan keyakinan atau sifat
yang tidak sesuai dengan norma kelompok. Seseorang bisa sangat tradisional
dalam satu aspek dan sangat modern dalam aspek lain. Ketika orang sakit,
mereka kadang menjadi lebih tradisional dalam harapan mereka dan pemikiran
mereka. Juga ada variasi signifikan dengan dan antara kelompok. Pengetahuan
tentang kelompok juga bernilai ketika memberikan sekumpulan harapan realistik.
Tetapi, hanya belajar tentang individu atau keluarga yang dihadapi sehingga
tenaga medis dapat memahami dalam hal apa pola kelompok bermakna (Leininger
2000).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Perilaku </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">udaya </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">K</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">esehatan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Adat kebiasaan
yang dikembangkan di suatu negara atau daerah, suku atau sekelompok masyarakat
merupakan praktek hidup budaya, Amerika, Australia, dan negara lainnya termasuk
Indonesia merupakan sebuah negara mempunyai berbagai suku dan daerah dimana
tiap suku atau daerah tersebut mempunyai adat kebiasaan yang berbeda-beda dalam
menangani masalah kesehatannya di masyarakat. Ada perilaku manusia, cara
interaksi yang dipengaruhi kesehatan dan penyakit yang terkait dengan budaya,
diantaranya adalah perilaku keluarga dalam menghadapi kematian, menurut Crist
(1961) yang ditulis oleh Koentjaraningrat (1990), dari hasil studi
komaratifnya. Menyimpulkan bahwa ada perbedaan sikap manusia dengan berbagai
kebudayaan yang berbeda-beda dalam menghadapi maut.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menurut Bendel
(2003) di Indonesia terdapat pruralisme system pengobatan di mana berbagai cara
penyembuhan yang berbeda-beda hadir berdampingan termasuk humoral medicine dan
elemen magis. Indonesia merupakan negara yang terdiri dari berbagai suku bangsa
dimana tiap suku atau kelompok masyarakat tersebut akan mempunyai norma,
perilaku, adat istiadat yang berbeda-beda termasuk dalam mencari penyembuhan
yang terkait dengan perilaku budaya. Menurut Bendel (2003) dalam masyarakat
Indonesia terdapat kepercayaan tradisional pada hal-hal gaib.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 27.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 27.0pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Definisi Keperawatan Transkultural</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keperawatan transkultural merupakan
istilah yang sering digunakan dalam cross-cultural atau lintas budaya,
intercultural atau antar budaya, dan multikultural atau banyak budaya
(Andrews,1999). Leininger merupakan ahli antropologi keperawatan sejak
pertengahan lima puluhan yang merencanakan bahwa transkultural nursing merupaer
mendefinisikan “transkultural Nursing"kan area formal yang harus
diaplikasikan dalam praktik keperawatan (leininger,1999;McFarland,2002).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Leininger
mendefinisikan”transkultural Nursing” sebagai area yang luas dalam keperawatan
yang mana berfokus pada komparatif studi dan analisis perbedaan kultur dan
subkultur dengan menghargai perilaku caring, nursing care dan nilai
sehat-sakit, kepercayaan dan pola tingkah laku dengan tujuan perkembangan ilmu
dan <i>humanistic body of knowledge </i>untuk kultur yang spesifik
dan kultur yang universasl dalam keperawatan (Andrews and Boyle,1997: Leininger
dan McFarland,2002). Tujuan dari transkultural dalam keperawatan adalah
kesadaran dan apresiasi terhadap perbedaan kultur. Selain itu juga untuk
mengembangkan ilmu pengetahuan dalam keperawatan yang humanis sehingga
terbentuk praktik keperawatan sesuai dengan kultur dan universal
(leininger,1978).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Konsep Utama Keperawatan
Transkultural</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Leininger
(2002), beberapa asumsi yang mendasari konsep transkultural berasal dari hasil
penelitian kualitatif tentang kultur, yang kemudian teori ini dipakai sebagai
pedoman untuk mencari culture care yang akan diaplikasikan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Human caring
merupakan fenomena yang universal dimana ekspresi, struktur dan polanya
bervariasi diantara culture satu tempat dengan tempat yang lainnya.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Caring act
dikatakan sebagai tindakan yang dilakukan dalam memberikan dukungan kepada
individu secara utuh. Perilaku caring semestinya diberikan pada manusia sejak
lahir , masa perkembangan , masa pertumbuhan , masa pertahanan sampai dikala
meninggal.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Caring adalah
esensi dari keperawatan dan membedakan, mendominasi serta mempersatukan
tindakan keperawatan. Keperawatan adalah fenomena transkultural dimana perawat
berinteraksi dengan klien, staff dan kelompok lain.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Identifikasi
universal dan nonuniversal kultur dan perilaku caring profesional, kepercayaan
dan praktek adalah esensi untuk menemukan epistemology dan ontology sebagai
dasar dari ilmu keperawatan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Culture adalah
berkenaan dengan mempelajari, membagi dan transmisi nilai, kepercayaan norma
dan praktek kehidupan dari sebuah kelompok yang dapat terjadi tuntunan dalam
berfikir, mengambil keputusan, bertindak dan berbahasa</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Cultural care
berkenaan dengan kemampuan ko</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">nitif untuk mengetahui nilai, kepercayaan dan pola
ekspresi yang mana membimbing, mendukung atau memberi kesempatan individu
lain atau kelompok untuk mempertahankan kesehatan, meningkatkan
kondisi kehidupan atau kematian serta keterbatasan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Nilai kultur
berkenaan dengan keputusan/kelayakan yang lebih tinggi atau jalan yang
diinginkan untuk bertindak atau segala sesuatu yang diketahui yang mana biasanya
bertahan dengan kultur pada periode tertentu.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Perbedaan
kultur dalam keperawatan adalahvariasidari pengertian pola, nilai atau simbol
dari perawatan,kesehatan atau untuk meningkatkan kondisi manusia, jalan
kehidupan atau untuk kematian</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">ulture care universality berkenaan
dengan hal umum, merupakan bentuk dari pemahaman terhadap pola, nilai atau
simbol dari perawatanyang mana kiltur mempengaruhi kesehatan atau memperbaiki
kondisi manusia.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Etnosentris
adalah kepercayaan yang mana satu ide yang dimiliki, kepercayaan dan prakteknya
lebih tinggi untuk kultur yang lain</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Cultural
imposition berkenaan dengan kecendrungantenaga kesehatan untuk memaksakan
kepercayaan, praktik dan nilai diatas kultur lain karena mereka percaya bahwa
ide mereka lebih tinggi dari pada kelompok lain.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Konsep Sehat Sakit Menurut Budaya
Masyarakat</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sehat sebagai suatu keadaan sempurna
baik jasmani, rohani, maupun kesejahteraan social seseorang. Cara hidup dan
gaya hidup manusia merupakan fenomena yang dapat dikaitkan dengan munculnya berbagai
macam penyakit, selain itu hasil berbagai kebudayaan juga dapat menimbulkan
penyakit. Penyebabnya bersifat Naturalistik yaitu seseorang menderita sakit
akibat pengaruh lingkungan, makanan, kebiasaan hidup, ketidakseimbangan dalam
tubuh. Masyarakat menggolongkan penyebab sakit ke dalam 3 bagian, yaitu karena
pengaruh gejala alam seperti panas atau dingin terhadap tubuh manusia, makanan
yang diklasifikasikan ke dalam makanan panas dan dingin, supranatural seperti
roh, guna-guna, setan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikut adalah contoh konsep sehat
sakit menurut masing-masing daerah, contohnya konsep sakit menurut budaya NTT,
dikatakan sakit apabila masyarakat sekitar merasakan pusing dan tidak mampu
menjalankan aktifitas. Begitu pula di daerah jawa, dikatakan sakit apabila masyarakat
sekitar tidak mampu melakukan aktifitas seperti biasanya, sedangkan dikatakan
sehat apabila masyarakat sekitar mampu berjalan, berfikir, dan dapat
menjalankan aktifitas sehari-hari tanpa ada hambatan atau kendala.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Definisi Keperawatan Komunitas<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keperawatan
Komunitas adalah pelayanan keperawatan professional yang ditujukan pada
masyarakat dengan penekanan kelompok risiko tinggi dalam upaya pencapaian
derajat kesehatan yang optimal melalui peningkatan kesehatan, pencegahan
penyakit, pemeliharaan dan rehabilitasi dengan menjamin keterjangkauan
pelayanan kesehatan yang dibutuhkan dan melibatkan klien sebagai mitra dalam
perencanaan, pelaksanaan, dan evaluasi pelayanan keperawatan (CHS, 1997).<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Asuhan keperawatan komunitas
langsung dengan fokus pemenuhan kebutuhan dasar komunitas yang terkait
kebiasaan atau perilaku dan pola hidup tidak sehat sebagai akibat
ketidakmampuan masyarakat beradaptasi terhadap lingkungan internal dan
eksternal.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aplikasi Keperawatan Transkultural Dalam Keperawatan
Komunitas<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kasus:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Klien nama Ny.W,30 tahun, beragama Islam, pendidikan
terakhir SMP, pekerjaan petani, suku jawa, diagnosis medis abortus. Klien hamil
12 minggu, klien sangat mengharapkan memiliki anak. Klien mengeluh mengalami
pendarahan dan perut mulas-mulas selama 3 hari. Klien dianjurkan untuk
kuratase. Klien memeriksakan kehamilannya di dukun dan berencana akan
melahirkan di sana. Klien mendapat informasi tentang kehamilan dari mertua. Klien
masih percaya pada sihir dan hal-hal gaib, mereka percaya banyak anak banyak
rejeki dan percaya bahwa abortus merupakan perbuatan dosa. Setelah di diagnosis
abortus, klien tidak menerima dan merencanakan akan berobat ke dukun. Mereka
menganggap hal itu akibat ibunya melanggar pantangan dalam menyediakan sesaji. Hubungan
kekerabatan yang lebih dominan adalah pihak laki-laki, pola pengambilan
keputusan di pihak laki-laki. Pantangan makanan jantung pisang, gurita, dan air
kelapa sedangkan suaminya pantang memanjat pohon kelapa atau pohon yang tinggi.
Aturan dan kebijakan di atur oleh pemuka agama dan para santri. Ada tabungan
yang sudah di persiapkan oleh keluarga untuk persalinan ini.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l9 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengkajian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
teknologi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dari kasus diatas,
faktor teknologinya yaitu Ny W di anjurkan untuk kuratase. Alasannya yaitu
karna merupakan salah satu pilihan Ny W dalam memecahkan masalah kesehatannya.
Ny.W pergi ke dukun</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> menggunakan motor,
berkomunikasi menggunakan bahasa Indonesia, </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">tidak
mengenal alat-alat teknologi kesehatan,mempunyai pantangan menolak dilakukan
transfuse, menolak tindakan </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">kuretase</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
karena bertentangan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">dengan
keyakinannya</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> dan mengat</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">kan hal tersebut berdosa. Ny W tidak pernah memeriksakan
kesehatan dan perkembangan kehamilannya di pelayanan kesehatan. Dan ini
merupakan kehamilan pertama dari Ny W dan umur kehamilannya </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">12</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> minggu.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"> <span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
sosial dan ketertarikan keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dari kasus diatas,klien
yang bernama Ny W,berumur 30 tahun, tipe keluarganya hubungan kekerabatan yang
lebih dominan pihak laki-laki, hubungan Ny. W dengan kepala keluarga adalah
suami istri, pola pengambilan keputusan di pihak laki-laki, Ny W mendapat
informasi tentang kehamilan dari mertua.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
agama dan falsafah hidup<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Adapun agama yang
dianut Ny W adalah islam, status pernikahannya resmi, cara pandang Ny W
terhadap penyakit yaitu di sebabkan oleh sihir dan hal-hal gaib, Ny W percaya
bahwa abortus yang dideritanya itu akibat ibunya melanggar pantangan dalam
menyediakan sesaji, dan Ny W berobat rencananya ke dukun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
nilai-nilai budaya dan gaya hidup<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pantangan Ny W
yaitu memakan makanan jantung pisang,gurita dan air kelapa sedangkan suaminya
pantang memanjat pohon kelapa atau pohon yang tinggi, alasannya yaitu jika
memakan jantung pisang dapat membahayakan tinggi kehamilannya, dan jika memakan
gurita mungkin dapat menggugurkan kehamilannya karna gurita itu licin, sedangkan
air kelapa memang kehamilan usia muda tidak di perbolehkan meminum air kelapa. Dan
pada suami di larang memanjat pohon yang tinggi karena takut kehamilannya gugur
karna di ibaratkan jatuh dari pohon.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
kebijakan dan peraturan yang berlaku<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aturan dan
kebijakan disana diatur oleh pemuka agama dan para santri. Alasannya karena di
sana memang budayanya seperti itu, agamanya kental sehingga aturan dan
kebijakan di atur oleh pemuka agama dan para santri.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor ekonomi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pekerjaan Ny W
adalah petani,serta ada tabungan yang sudah dipersiapkan oleh keluarga untuk
persalinan ini. Karena ada tabungan yang telah di persiapkan oleh keluarga
sehingga Ny W sudah agak lega dan senang untuk persiapan kelahirannya.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Faktor
pendidikan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tingkat pendidikan
Ny W adalah SMP. Dan karena tingkat SMP itu di negara kita di bawah rata-rata
pendidikan yang seharusnya jadi pandangan Ny W terhadap kesehatan pun tidak
sama dengan orang yang berpendidikan tinggi sehingga dia cendrung lebih memilih
berobat ke dukun dari pada ke medis.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Analisa
data dan diagnosis keperawatannya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Analisa
data<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Data
subyektif<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keluarga
mengatakan Ny W sejak 3 hari lalu mengalami pendarahan dan perut mulas-mulas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keluarga
mengatakan bahwa Ny W di diagnosis medis abortus.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keluarga
mengatakan Ny W di bawa ke dukun dulu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keluarga
mengatakan bahwa Ny W akan di rencanakan melahirkan di sana.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Data
obyektif<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Hasil
pemeriksaan medis,Ny W di diagnosis abortus.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa
keperawatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kekurangan
volume cairan berhubungan dengan kehilangan cairan aktif(vaskuler berlebih)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Nyeri
akut berhubungan dengan agen cedera (injury biologis)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intoleransi
aktifitas berhubungan dengan kelemahan umum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ansietas
berhubungan dengan perubahan status kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosa
transkultural<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
komunikasi verbal berhubungan dengan perbedaan kultur,<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gangguan
interaksi sosial berhubungan disorientasi sosiokultural<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ketidak
patuhan dalam pengobatan berhubungan dengan sistem nilai yang diyakini.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rencana
keperawatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cultural
care preservation/maintenance<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Identifikasi
perbedaan konsep antara perawat dan Ny W tersebut<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perbedaan
konsep perawat dan Ny W terletak pada kepercayaan Ny W yang masih percaya pada
sihir dan hal-hal gaib.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perawat
harus tenang dan tidak terburu-buru berinteraksi dengan Ny W.Perawat bisa
perlahan-lahan untuk berkomunikasi dengan Ny W.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lalu
perawat bisa mendiskusikan perbedaan budaya yang dimilikinya dengan Ny W yang
masih percaya kepada dukun serta sihir dan hal-hal gaib.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cultural
care accomodation/negotiation<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perawat
bisa menggunakan bahasa yang mudah di pahami oleh Ny W seperti bahasa
sehari-harinya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kemudian
dalam perencanaan perawatan perawat bisa melibatkan keluarga Ny W seperti
suami,ibunya atau mertua Ny W.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jika
konflik tidak terselesaikan,lakukanlah negosiasi dengan Ny W berdasarkan
pengetahuan biomedis perawat tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Cultural
care repartening/reconstruction<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Selanjutnya
perawat bisa memberikan kesempatan pada Ny W untuk memahami informasi yang
telah diberikan dan melakukannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Lalu
tentukan tingkat perbedaan Ny W melihat dirinya dari budaya kelompoknya sendiri.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kemudian
gunakan pihak ketiga bila perlu,seperti tetangga atau kerabat dekat Ny W.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dan
terjemahkan terminologi gejala Ny W tersebut ke dalam bahasa kesehatan yang
mudah dipahami Ny W dan orang tuanya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Terakhir
berikan informasi pada Ny W tentang sistem pelayanan kesehatan.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kesimpulan kasus </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempertahankan
budaya yang sesuai dengan kesehatannya,dari kasus di atas yang bisa di
pertahankan adalah aturan dan kebijakan diatur oleh pemuka agama dan para
santri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Membentuk
budaya baru yang sesuai dengan kesehatan,dari kasus di atas pantangan makanan
jantung pisang,gurita dan air kelapa bisa di ganti dengan yang lain,mungkin
bisa dengan sayur yang lain dan juga air kelapa bisa di ganti dengan air biasa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengganti
budaya yang tidak sesuai dengan kesehatan dengan budaya yang baru.Dari kasus di
atas mungkin budaya berobat ke dukun bisa di ganti dengan berobat ke
medis/dokter.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Budaya bisa diartikan dari berbagai
sudut pandang. Berdasarkan wujudnya misalnya, kebudayaan dapat digolongkan
atas dua komponen utama yaitu kebudayaan material dan nonmaterial.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Strategi
yang digunakan dalam melaksanakan </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">aplikasi
keperawatan transkultural dalam </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">adalah: Strategi I, Perlindungan/mempertahankan
budaya, Strategi II, Mengakomodasi/negoasiasi budaya, Strategi III,
Mengubah/mengganti budaya klien.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Saran<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk seluruh teman-teman perawat,
semoga dengan adanya informasi dari makalah ini, kita menjadi lebih mampu
melakukan pengkajian keperawatan transkultural dengan cara yang benar. Perlu
diperhatikan agar mempelajari lebih dalam tentang ‘komunikasi’ agar kita lebih
baik dalam berinteraksi dengan pasien, keluarga maupun masyarakat yang menjadi
sasaran pengkajian kita.</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
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<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Afifah, Efy. <i>Ringkasan Materi : Unit 2 Keragaman budaya
dan perspektif transkultural dalam keperawatan</i>.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sudiharto.2007.<i>Asuhan Keperawatan Keluarga Dengan
Pendekatan Keperawatan Transkultural .</i>Jakarta<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Akhmadi.
2011. "<i>Konsep Keperawatan Transkultural (Madeleine Leininger)</i>".</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-30290279680050204932016-05-16T08:00:00.004-07:002016-05-16T08:00:50.386-07:00Makalah Transcultural Nursing<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: dotted 14.0cm blank 404.0pt; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB I<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar Belakang<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Di
Indonesia banyak sekali kita temui budaya dan adat istiadat yang dianut oleh
masyarakat sehingga cara berfikir masyarakat satu dengan lainnya berbeda-beda
.Dengan nilai yang mereka anut sudah menjadi suatu kebiasaan dan terkadang
sulit untuk dirubah. Mereka sering kali memecahkan masalah terutama untuk kesehatan
dengan hal-hal yang kadang tidak rasional , bersifat mistis dan sangat bertolak
jauh dengan ilmu medis. Kepercayaan ini didapat sejak dari nenek moyang dan
sudah diturunkan kepada generasi berikutnya sehingga sangat sulit untuk
mengubah persepsi dan kepercayaan mereka .yang kita lihat mereka masih nyaman
dan masih tetap dengan cara yang mereka lakukan , mereka berfikir hal tersebut
yang paling ampuh untuk menyembuhkan penyakit walaupun pada kenyataannya sangat
bertolak belakang dengan ilmu medis. Ada sebagian orang yang masih mengganggap
ilmu medis itu merepotkan dan memerlukan biaya yang sangat mahal ,mereka lebih
senang memanfaatkan ilmu dukun yang mereka percayai dapat menyebuhkan penyakit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan Masalah<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
latar belakang diatas, kami dapat mengambil rumusan masalah sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa pengertian dari
berfikir kritis?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa definisi dari
transcultural nursing?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana berpikir kritis
dalam transcultural nursing?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa saja aspek-aspek
dalam berfikir kritis?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Bagaimana trend dan issue
dalam transcultural nursing?<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berdasarkan
rumusan masalah diatas, kami dapat mengambil tujuan sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan definisi dari
berpikir kritis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan definisi dari
transcultural nursing.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan berpikir
kritis dalam transcultural nursing.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan aspek-aspek
dalam berpikir kritis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan trend dan
issue dalam transcultural nursing.</span></div>
<a name='more'></a><o:p></o:p><br />
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Critical Thinking dalam
Transkultural Nursing<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir Kritis<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir
kritis adalah suatu kegiatan penyelidikan yang melibatkan penggunaan
fakta-fakta, prinsip-prinsip, teori, abstrak, deduksi, interprestasi, dan
analisis argumen (mathews, 1979). Berpikir kritis adalah pemikiran reflektif
dan beralasan yang berfokus pada penutusan apa yang diyakini atau dikerjakan (Ennis,
1988).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Transcultural Nursing<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Keperawatan
transkultural adalah suatu pelayanan keperawatan yang berfokus pada analisis
dan studi perbandingan tentang perbedaan budaya (Leininger,1987). Keperawatan
transkultural merupakan ilmu dan kiat yang humanis, yang difokuskan pada
prilaku individu atau kelompok, serta proses untuk mempertahankan atau
meningkatkan perilaku yang sehat atau perilaku sakit secara fisik dan
psikokultural sesuai latar belakang budaya (Leininger, 1984). Pelayanan
keperawatan transkultural diberikan kepada klien sesuai dengan latar belakang
budayanya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir Kritis dalam
Transkultural Nursing</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir
kritis dalam transkultural keperawatan merupakan suatu kegiatan penyelidikan,
pemecahan masalah, proses berpikir, yang mana terdapat tujuan yang jelas,
abstrak, sesuai dengan teori, realistis, dapat diyakini, dan semuanya ini
berhubungan langsung dengan kebudayaan-kebudayaan masyarakat seperti menghargai
kebudayaan mereka, melakukan tindakan keperawatan yang tepat sesuai dengan
teori dan kepercayaan serta nilai budaya dan tentunya tidak melenceng dari
dunia keperawatan, bagaimana perawat profesional dapat memecahkan suatu masalah
dalam persoalan keperawatan terhadap klien-klien yang berbeda budaya, kemudian
bagaimana perawat dapat beradaptasi dengan baik terhadap klien agar dalam
pelayanan keperawatan maupun kesehatan tidak terjadi ketidaknyamanan dari diri
klien maupun perawat.<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir kritis dalam transkultural keperawatan
merupakan hal penting. Seperti contoh misalnya seorang perawat dihadapkan
dengan seorang klien atau pasien yang berbeda budaya, maka perawat yang
profesional tetap harus mampu memberikan pelayanan yang tinggi untuk memenuhi
kebutuhan dasar pasien tersebut. Berpikir kritis diperlukan untuk menangani hal
ini agar terdapat kenyamanan dalam memberi pelayanan dan bagi pasien tersendiri
merasa nyaman ketika diberi pelayanan. Berpikir kritis dan segera bertindak
ketika pasien merasakan sesutu yang tidak nyaman akan dilakukan oleh perawat
profesional yang begitu paham dengan budaya-budaya yang ada. Inilah pentingnya
transkultural keperawatan yang mana para perawat diharapkan memahami
budaya-budaya di negara ini maupun negara lain agar siap ketika menghadapi
persoalan kebudayaan. Paham terhadap budaya-budaya tetapi tidak dapat berpikir
secara kritis dalam menghadapi masalah itu tidaklah baik bagi pelayanan. Ketika
para perawat telah memahami budaya-budaya dan dapat berpikir kritis serta
bertindak tepat dan cepat, maka inilah yang akan melengkapi tingginya suatu
layanan ke masyarakat nantinya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Leininger beranggapan bahwa sangatlah penting
memperhatikan keanekaragaman budaya dan nilai-nilai dalam penerapan asuhan
keperawatan kepada klien. Bila hal tersebut diabaikan oleh perawat, akan
mengakibatkan terjadinya cultural shock. Disinilah perawat harus berpikir dan
bertindak tepat agar tidak terjadi cultural shock. <br />
Seperti contoh berikut, cultural shock akan dialami oleh klien pada suatu
kondisi dimana perawat tidak mampu beradaptasi dengan perbedaan nilai budaya
dan kepercayaan. Hal ini dapat menyebabkan munculnya rasa ketidaknyamanan,
ketidakberdayaan dan beberapa mengalami disorientasi. Salah satu contoh yang
sering ditemukan adalah ketika klien sedang mengalami nyeri. Pada beberapa
daerah atau Negara diperbolehkan seseorang untuk mengungkapkan rasa nyerinya
dengan berteriak atau menangis. Tetapi karena perawat memiliki kebiasaan bila
merasa nyeri hanya dengan meringis pelan, bila berteriak atau menangis akan
dianggap tidak sopan, maka ketika ia mendapati klien tersebut menangis atau berteriak,
maka perawat akan memintanya untuk bersuara pelan-pelan, atau memintanya berdoa
atau malah memarahi pasien karena dianggap telah mengganggu pasien lainnya.
Kebutaan budaya yang dialami oleh perawat ini akan berakibat pada penurunan
kualitas pelayanan keperawatan yang diberikan. Agar tidak terjadi penurunan
pelayanan terhadap masyarakat dan masyarakat tetap percaya dengan pelayanan
kesehatan, maka perawat harus mampu memahami budaya masyarakat yang ada, mampu
beradaptasi dengan baik, mampu berpikir secara kritis dan bertindak tepat.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Aspek - aspek Dalam
Berfikir Kritis<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berfikir merupakan suatu proses yang berjalan secara
berkesinambungan. Namun, beberapa aktifitas kognitif atau mental dapat
diidentifikasi sebagai komponen-komponen utama dalam berfikir kritis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengajukan sebuah
pertanyaan untuk menentukan alasan dan penyebab<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengumpulkan data<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Memvalidasi informasi
yang tersedia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menganalisa informasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menggunakan pengalaman
dan pengetahuan klinis yang lalu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempertahankan suatu
sikap fleksibel<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mempertimbangkan pilihan
yang tersedia dan menilai tiap pilihan menurut keuntungan dan kerugian<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Merumuskan suatu
keputusan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><br />
Perawat harus menggunakan keterampilan berfikir kritis dalam semua keadaan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perawatan klinis,
faktor-faktor yang dibawa oleh pasien dalam situasi perawatan kesehatan
dipertimbangkan, dipelajari, dianalisa, dan diinterpretasikan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ambulatori<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perawatan extended dalam
panti dan komunitas<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Trend dan Isuue dalam
Transkultural Nursing</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b></span><!--[endif]--><span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengertian</span></b></span><span class="apple-style-span"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></span></div>
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<!--[if !supportLists]--><span class="apple-style-span"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span></span><!--[endif]--><span class="apple-style-span"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Trend
adalah sesuatu yang sedang di bicarakan oleh banyak orang saat ini dan
kejadiannya berdasarkan fakta.<o:p></o:p></span></span></div>
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<!--[if !supportLists]--><span class="apple-style-span"><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span></span><!--[endif]--><span class="apple-style-span"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Issue
adalah sesuatu yang sedang di bicarakan oleh banyak namun belum jelas faktannya
atau buktinya.<o:p></o:p></span></span></div>
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<span class="apple-style-span"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--><o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b></span><!--[endif]--><span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Contoh Trend dan Issue
dalam Transkultural Nursing<o:p></o:p></span></b></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kalkun</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ada mitos yang menyebutkan bahwa mengkonsumsi
kalkun menyebabkan kantuk. Hal itu tidak benar, rasa kantuk seseorang
disebabkan oleh kandungan tryptophan atau asam amino dalam tubuh. Daging kalkun
tidak memiliki asam yang memungkinkan terciptanya zat – zat tersebut. Daging
kalkun memiliki banyak kelebihan karena selain bergizi tinggi, dapat
menyembuhkan penyakit. Di samping itu, daging kalkun membantu pertumbuhan dan
kecerdasan anak. Masih banyak manfaat daging kalkun seperti mencegah penuaan
dini. Daging kalkun diyakini memiliki kandungan protein 34,3 persen atau setara
dengan dua kali daging sapi dan sangat baik untuk mengganti sel tubuh yang
rusak.</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Selain itu, daging kalkun memiliki kandungan asam
amino dan lysine yang banyak dibutuhkan untuk pertumbuhan dan perkembangan otak
dan kecerdasan anak mulai 3-6 tahun. Daging kalkun mempunyai kandungan rendah
lemak yang bisa menghindari kelebihan kolesterol. Daging kalkun juga mengandung
energi yang lebih tinggi dari ayam maupun telur ayam. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kolostrum</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Pada mitos yang salah disebutkan bahwa ASI pertama
atau kolostrum (yang berwarna kekuningan) tidak baik bagi bayi, karena ASI
pertama atau kolostrum adalah susu basi. Mitos tersebut sangat tidak benar.
Kolostrum adalah zat terbaik bagi bayi. Kolostrum adalah cairan yang kaya
dengan zat kekebalan tubuh dan zat penting lain yang harus dimiliki bayi. Bayi
menyusui langsung akan merangsang ASI cepat keluar. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kedelai</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mitos bahwa jika ingin hamil hindari kedelai.mitos
ini tidak benar. Anak adalah dambaan tiap pasangan suami istri. Namun untuk
memperoleh keturunan sangatlah salah apabila menghindari kedelai agar hamil.
Kacang kedelai dikenal sebagai makanan terbaik kadar proteinnya, dapat mencapai
35 persen daripada beratnya. Dikatakan bahwa kacang kedelai dibandingkan dengan
beratnya dapat menghasilkan dua kali protein daging, empat kali telur, empat
kali gandum, lima atau enam kali roti dan dua belas kali susu.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ternyata protein kacang kedelai bukan saja
jumlahnya yang banyak, tetapi juga mempunyai kualitas yang baik. Umumnya cukup
dikenal bahwa protein hewani seperti daging, susu, dan telur adalah protein
yang lengkap, sementara protein nabati adalah protein yang tidak lengkap.
Tetapi ternyata protein kacang kedelai, walaupun termasuk protein nabati lebih
mirip menggambarkan protein hewani dari pada protei nabati.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Penggunaan minyak kacang kedelai ternyata dapat
menghindarkan penyakit jantung. Sebab utamanya adalah, oleh karena minyak
kacang kedelai adalah sumber lechitin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Berbagai penelitian yang dibuat menunjukkan bahwa
lechitin dari kacang kedelai bila diberikan kepada binatang atau manusia dapat
menurunkan kadar kolesterolnya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Jumlah mineral – mineral dari 100 gram kacang
kedelai sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kedelai memiliki mineral yang tertinggi dari semua
makanan, yaitu 3261 mg, dibandingkan dengan makanan berikut yang terbanyak
hanya 2121 mg, yaitu terdapat dalam air tebu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kacang kedelai mempunyai mineral kalium yang
tertinggi dari semua makanan yaitu 1835 mg, sedangkan yang kedua tertinggi
ialah buah apricot kering yang mengandung 1790 mg kalium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Setelah coklat pahit 292 mg, dan kacang mente 267
mg, kacang kedelai adalah sumber magnesium yang ketiga tertinggi dengan jumlah
225 mg.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kacang kedelai mengandung natrium yang rendah,
hanya 4 mg saja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kacang kedelai mempunyai kalsium yang kaya yaitu
227 mg, dikalahkan hanya oleh tujuh makanan yang lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Setelah hati, (12.1 mg) kacang kedelai adalah
sumber besi yang kedua tertinggi, dengan jumlah 8 mg.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kedelai terkenal sebagai makanan antikanker. Dalam
kedelai terdapat sejumlah zat yang secara bersama – sama saling menguatkan
dalam menghabisi benih kanker. Senyawa inhibitor protease kedelai, yang punya
nama khusus inhibitor Bowman-Birk, ampuh melumpuhkan berbagai jenis kanker.
Daya bunuh kanker tersebut dibantu serat kasar kedelai, yang kadarnya lumayan
tinggi (2 gram per 100 gram). Dalam hal melawan kanker, inhibitor protease dan
serat kasar bekerja sama dengan genistein. Senyawa satu ini akan menghentikan
pembentukan suatu enzim pemasok “makanan” bagi benih kanker dan merusak
lintasan penyalurannya. Karena pasokan makanannya dihabisi, maka terhenti
pulalah pertumbuhan kanker. Itulah sebabnya mengapa kedelai dipastikan mampu
mencegah dan membantu penyembuhan segala jenis kanker. Dari kanker usus besar,
kanker paru-paru, kanker kulit, kanker payudara, kanker prostat, hingga kanker
darah (leukimia).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Nanas </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">dan</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"> Pisang<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ibu hamil tidak boleh mengkonsumsi pisang dan
nanas. Mitos ini sangat dipercaya oleh sebagian masyarakat di Jawa, karena bisa
mengakibatkan keputihan. Konsumsi pisang dan nanas justru disarankan karena
kaya akan vitamin C dan serat yang penting untuk menjaga kesehatan tubuh dan
melancarkan proses pembuangan sisa – sisa pencernaan. Adapun keputihan tidak
selalu membahayakan. Saat hamil maupun setelah melahirkan adalah normal apabila
ibu mengalami keputihan. Kecuali jika keputihan tersebut terinfeksi bakteri,
jamur, & virus yang biasanya dengan keluhan gatal, bau, dan warnanya
kekuningan atau kecoklatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mungkin pernah mendengar bahwa nanas dan pisang
menyebabkan keputihan? Padahal, tak ada bukti ilmiahnya. Jadi, sama sekali tidak
beralasan karena takut dan membatasi diri untuk menyantapnya. Apalagi, tidak
ada kaitan jelas antara mengonsumsi buah-buahan tersebut dan kerja organ-organ
seksual, baik pria maupun wanita. Nanas dan pisang justru mengandung zat-zat
tertentu yang dibutuhkan tubuh, terutama vitamin C dan kalium dalam pisang yang
justru berkhasiat menahan cairan tubuh. Lagi pula kondisi basah sebetulnya
merupakan pertanda alamiah bahwa pihak istri telah siap menerima kehangatan
dari suaminya. Sementara kondisi kering malah akan menimbulkan lecet dan rasa
sakit yang bakal menyiksa keduanya. Boleh dibilang yang paling berperan dalam
hal ini adalah sensitivitas dan kekencangan otot-otot tubuh, terutama otot-otot
dasar panggul yang melingkari tulang organ kelamin. Kedua hal inilah yang amat
berperan menentukan daya cengkeram sekaligus meningkatkan kualitas hubungan
suami-istri. Jadi, pada mereka yang sensitivitasnya tidak mengalami gangguan,
tersentuh sedikit saja sudah akan terbangkitkan gairahnya. Jika pun menurun
tingkat kepekaannya, entah pada bagian-bagian tertentu atau justru seluruh
tubuh, masih memungkinkan untuk diterapi lewat pengobatan dan pelatihan. Sambil
tak lupa menggali akar permasalahannya kenapa bisa terjadi demikian, mengingat
akibatnya dirasakan secara fisik, meski awalnya bersifat psikis.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">“Nanas mengakibatkan keguguran“ Pendapat ini belum
dibuktikan secara medis. Tetapi bagi beberapa orang, nanas bisa menyebabkan
gangguan lambung, terlebih asam lambung memang meningkat dikala hamil. Tentu
orang yang sensitive lambungnya terhadap nanas, sebaiknya menghindari buah ini
dikala hamil. Tetapi bagi mereka yang aman-aman saja terhadap nanas justru baik
menyantap buah ini. Tak lain karena nanas mengandung vitamin A dan C serta
mengandung enzim bromelin yang baik untuk mencerna protein. Apalagi bila nanas
ada pada acar dan beberapa masakan dengan variasi olahan menggunakan nanas.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Pisang bisa membuat gemuk. Mungkin pernyataan ini
sudah akrab di telinga Anda. Tetapi, apakah pernyataan ini benar? Pisang
merupakan buah yang sarat gizi, hampir tidak mengandung lemak dan mudah
dicerna. Karbohidrat didalam pisang sekitar 23-35%, lemak 0,2% dan seperti
bahan nabati lainnya, pisang bebas kolesterol. Sebanyak 100 gram pisang akan
memberikan kalori sebesar 120 kalori.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Buah ini juga kaya kalium dan mengandung magnesium,
selenium, besi dan vitamin – vitamin serta bebas Natrium. Pisang kaya dengan
vitamin B-6 yang dibutuhkan untuk kesehatan mental seseorang. Kekurangan
vitamin B-6 ini dapat menyebabkan seseorang mudah lelah dan marah serta susah
tidur.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mengkonsumsi satu setengah buah pisang setiap hari
akan mencukupi kebutuhan tubuh terhadap vitamin B-6 ini. Menyantap makanan kaya
kalium dan vitamin B6, khususnya pisang segar (bukan pisang rebus atau pisang
goreng) juga dapat mengurangi rasa nyeri, ngilu dan sakit pada persendian.
Mengkonsumsi pisang 3-4 kali sehari bahkan dipercaya dapat membantu mengurangi
gejala radang sendi (arthritis). Pisang merupakan makanan kaya kalium. Satu
buah pisang berukuran sedang mengandung 467 mg kalium, yang memberikan 13%
kebutuhan kalium harian. Data penelitian menunjukkan bahwa pengambilan kalium
oleh tubuh berhubungan dengan efek penurunan tekanan darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Pada tahun 2001, FDA (Food and Drug Administration;
semacam Badan POM di USA), menyetujui bahwa makanan yang merupakan sumber
kalium dan rendah natrium barangkali dapat mengurangi resiko terjadinya
peningkatan tekanan darah dan stroke. Sebagai sumber kalium, pisang dapat
membantu mengurangi resiko peningkatan tekanan darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Di dalam New England Journal of Medicine bahkan
disebutkan, bahwa mengkonsumsi satu buah pisang sehari dapat menurunkan resiko
stroke sampai 40%. Jika anda merasa lesu di antara waktu makan, ambil saja
pisang. Gula buah yang terkandung di dalamnya (yang tergolong karbohidrat
sederhana), akan mudah dicerna dan masuk ke aliran darah sehingga menghasilkan
energi instant. Selain itu, dengan pasokan kalium dari pisang, jaringan otot
akan bertenaga kembali selama beberapa saat sebelum tubuh mendapatkan pasokan
energi darurat dari makanan utama. Karena hal ini pula, tidak heran jika para
atlet terutama atlet tennis seringkali mengkonsumsi pisang sebelum dan pada
saat bertanding untuk pengusir lelah dan pemberi tenaga. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Didalam The Food Pharmacy oleh Jean Carper, pisang
bahkan disebut sebagai makanan mujarab bagi penderita penyakit mag. Barangkali
sifat spasmolitik pisang, yang menurunkan kerja lambung dan mengurangi sekresi
enzim serta asam lambung, turut berperan dalam menghasilkan khasiat
ini.Kandungan pektin yang tinggi didalam pisang juga dapat melindungi selaput
lendir lambung terhadap pengaruh asam lambung dan enzim (pepsin). Pisang juga
kaya serat makanan atau karbohidrat kompleks yang akan membantu memperlancar
buang air besar dan sangat baik untuk mencegah kanker usus besar. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Telur</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ibu hamil dilarang mengkonsumsi telur, karena
dikhawatirkan ASI-nya berbau amis. Mitos tersebut tidak benar. Telur mengandung
protein hewani yang sangat dibutuhkan ibu hamil. Selain itu, seiring dengan
meningkatnya kesadaran masyarakat akan bahaya kolesterol, selain daging, kuning
telur kini termasuk makanan yang dihindari. Padahal, para ahli kini
menyimpulkan bahwa telur tidak mempengaruhi kadar kolesterol secara signifikan.
Bukan kolesterol yang mempengaruhi kadar kolesterol dalam darah, tetapi lemak
jenuh. Telur diketahui hanya mengandung sedikit lemak jenuh. Mengkonsumsi telur
bisa memperbaiki kadar lipid (kolesterol) seseorang yang kolesterolnya naik
saat mengkonsumsi makanan kaya kolesterol.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ada begitu banyak nutrisi penting dalam sebutir
telur. Sebut saja choline, yang sangat penting untuk fungsi otak dan kesehatan.
Satu buah kuning telur mengandung lebih dari 25 persen kebutuhan choline setiap
hari. Orang dewasa membutuhkan 425 gram choline per hari, sedangkan anak balita
butuh 250 gram per hari. Sebuah penelitian mengungkapkan konsumsi choline yang
cukup bias menurunkan risiko kanker payudara.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: dotted 14.0cm blank 404.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Telur juga mengandung antioksidan serta lutein yang
membantu mencegah gangguan penglihatan akibat penuaan dan katarak. Kadar lutein
dalam telur bahkan lebih banyak dibanding pada sayuran berdaun hijau. Telur
mempunyai kandungan zat gizi yang cukup tinggi, antara lain mengandung delapan
asam amino esensial yang baik untuk pertumbuhan anak dan kesehatan tubuh.
Selain itu, telur juga mengandung mineral selenium (Se). Pria membutuhkan
asupan selenium untuk pembentukan kualitas dan kuantitas sperma. Satu butir
telur dapat menghasilkan 10 persen dari total kebutuhan tubuh terhadap
selenium. Telur juga mengandung vitamin D yang dapat membantu penyerapan
kalsium untuk pembentukan tulang. Selain itu, telur juga mengandung vitamin E.
Kombinasi antara selenium dan vitamin E berperan sebagai antioksidan yang dapat
mengurangi risiko kerusakan sel tubuh akibat radikal bebas.Telur juga diketahui
sebagai sumber vitamin B12, vitamin B6, dan folat yang dibutuhkan untuk
kesehatan tubuh dan melindungi sel – sel saraf. Kekurangan vitamin B12 dapat
mengakibatkan terjadinya kerusakan sel – sel saraf. Wanita hamil yang
kekurangan vitamin B12 mempunyai risiko anaknya akan mengalami kerusakan pada
sistem saraf. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Jeruk</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ada mitos yang menyatakan bahwa jeruk menyebabkan
meningkatkan lendir pada paru bayi dan resiko kuning saat bayi lahir. Justru
jeruk sumber vitamin C yang tinggi. Kandungan jeruk bukan hanya vitamin C
tinggi, tetapi juga potasium, folat, kalsium, thiamin, niacin, vitamin B6,
fosfor, dan lain sebagainya. Kelebihan jeruk, mengandung serat tinggi. Walau
begitu, tidak mengandum sodium, lemak, dan kolesterol, karena itu aman bagi
yang berdiet. Serat membantu menurunkan kadar kolesterol dalam plasma dengan
cara mengganggu proses reabsorpsi asam empedu. Vitamin C dalam jeruk berperan
menyerap zat besi non-organik (zat besi dari makanan non – hewani), sehingga
dapat mencegah dan membantu penyembuhan penyakit. Vitamin C juga berfungsi
sebagai antioksidan yang dapat mencegah kerusakan sel serta penyakit jantung
dan kanker. Vitamin C berguna sekali bagi mereka yang menderita infeksi atau
penyakit yang telah berlarut – larut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Makanan Laut <o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mungkin kita sering mendengar ungkapan bahwa ibu
hamil dilarang mengkonsumsi ikan laut karena menyebabkan ASI berbau amis dan
luka jahitan sulit kering. Mitos tersebut tidak benar. Justru ikan laut
mengandung protein yang sangat dibutuhkan ibu hamil untuk mengganti sel – sel
rusak.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ada juga pernyataan bahwa salah satu cara
menurunkan kolesterol dengan pantang makanan laut. Tidak perlu menghindari
makanan laut sama sekali. Kuncinya adalah konsumsi dalam jumlah wajar karena
makanan laut memang mengandung kolesterol. Kadar kolesterol dalam tubuh
sebagian besar dipengaruhi oleh lemak jenuh dan trans fatty acid. Keduanya ini
terdapat dalam daging merah dan makanan kemasan olahan. Trans fatty acid
terdapat di snack kemasan, gorengan, atau margarin yang berisi minyak hydro
genated.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Protein, zat besi, serta asam lemak omega-3 dalam
makanan laut bisa membantu meningkatkan pertumbuhan otak bayi. Menurut
penelitian yang dilakukan di Inggris, kekurangan konsumsi makanan laut selama
masa kehamilan bisa mengakibatkan lemahnya kemampuan verbal, gangguan perilaku,
serta masalah tumbuh kembang lain pada anak.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ikan dan kerang – kerangan saat ini sudah terbukti
merupakan makanan yang baik untuk otak. Makanan – makanan tersebut mengandung
asam lemak esensial yang bermanfaat, yakni Omega-3, serta sejumlah vitamin,
mineral,dan asam amino. Asam lemak omega-3 jenin DHA dan EPA yang banyak
ditemukan dalam ikan berminyak terbukti berperan sangat penting untuk kesehatan
dan perkembangan fungsi saraf dan otak. Minyak hati ikan cod yang menjadi
favorit pada zaman dulu, ternyata bukanlah sumber utama lemak esensial untuk
anak- anak karena sisa polutan yang tersimpan dalam hati ikan cod.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Asam lemak esensial tidak dihasilkan di dalam
tubuh, karena itu kita harus mendapatkannya dari luar, yaitu dari makanan. Ada
kekhawatiran bahwa makanan modern tidak mengandung cukup lemak Omega-3.
Kekurangan zat gizi ini dikaitkan dengan lemahnya konsentrasi dan memori,
disleksia, masalah perilaku, kesulitan belajar, juga hiperaktif pada beberapa
anak yang sensitive.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ikan juga merupakan sumber kolin, yaitu nutrisi
yang diperlukan (bersama lesitin dan vitamin B kompleks) untuk menghasilkan
bahan kimia asetilkolin di otak, agar memori dapat bekerja cepat dan
meningkatkan kemampuan belajar. Kerang – kerangan merupakan sumber seng,
mineral penting bagi kemampuan memori dan konsentrasi otak. Penelitian
menunjukkan bahwa kekurangan sedikit saja seng dapat mengakibatkan
ketidakseimbangan fungsi mental. Akibatnya, anak menjadi sensitif, suasana hati
mudah berubah, dan hilang nafsu makan. Bila kekurangan tersebut teratasi, biasanya
kemampuan memori akan membaik kembali. Hidangan laut juga mengandung asam amino
tirosin, yang dikaitkan dengan peningkatan energi mental dan kewaspadaan jika
digunakan bersama vitamin B kompleks dalam jumlah cukup, yang penting untuk
produksi energi. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Daging Kambing<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Benarkah ibu hamil dilarang mengkonsumsi daging
kambing ? Jawabannya adalah ibu hamil boleh saja mengkonsumsi daging kambing
dengan porsi yang wajar, kecuali ibu hamil yang menderita kelebihan kolesterol
atau penyakit jantung.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Daging kambing mentah memiliki kandungan lemak 50
persen hingga 60 persen lebih rendah dibandingkan dengan daging sapi, akan
tetapi kandungan proteinnya hampir sama. Daging kambing juga memiliki kandungan
lemak 42 persen hingga 59 persen lebih rendah jika dibandingkan dengan daging
domba.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Hal yang sama untuk daging kambing yang sudah
dimasak, presentase lemak jenuh daging kambing 40 persen lebih rendah jika
dibandingkan dengan daging ayam (tanpa kulit) dan masing – masing 850 persen,
1100 persen, dan 900 persen lebih rendah jika dibandingkan dengan daging sapi,
babi, dan domba.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Kandungan kolesterol daging kambing ternyata hampir
sama dengan daging sapi, domba, babi, dan ayam dan lebih rendah jika
dibandingkan dengan beberapa produk susu dan daging ayam olahan dan makanan laut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Daging kambing mengandung kolesterol sebanyak 76 mg
persen, sedangkan untuk daging sapi, ikan, dan domba adalah 70 mg persen.
Kandungan kolesterol daging babi dan ayam adalah 60 mg persen. Daging kambing
juga sumber lemak yang sehat dengan risiko mengkonsumsi kolesterol yang
minimum. Di samping itu, daging kambing mengandung lebih banyak zat besi,
potasium dan tiamin yang berhubungan dengan kandungan garam yang lebih rendah.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Daging kambing mengandung semua asam amino esensial
dan mengandung lebih rendah kalori. Oleh karena itu, daging kambing tergolong
ke dalam bahan makanan yang bersahabat dan sehat untuk dikonsumsi, asalkan saja
tidak secara berlebihan. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Ibu hamil tidak boleh minum yoghurt. Tidak ada
penelitian yang mendukung pernyataan ini. Jadi pernyataan ini hanya mitos
belaka. Lagipula yoghurt itu baik untuk melancarkan pencernaan ibu hamil. Yang
mana semenjak dalam kehamilan tidak jarang ibu hamil mengalami namanya
sembelit.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt memiliki gizi yang lebih tinggi dibanding
susu segar. Kandungan lemaknya pun juga lebih rendah, sehingga cocok bagi
mereka yang sedang menjalankan diet rendah kalori. Yoghurt juga dapat membantu
proses penyembuhan lambung dan usus yang luka. Meminum yoghurt secara teratur
dapat menurunkan kadar kolesterol dalam darah. Selain itu juga yoghurt diyakini
baik untuk memperpanjang umur.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt dapat membantu penderita lactose
intolerance. Penyebabnya adalah defisiensi/kekurangan enzim pencerna laktosa.
Sehingga setiap kali minum susu, butiran laktosanya akan tertinggal di
permukaan lubang usus halus dan menyerap air dari sekitarnya yang kemudian
memunculkan diare. Dalam yoghurt, laktosa susunya sudah dipecah oleh bakteri
baik Lactobacillus bulgaricus melalui proses fermentasi, hingga mudah diserap
tubuh. Itulah mengapa yoghurt sangat disarankan sebagai pengganti susu bagi
orang / anak yang tidak mampu mencerna laktosa dengan baik. Dengan minum
yoghurt, anda dan si kecil tidak akan diare lagi.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt dapat menghambat pathogen flora usus
pengonsumsi yoghurt terbukti sulit ditumbuhi kuman – kuman patogen atau kuman
yang dapat menyebabkan penyakit. Dengan terhambatnya pertumbuhan sekaligus
matinya mikroba patogen dalam lambung dan usus halus bisa menghindari munculnya
berbagai penyakit akibat infeksi atau intoksikasi mikroba. Dengan kata lain,
mengonsumsi yoghurt secara teratur dapat membantu menjaga kesehatan saluran
pencernaan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Mengkonsumsi antibiotik memang berfungsi mematikan
kuman, namun ia tidak pandang bulu mana kuman yang perlu dibunuh dan mana yang
sebetulnya tidak perlu dimusnahkan.sebenarnya ada kuman yang harus berada di
saluran cerna guna menjaga keseimbangan flora usus. Yoghurt dapat menetralisir
efek samping antibiotik ini.Yoghurt sebagai antikanker saluran cerna.
Bakteri-bakteri yang berperan dalam yoghurt dapat mengubah zat-zat
prekarsinogenik (zat-zat pemicu kanker) yang ada dalam saluran pencernaan,
hingga mampu menghambat terjadinya kanker.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-MY;">Yoghurt dapat mencegah jantung koroner. Bakteri
baik yakni, Lactobacillus bulgaricus dan Streptococcus yang terdapat dalam
yoghurt, akan menghasilkan asam folat dan vitamin B kompleks, kedua vitamin ini
berguna mencegah munculnya penyakit jantung koroner. <o:p></o:p></span></div>
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<span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB
III<o:p></o:p></span></b></span></div>
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<span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></span></div>
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<span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></b></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berpikir
kritis dalam transkultural keperawatan merupakan suatu kegiatan penyelidikan,
pemecahan masalah, proses berpikir, yang mana terdapat tujuan yang jelas,
abstrak, sesuai dengan teori, realistis, dapat diyakini, dan semuanya ini
berhubungan langsung dengan kebudayaan-kebudayaan masyarakat seperti menghargai
kebudayaan mereka, melakukan tindakan keperawatan yang tepat sesuai dengan
teori dan kepercayaan serta nilai budaya dan tentunya tidak melenceng dari
dunia keperawatan, bagaimana perawat profesional dapat memecahkan suatu masalah
dalam persoalan keperawatan terhadap klien-klien yang berbeda budaya, kemudian
bagaimana perawat dapat beradaptasi dengan baik terhadap klien agar dalam
pelayanan keperawatan maupun kesehatan tidak terjadi ketidaknyamanan dari diri
klien maupun perawat.<o:p></o:p></span></div>
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<span class="apple-style-span"><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">DAFTAR
PUSTAKA<o:p></o:p></span></b></span></div>
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<br /></div>
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-MY;">Efendi, Ferry dan Makhfudli. 2009. <i>Keperawatan Kesehatan Komunitas Teori dan
Praktik dalam Keperawatan</i>. Jakarta: Salemba Medika.</span>Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-59786076894270121792016-05-16T07:56:00.002-07:002016-05-16T07:56:46.565-07:00Hubungan Metode Belajar Mahasiswa Semester 2 Terhadap Tingkat Keaktifan Dalam Proses Pembelajaran<div align="center" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt;">Hubungan
Metode Belajar Mahasiswa Semester 2 Terhadap <o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt;">Tingkat
Keaktifan Dalam Proses Pembelajaran <o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt;">Di
kampus STIK Muhammadiyah Pontianak <o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 12.0pt;">Tahun
2014<o:p></o:p></span></b></div>
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<br /></div>
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<b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">5W+1H<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">What => metode belajar<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Who => mahasiswa
semester 2<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Where => di kampus STIK
Muhammadiyah Pontianak<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">4.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">When => tahun 2014<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">5.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">How => desain korelatif<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Quiz<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Rumuskan masalah penelitian dalam bentuk pertanyaan</span></b><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Apakah terdapat hubungan antara metode belajar
mahasiswa semester 2 terhadap tingkat keaktifan dalam proses pembelajaran di kampus
STIK Muhammadiyah Pontianak Tahun 2014?</span><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Rumuskan masalah penelitian dalam bentuk pernyataan</span></b><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Perubahan dan percobaan metode belajar sangat
berpengaruh dalam meningkatan keaktifan proses belajar mahasiswa semester 2,
namun kenyataannya tidak demikian (hanya sebagian yaitu 50% mahasiswa semester
2 di kampus STIK Muhammadiyah Pontianak yang mampu berperan aktif pada proses
pembelajaran yang diadakan oleh para dosen).</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Rumuskan masalah penelitian dalam bentuk pernyataan dulu dan
diikuti oleh bentuk pertanyaan</span></b><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Setiap dosen yang mengajar mahasiswa semester 2 memiliki metode yang
berbeda. Di dalam proses pembelajaran dosen menginginkan para mahaiswanya untuk
berperan serta aktif, namun kenyataannya ada mahasiswa yang aktif dan tidak
aktif dalam proses pembelajaran di STIK Muhammadiyah Pontianak. Dari pernyataan
tersebut, peneliti membuat pertanyaan penelitian sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Bagaimana metode belajar yang
diterapkan oleh para dosen untuk mahasiswa semester 2?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Megapa ada mahasiswa yang
tidak aktif dalam proses pembelajaran?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Faktor apa saja yang
mempengaruhi keaktifan mahasiswa dalam proses pembelajaran ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">d.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Bagaimana cara dosen
mempertahankan metode pembelajaran agar mahasiswa tetap aktif di dalam proses
pembeljaran?<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">4.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;"> <b>Rumuskan judul
penelitian dari masing – masing masalah</b><b><o:p></o:p></b></span></div>
<br />
<div class="MsoListParagraph" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 115%;">Hubungan metode belajar mahasiswa semester 2 terhadap tingkat keaktifan
dalam proses pembelajaran di kampus STIK Muhammadiyah Pontianak Tahun 2014.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-5108470367185148192016-05-16T07:52:00.005-07:002016-05-16T07:52:45.892-07:00Makalah Isu Trend Keperawatan Komunitas<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: center;">
<b><span style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">BAB I<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">PENDAHULUAN<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">LATAR BELAKANG<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: .05pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">M</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a<span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: -.05pt;">l</span>ah<span style="letter-spacing: .1pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .2pt;"> </span>ada<span style="letter-spacing: -.05pt;">l</span>ah<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">s</span>ua<span style="letter-spacing: -.05pt;">t</span>u<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: -.05pt;">l</span>ah<span style="letter-spacing: .2pt;"> </span>yang
<span style="letter-spacing: .05pt;">s</span>angat<span style="letter-spacing: .05pt;"> </span>ko<span style="letter-spacing: -.05pt;">m</span>p<span style="letter-spacing: -.05pt;">l</span>ek<span style="letter-spacing: .05pt;">s</span>,<span style="letter-spacing: .1pt;"> </span>yang<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: -.05pt;">li</span>ng
berka<span style="letter-spacing: -.05pt;">it</span>an<span style="letter-spacing: .2pt;"> </span>dengan <span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: -.05pt;">l</span>ah<span style="letter-spacing: .1pt;"> </span>- <span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: -.05pt;">l</span>ah<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">l</span>a<span style="letter-spacing: -.05pt;">i</span>n<span style="letter-spacing: .1pt;"> </span>d<span style="letter-spacing: -.05pt;">il</span>uar<span style="letter-spacing: .1pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">s</span>end<span style="letter-spacing: -.05pt;">i</span>r<span style="letter-spacing: -.05pt;">i</span>.<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">D</span>e<span style="letter-spacing: -.05pt;">mi</span>k<span style="letter-spacing: -.05pt;">i</span>an<span style="letter-spacing: .1pt;"> </span>pu<span style="letter-spacing: -.05pt;">l</span>a
pe<span style="letter-spacing: -.05pt;">m</span>ecahan<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: -.05pt;">l</span>ah<span style="letter-spacing: .15pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: -.05pt;">l</span>ah,<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">ti</span>dak<span style="letter-spacing: .15pt;"> </span>hanya
d<span style="letter-spacing: -.05pt;">ili</span>h<span style="letter-spacing: .05pt;">a</span>t<span style="letter-spacing: .1pt;"> </span>dari<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">s</span>egi
ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>annya <span style="letter-spacing: .05pt;">s</span>end<span style="letter-spacing: -.05pt;">i</span>r<span style="letter-spacing: -.05pt;">i</span>,<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">t</span>api<span style="letter-spacing: .2pt;"> </span>harus<span style="letter-spacing: .1pt;"> </span>d<span style="letter-spacing: -.05pt;">ili</span>hat<span style="letter-spacing: .2pt;"> </span>dari<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">s</span>egi<span style="letter-spacing: .1pt;"> </span>-<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">s</span>egi yang<span style="letter-spacing: .15pt;">
</span>ada<span style="letter-spacing: .1pt;"> </span>pengaruhnya<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">t</span>erhadap<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>a<span style="letter-spacing: -.05pt;">l</span>ah
“<span style="letter-spacing: .05pt;">s</span>ehat<span style="letter-spacing: .05pt;"> s</span>ak<span style="letter-spacing: -.05pt;">i</span>t<span style="letter-spacing: .05pt;"> </span>“ a<span style="letter-spacing: -.05pt;">t</span>au<span style="letter-spacing: .1pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">t</span>er<span style="letter-spacing: .05pt;">s</span>ebu<span style="letter-spacing: -.05pt;">t</span>.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">T</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">u<span style="letter-spacing: -.05pt;">j</span>uan<span style="letter-spacing: .15pt;"> </span>u<span style="letter-spacing: -.05pt;">t</span>a<span style="letter-spacing: -.05pt;">m</span>a pe<span style="letter-spacing: -.05pt;">m</span>bangunan<span style="letter-spacing: .15pt;"> </span>na<span style="letter-spacing: .05pt;">s</span><span style="letter-spacing: -.05pt;">i</span>onal ada<span style="letter-spacing: -.05pt;">l</span>ah<span style="letter-spacing: .15pt;"> </span>pen<span style="letter-spacing: -.05pt;">i</span>ngka<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span>kua<span style="letter-spacing: -.05pt;">lit</span>as<span style="letter-spacing: .05pt;"> </span>S<span style="letter-spacing: .05pt;">D</span>M yang d<span style="letter-spacing: -.05pt;">il</span>akukan<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">s</span>ecara
berke<span style="letter-spacing: -.05pt;">l</span>an<span style="letter-spacing: -.05pt;">j</span><span style="letter-spacing: .1pt;">u</span><span style="letter-spacing: -.05pt;">t</span>an.<span style="letter-spacing: .15pt;"> </span>Berda<span style="letter-spacing: .05pt;">s</span>arkan<span style="letter-spacing: .05pt;"> </span>v<span style="letter-spacing: -.05pt;">i</span><span style="letter-spacing: .05pt;">s</span>i
pe<span style="letter-spacing: -.05pt;">m</span>bangunan<span style="letter-spacing: .05pt;"> </span>na<span style="letter-spacing: .05pt;">s</span><span style="letter-spacing: -.05pt;">i</span>onal<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: -.05pt;">l</span>a<span style="letter-spacing: -.05pt;">l</span>ui pe<span style="letter-spacing: -.05pt;">m</span>bangunan<span style="letter-spacing: .15pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span>yang<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">i</span>ng<span style="letter-spacing: -.05pt;">i</span>n<span style="letter-spacing: .05pt;"> </span>d<span style="letter-spacing: -.05pt;">i</span>capai<span style="letter-spacing: .2pt;"> </span>un<span style="letter-spacing: -.05pt;">t</span>uk<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: .05pt;">w</span>u<span style="letter-spacing: -.05pt;">j</span>udkan<span style="letter-spacing: .15pt;"> </span>Indone<span style="letter-spacing: .05pt;">s</span><span style="letter-spacing: -.05pt;">i</span>a
<span style="letter-spacing: .05pt;">s</span>ehat<span style="letter-spacing: .1pt;"> </span>2025. <span style="letter-spacing: .05pt;">G</span>a<span style="letter-spacing: -.05pt;">m</span>baran<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>yarakat
Indone<span style="letter-spacing: .05pt;">s</span><span style="letter-spacing: -.05pt;">i</span>a di <span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>a depan<span style="letter-spacing: .05pt;">
</span>yang<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">i</span>ng<span style="letter-spacing: -.05pt;">i</span>n<span style="letter-spacing: .05pt;"> </span>d<span style="letter-spacing: -.05pt;">i</span>capai<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: -.05pt;">l</span>a<span style="letter-spacing: -.05pt;">l</span>ui
pe<span style="letter-spacing: -.05pt;">m</span>bangunan<span style="letter-spacing: .2pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span>ada<span style="letter-spacing: -.05pt;">l</span>ah<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: .05pt;">s</span>yarakat<span style="letter-spacing: .15pt;"> </span>bang<span style="letter-spacing: .05pt;">s</span>a,
<span style="letter-spacing: .05pt;">N</span>egara<span style="letter-spacing: .05pt;"> </span>yang<span style="letter-spacing: .1pt;"> </span>d<span style="letter-spacing: -.05pt;">it</span>andai<span style="letter-spacing: .15pt;">
</span>o<span style="letter-spacing: -.05pt;">l</span>eh penduduknya h<span style="letter-spacing: -.05pt;">i</span>dup<span style="letter-spacing: .05pt;"> </span>da<span style="letter-spacing: -.05pt;">l</span>am<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">li</span>ngkungan<span style="letter-spacing: .05pt;"> </span>dan<span style="letter-spacing: .05pt;"> </span>dengan<span style="letter-spacing: .05pt;"> </span>pr<span style="letter-spacing: -.05pt;">il</span>aku<span style="letter-spacing: .05pt;"> </span>h<span style="letter-spacing: -.05pt;">i</span>dup<span style="letter-spacing: .05pt;"> s</span>eha<span style="letter-spacing: -.05pt;">t</span>,<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: -.05pt;">mi</span><span style="letter-spacing: .05pt;">l</span><span style="letter-spacing: -.05pt;">i</span>ki ke<span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: -.05pt;">m</span>puan<span style="letter-spacing: .15pt;"> </span>un<span style="letter-spacing: -.05pt;">t</span>uk<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">m</span>en<span style="letter-spacing: -.05pt;">j</span>angkau<span style="letter-spacing: .15pt;"> </span>pe<span style="letter-spacing: -.05pt;">l</span>ayanan<span style="letter-spacing: .15pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .05pt;"> </span>yang<span style="letter-spacing: .05pt;"> </span>ber<span style="letter-spacing: -.05pt;">m</span>u<span style="letter-spacing: -.05pt;">t</span>u<span style="letter-spacing: .05pt;"> s</span>ecara<span style="letter-spacing: .1pt;"> </span>ad<span style="letter-spacing: -.05pt;">i</span>l
dan <span style="letter-spacing: -.05pt;">m</span>era<span style="letter-spacing: -.05pt;">t</span>a<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">s</span>er<span style="letter-spacing: -.05pt;">t</span>a
<span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: -.05pt;">mi</span><span style="letter-spacing: .05pt;">l</span><span style="letter-spacing: -.05pt;">i</span>ki<span style="letter-spacing: .05pt;"> </span>dera<span style="letter-spacing: -.05pt;">j</span>at<span style="letter-spacing: .15pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span>yang
<span style="letter-spacing: -.05pt;">ti</span>ngg<span style="letter-spacing: -.05pt;">i</span>.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pe<span style="letter-spacing: -.05pt;">l</span>ayanan<span style="letter-spacing: .1pt;"> </span>kepera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span>berupa
ban<span style="letter-spacing: -.05pt;">t</span>uan yang d<span style="letter-spacing: -.05pt;">i</span>ber<span style="letter-spacing: -.05pt;">i</span>kan
karena<span style="letter-spacing: .05pt;"> </span>adanya ke<span style="letter-spacing: -.05pt;">l</span>e<span style="letter-spacing: -.05pt;">m</span>ahan
<span style="letter-spacing: .1pt;"> </span>f<span style="letter-spacing: -.05pt;">i</span><span style="letter-spacing: .05pt;">s</span><span style="letter-spacing: -.05pt;">i</span>k<span style="letter-spacing: 2.9pt;"> </span>dan <span style="letter-spacing: -.05pt;">m</span>en<span style="letter-spacing: -.05pt;">t</span>a<span style="letter-spacing: -.05pt;">l</span>, ke<span style="letter-spacing: -.05pt;">t</span>erba<span style="letter-spacing: -.05pt;">t</span>a<span style="letter-spacing: .05pt;">s</span>an
<span style="letter-spacing: .1pt;"> </span>penge<span style="letter-spacing: -.05pt;">t</span>ahuan
<span style="letter-spacing: .05pt;">s</span>er<span style="letter-spacing: -.05pt;">t</span>a<span style="letter-spacing: 2.9pt;"> </span>kurangnya ke<span style="letter-spacing: -.05pt;">m</span>auan,
<span style="letter-spacing: .05pt;">s</span>eh<span style="letter-spacing: -.05pt;">i</span>ngga
<span style="letter-spacing: .1pt;"> </span>dengan
<span style="letter-spacing: .05pt;"> </span>ban<span style="letter-spacing: -.05pt;">t</span>uan <span style="letter-spacing: .15pt;"> </span>yang <span style="letter-spacing: .05pt;"> </span>d<span style="letter-spacing: -.05pt;">i</span>ber<span style="letter-spacing: -.05pt;">i</span>kan <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.05pt;">t</span>er<span style="letter-spacing: .05pt;">s</span>ebut
d<span style="letter-spacing: -.05pt;">i</span>pero<span style="letter-spacing: -.05pt;">l</span>eh <span style="letter-spacing: .25pt;"> </span>ke<span style="letter-spacing: -.05pt;">m</span>a<span style="letter-spacing: -.05pt;">m</span>puan <span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: -.05pt;">l</span>ak<span style="letter-spacing: .05pt;">s</span>anakan <span style="letter-spacing: .25pt;"> </span>keg<span style="letter-spacing: -.05pt;">i</span>a<span style="letter-spacing: -.05pt;">t</span>an
<span style="letter-spacing: .15pt;"> </span>h<span style="letter-spacing: -.05pt;">i</span>dup <span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">s</span>ehar<span style="letter-spacing: -.05pt;">i</span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">–</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">hari <span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">s</span>ecara
<span style="letter-spacing: -.05pt;">m</span>and<span style="letter-spacing: -.05pt;">i</span>r<span style="letter-spacing: -.05pt;">i</span>. <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .05pt;">K</span>eg<span style="letter-spacing: -.05pt;">i</span>a<span style="letter-spacing: -.05pt;">t</span>an <span style="letter-spacing: .15pt;"> </span>pe<span style="letter-spacing: -.05pt;">l</span>ayanan
d<span style="letter-spacing: -.05pt;">i</span>ber<span style="letter-spacing: -.05pt;">i</span>kan<span style="letter-spacing: .1pt;"> </span>da<span style="letter-spacing: -.05pt;">l</span>am<span style="letter-spacing: .15pt;"> </span>upaya
pen<span style="letter-spacing: -.05pt;">i</span>ngka<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .2pt;"> </span>k<span style="letter-spacing: -.15pt;">e</span><span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .2pt;"> </span>(pro<span style="letter-spacing: -.05pt;">m</span>o<span style="letter-spacing: -.05pt;">ti</span>f),<span style="letter-spacing: .1pt;"> </span>pencegahan<span style="letter-spacing: .1pt;">
</span>penyak<span style="letter-spacing: -.05pt;">i</span>t (preven<span style="letter-spacing: -.05pt;">ti</span>f),<span style="letter-spacing: .1pt;"> </span>penye<span style="letter-spacing: -.05pt;">m</span>buhan<span style="letter-spacing: .2pt;"> </span>(kura<span style="letter-spacing: -.05pt;">ti</span>f), <span style="letter-spacing: .05pt;">s</span>er<span style="letter-spacing: -.05pt;">t</span>ya<span style="letter-spacing: .05pt;"> </span>pe<span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: -.05pt;">li</span>har<span style="letter-spacing: .05pt;">a</span>an<span style="letter-spacing: .1pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span>(rehab<span style="letter-spacing: -.05pt;">il</span><span style="letter-spacing: .05pt;">i</span><span style="letter-spacing: -.05pt;">t</span>a<span style="letter-spacing: -.05pt;">ti</span><span style="letter-spacing: .1pt;">v</span>e)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 3.8pt; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: .05pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">U</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">paya yang<span style="letter-spacing: .05pt;"> </span>d<span style="letter-spacing: -.05pt;">i</span>ber<span style="letter-spacing: -.05pt;">i</span>kan<span style="letter-spacing: .05pt;"> </span>d<span style="letter-spacing: -.05pt;">it</span>ekankan<span style="letter-spacing: .15pt;">
</span>kepada upaya pe<span style="letter-spacing: -.05pt;">l</span>ayanan<span style="letter-spacing: .15pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span>pr<span style="letter-spacing: -.05pt;">im</span>er (Pr<span style="letter-spacing: -.05pt;">im</span>ary<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">H</span>ea<span style="letter-spacing: -.05pt;">lt</span>h<span style="letter-spacing: .2pt;"> </span>Care/<span style="letter-spacing: .05pt;"> </span>P<span style="letter-spacing: .05pt;">H</span>C)
<span style="letter-spacing: .05pt;">s</span>e<span style="letter-spacing: .05pt;">s</span>uai<span style="letter-spacing: .05pt;"> </span>dengan<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">w</span><span style="letter-spacing: -.15pt;">e</span><span style="letter-spacing: .05pt;">w</span>enang,<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">t</span>anggung<span style="letter-spacing: .1pt;">
</span><span style="letter-spacing: -.05pt;">j</span>a<span style="letter-spacing: .05pt;">w</span>ab<span style="letter-spacing: .1pt;"> </span>dan<span style="letter-spacing: .1pt;"> </span>e<span style="letter-spacing: -.05pt;">ti</span>ka
profe<span style="letter-spacing: .05pt;">s</span>i<span style="letter-spacing: .1pt;"> </span>kepera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">s</span>eh<span style="letter-spacing: -.05pt;">i</span>ngga
<span style="letter-spacing: .05pt;">s</span>e<span style="letter-spacing: -.05pt;">ti</span>ap<span style="letter-spacing: .15pt;"> </span>orang<span style="letter-spacing: .05pt;"> </span>yang<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">m</span>ener<span style="letter-spacing: -.05pt;">im</span>a<span style="letter-spacing: .1pt;"> </span>pe<span style="letter-spacing: -.05pt;">l</span>ayanan<span style="letter-spacing: .25pt;">
</span>ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span>dapat <span style="letter-spacing: -.05pt;">m</span>encapai<span style="letter-spacing: .15pt;">
</span>h<span style="letter-spacing: -.05pt;">i</span>dup <span style="letter-spacing: .05pt;">s</span>ehat<span style="letter-spacing: .05pt;"> </span>dan produk<span style="letter-spacing: -.05pt;">ti</span>f.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 3.8pt; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: .05pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">K</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">epera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">s</span>ebagai<span style="letter-spacing: .1pt;"> </span>profe<span style="letter-spacing: .05pt;">s</span>i
d<span style="letter-spacing: -.05pt;">it</span>un<span style="letter-spacing: -.05pt;">t</span>ut<span style="letter-spacing: .2pt;"> </span>un<span style="letter-spacing: -.05pt;">t</span>uk<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">m</span>enge<span style="letter-spacing: -.05pt;">m</span>bangkan<span style="letter-spacing: .25pt;"> </span>ke<span style="letter-spacing: -.05pt;">ilm</span>uannya
<span style="letter-spacing: .05pt;">s</span>ebagai<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">w</span>u<span style="letter-spacing: -.05pt;">j</span>ud<span style="letter-spacing: .05pt;"> </span>kepedu<span style="letter-spacing: -.05pt;">li</span>annya<span style="letter-spacing: .1pt;"> </span>da<span style="letter-spacing: -.05pt;">l</span>am<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">m</span>en<span style="letter-spacing: -.05pt;">i</span>ngka<span style="letter-spacing: -.05pt;">t</span>kan<span style="letter-spacing: .15pt;"> </span>ke<span style="letter-spacing: .05pt;">s</span>e<span style="letter-spacing: -.05pt;">j</span>ah<span style="letter-spacing: -.05pt;">t</span>eraan<span style="letter-spacing: .15pt;"> </span>u<span style="letter-spacing: -.05pt;">m</span>at<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">m</span>anu<span style="letter-spacing: .05pt;">s</span><span style="letter-spacing: -.05pt;">i</span>a ba<span style="letter-spacing: -.05pt;">i</span>k
da<span style="letter-spacing: -.05pt;">l</span>am<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">ti</span>ngka<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span>prek<span style="letter-spacing: -.05pt;">li</span>n<span style="letter-spacing: -.05pt;">i</span>k<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">m</span>aupun<span style="letter-spacing: .05pt;"> </span>k<span style="letter-spacing: -.05pt;">li</span>n<span style="letter-spacing: -.05pt;">i</span>k.<span style="letter-spacing: .05pt;"> U</span>n<span style="letter-spacing: -.05pt;">t</span>uk<span style="letter-spacing: .05pt;"> </span>dapat
<span style="letter-spacing: -.05pt;">m</span>enge<span style="letter-spacing: -.05pt;">m</span>bangkan<span style="letter-spacing: .15pt;"> </span>ke<span style="letter-spacing: -.05pt;">ilm</span>uann<span style="letter-spacing: .1pt;">y</span>a
<span style="letter-spacing: -.05pt;">m</span>aka<span style="letter-spacing: .1pt;"> </span>kepera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span>d<span style="letter-spacing: -.05pt;">it</span>un<span style="letter-spacing: -.05pt;">t</span>ut<span style="letter-spacing: .15pt;"> </span>un<span style="letter-spacing: -.05pt;">t</span>uk
peka<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">t</span>erhadap<span style="letter-spacing: .1pt;"> </span>perubahan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">–</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">perubahan<span style="letter-spacing: .1pt;"> </span>yang <span style="letter-spacing: -.05pt;">t</span>er<span style="letter-spacing: -.05pt;">j</span>adi<span style="letter-spacing: .15pt;"> </span>di
<span style="letter-spacing: -.05pt;">li</span>ngkungannya<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">s</span>e<span style="letter-spacing: -.05pt;">ti</span>ap<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .05pt;">s</span>aa<span style="letter-spacing: -.05pt;">t</span>.<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">K</span>epera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .15pt;"> </span>ko<span style="letter-spacing: -.05pt;">m</span>un<span style="letter-spacing: -.05pt;">it</span>as<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .05pt;">s</span>ebagai cabang<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">ilm</span>u<span style="letter-spacing: .15pt;"> </span>kepera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an <span style="letter-spacing: -.05pt;">j</span>uga<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">ti</span>dak<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">t</span>er<span style="letter-spacing: -.05pt;">l</span>epas<span style="letter-spacing: .1pt;"> </span>dari
adanya<span style="letter-spacing: .15pt;"> </span>berbagai perubahan<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">t</span>er<span style="letter-spacing: .05pt;">s</span>ebu<span style="letter-spacing: -.05pt;">t</span>,<span style="letter-spacing: .05pt;"> s</span>eper<span style="letter-spacing: -.05pt;">t</span>i
<span style="letter-spacing: -.05pt;">t</span>ekno<span style="letter-spacing: -.05pt;">l</span>ogi<span style="letter-spacing: .1pt;"> </span>a<span style="letter-spacing: -.05pt;">l</span>at ke<span style="letter-spacing: .05pt;">s</span>eha<span style="letter-spacing: -.05pt;">t</span>an,<span style="letter-spacing: .1pt;"> </span>var<span style="letter-spacing: -.05pt;">i</span>a<span style="letter-spacing: .05pt;">s</span>i<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">j</span>en<span style="letter-spacing: -.05pt;">i</span>s<span style="letter-spacing: .15pt;"> </span>penyak<span style="letter-spacing: -.05pt;">i</span>t<span style="letter-spacing: .05pt;"> </span>dan
<span style="letter-spacing: -.05pt;">t</span>ekn<span style="letter-spacing: -.05pt;">i</span>k<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">i</span>n<span style="letter-spacing: -.05pt;">t</span>erven<span style="letter-spacing: .05pt;">s</span>i<span style="letter-spacing: .05pt;"> </span>kepera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an.<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">A</span>danya<span style="letter-spacing: .1pt;"> </span>berbagai perubahan<span style="letter-spacing: .2pt;"> </span>yang <span style="letter-spacing: -.05pt;">t</span>er<span style="letter-spacing: -.05pt;">j</span>adi<span style="letter-spacing: .15pt;"> </span>akan<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.05pt;">m</span>en<span style="letter-spacing: -.05pt;">im</span>bu<span style="letter-spacing: -.05pt;">l</span><span style="letter-spacing: .1pt;">k</span>an<span style="letter-spacing: .2pt;"> </span>berbagai<span style="letter-spacing: .05pt;"> </span><span style="letter-spacing: -.05pt;">i</span><span style="letter-spacing: .05pt;">s</span>u<span style="letter-spacing: .1pt;"> </span>yang
<span style="letter-spacing: -.05pt;">m</span>enun<span style="letter-spacing: -.05pt;">t</span>ut pen<span style="letter-spacing: -.05pt;">i</span>ngka<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span>pe<span style="letter-spacing: -.05pt;">l</span>ayanan<span style="letter-spacing: .1pt;"> </span>a<span style="letter-spacing: .05pt;">s</span>uhan kepera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an. Berda<span style="letter-spacing: .05pt;">s</span>arkan<span style="letter-spacing: .1pt;"> </span>feno<span style="letter-spacing: -.05pt;">m</span>ena d<span style="letter-spacing: -.05pt;">i</span>a<span style="letter-spacing: -.05pt;">t</span>a<span style="letter-spacing: .05pt;">s</span>,<span style="letter-spacing: .1pt;"> </span>penu<span style="letter-spacing: -.05pt;">li</span>s
<span style="letter-spacing: -.05pt;">t</span>er<span style="letter-spacing: -.05pt;">t</span>ar<span style="letter-spacing: -.05pt;">i</span>k<span style="letter-spacing: .2pt;"> </span>un<span style="letter-spacing: -.05pt;">t</span>uk <span style="letter-spacing: -.05pt;">m</span>e<span style="letter-spacing: -.05pt;">m</span>bahas<span style="letter-spacing: .15pt;"> </span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">i</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: .05pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">s</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">u </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">kecenderungan k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">epera<span style="letter-spacing: .05pt;">w</span>a<span style="letter-spacing: -.05pt;">t</span>an<span style="letter-spacing: .1pt;"> </span></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 150%;">k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">o<span style="letter-spacing: -.05pt;">m</span>un<span style="letter-spacing: -.05pt;">it</span>as</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; letter-spacing: .05pt; line-height: 150%;"> dan
setting praktik keperawatan komunitas</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">RUMUSAN
MASALAH</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l19 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Jelaskan isu kecenderungan pada
tempat area ?<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l19 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Jelaskan setting praktik keperawatan
komunitas ?<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">TUJUAN</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tujuan Umum<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; tab-stops: 54.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mahasiswa mampu mengetahui tentang
konsep</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> isu kecenderungan dan setting
praktik keperawatan komunitas</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tujuan Khusus<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Menjelaskan isu kecenderungan pada
tempat area<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Menjelaskan setting praktik
keperawatan komunitas<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 58.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">METODE
PENULISAN<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penulisan
makalah ini menggunakan berdasarkan literatur ya</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">n</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">g diperoleh dari buku ataupun sumber
dari internet.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 22.5pt;">
<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> <o:p></o:p></span></b></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">SISTEMATIKA PENULISAN</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Makalah
ini terdiri dari 3 bab yang disusun dengan sistematika penulisan sebagai
berikut :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 72.0pt 81.0pt; text-align: justify; text-indent: -45.8pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB I</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">: Pendahuluan yang terdiri dari latar belakang, rumusan
masalah, tujuan penulisan dan sistematika penulisan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 72.0pt 81.0pt; text-align: justify; text-indent: -45.8pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB II</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Pembahasan </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">yang
terdiri dari </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">konsep isu kecenderungan pada tempat area dan setting
praktik keperawatan komunitas.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">BAB III</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">:</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Penutup
terdiri </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">atas </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">kesimpulan<b><o:p></o:p></b></span></div>
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<br /></div>
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<b><span style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">BAB II<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">PEMBAHASAN</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">ISU KECENDERUNGAN PADA TEMPAT AREA<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengertian
isu keperawatan komunitas<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Isu
adalah suatu peristiwa atau kejadian yang dapat diperkirakan terjadi atau tidak
terjadi di masa mendatang, yang menyangkut ekonomi, moneter, sosial, politik,
hukum, pembangunan nasional, bencana alam, hari kiamat, kematian, ataupun
tentang krisis.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Secara
sederhana isu dapat diartikan sebagai sebuah persoalan, atau isu dapat juga
dikatakan sebagai sebuah masalah, sesuatu yang sedang menjadi perhatian, yang
terlintas, desas desus atau banyak lagi peristilahan lain. Isu berarti sebuah
pokok persoalan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut
Kamus Besar Bahasa Indonesia Tahun 1997, isu adalah “<i>masalah yang dikedepankan</i>”. Sedangkan Kamus
Besar Bahasa Indonesia tahun 1993, isu adalah :</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo21; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Masalah yang dikedepankan untuk
ditangani;<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kabar angin yang tidak jelas asal
usulnya dan tidak terjamin kebenarannya;<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo21; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kabar, desas-desus.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam praktiknya, aktual memiliki
beberapa makna antara lain: benar terjadi atau akan terjadi,
sedang menjadi perhatian orang banyak dan merupakan berita hangat.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jadi,</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">isu keperawatan komunitas adalah suatu masalah yang
dikedepankan untuk ditangani</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">atau</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">desas - desus dalam ruang lingkup
keperawatan komunitas.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Perkembangan
Keperawatan di Indonesia saat ini sangat pesat, hal ini disebabkan oleh:</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Perkembangan
ilmu pengetahuan dan teknologi yang sangat cepat sehingga informasi dengan
cepat dapat diakses oleh semua orang sehingga informasi dengan cepat diketahui
oleh masyarakat,</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Perkembangan
era globalisasi yang menyebabkan keperawatan di Indonesia harus menyesuaikan
dengan perkembangan keperawatan di negara yang telah berkembang,</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Sosial
ekonomi masyarakat semakin meningkat sehingga masyarakat menuntut pelayanan
kesehatan yang berkualitas tinggi, tapi di lain pihak bagi masyarakat ekonomi
lemah mereka ingin pelayanan kesehatan yang murah dan terjangkau.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l27 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tren dan isu yang sedang dibicarakan
dalam keperawatan komunitas</span></b><b><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pengaruh
politik terhadap keperawatan professional</span></b><b><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Keterlibatan perawat dalam politik sangat terbatas. Walaupun secara
individu ada beberapa nama seperti F.Nightingale, Lilian Wald, Margaret Sunger,
dan Lavinia Dock telah mempengaruhi dalam pembuatan di berbagai bidang
nampaknya perawat kurang di hargai sebagai kelompok. Gerakan wanita telah
memberikan inspirasi pada perwat mengenai masalah keperawatan komunitas.</span><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pengaruh
perawat dalam aturan dan praktik keperawatan</span></b><b><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pospek keperawatan komunitas dimasa yang akan dating cenderung semakin
berkembang dan dibutuhkan dalam system pelayanan kesehatan pemerintah. Peran
perawat kesehatan masyarakat sangat dibutuhkan dalam mengatasi sebagai masalah
kesehatan yang terjadi di masa yang akan datang karena mengikuti perubahan
secara keseluruhan. Dampak perubahan tersebut dapat berpengaruh pada peran yang
dilkaukan perawat. Intervensi keperawatan kesehatan masarakat diberbagai
tingkat pelayanan akan semakin besar dikarnakan adanya kelalaian,
ketidaktahuan, ketidakmauan, dan ketidakmampuan individu,keluarga, kelompok,
dan masyarakat.</span><b><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Puskesmas
Idaman</span></b><b><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Puskesmas Idaman adalah Puskesmas dengan pelayanan kesehatan bermutu
yang memenuhi atau melebihi harapan pelanggan serta memberi pelayanan yang
sesuai dengan standart operating procedure (SOP) pelayanan kesehatan.
“Puskesmas Idaman” sebagai pelayanan masyarakat, akan berusaha untuk selalu
meningkatkan kualitas pelayanan kesehatan yang sesuai dengan harapan pelanggan,
oleh karena itu Puskesmas Idaman juga merubah paradigma dari “ Puskesmas yang
mengatur Masyarakat” menjadi “Puskesmas yang memenuhi harapan Masyarakat”.</span><b><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l27 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Masalah bidang kesehatan di
Indonesia<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Keadaan lain di Negara Indonesia yang
masih merupakan masalah yang harus dihadapi dalam permasalahan Bidang Kesehatan
meliputi :</span><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Masih cukup tingginya perbedaan status
kesehatan antar tingkat sosial ekonomi</span></b><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Permasalahan
pembangunan sosial dan budaya yang menjadi perhatian utama antara lain adalah
masih rendahnya derajat kesehatan dan status gizi serta tingkat kesejahteraan
sosial masyarakat; masih rentannya ketahanan budaya dan belum diberdayakannya
kesenian dan pariwisata secara optimal; masih rendahnya kedudukan dan peranan
perempuan diberbagai bidang kehidupan dan pembangunan; masih rendahnya
partisipasi aktif pemuda dalam pembangunan nasional, belum membudayanya olahraga
dan masih rendahnya prestasi olahraga. Berbagai permasalahan tersebut akan
diatasi melalui pelaksanaan berbagai program pembangunan yang mengacu pada arah
kebijakan sosial dan budaya yang telah diamanatkan dalam GBHN 1999–2004.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Strategi yang
digunakan dalam melaksanakan pembangunan bidang sosial dan budaya adalah
desentralisasi; peningkatan peran masyarakat termasuk dunia usaha; pemberdayaan
masyarakat termasuk pemberdayaan perempuan dan keluarga; penguatan kelembagaan
termasuk peningkatan koordinasi antarsektor dan antarlembaga. Lingkungan
sosial budaya yang erat kaitannya dengan masalah kesehatan harus dilihat dari
segi kehidupan masyarakat secara luas. Faktor – faktor kemasyarakatan tersebut
antara lain struktur sosial, ekonomi dan budaya. Ini meliputi kecerdasan
rakyat, kesadaran rakyat untuk memlihara kesehatan dirinya sendiri.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Makin bertambah
tinggi tingkat pendidikan masyarakat akan tercipta perilaku dan sikap yang baik
terhadapa hidup sehat yang menguntungkan upaya kesehatan. Masyarakat agraris
pada umumnya lebih lamban menanggapi perubahan nilai sosila budaya termasuk
ekonomi, hingga sulit mengatasi masalah kemiskinan maupun pengembangan sosial
dan budaya, yang justru berpengaruh pada sikap dan perilaku hidup sehat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Mobilitas penduduk yang cukup tinggi</span></b><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Upaya pengendalian pertumbuhan telah berhasil dengan baik terutama
melalui gerakan Keluarga Berencana. Namun pertambahan jumlah penduduk dan
perbandingan penduduk usia muda yang masih besar, serta penyebaran peduduk yang
masih belum merata, menimbulkan masalah. Perbandingan jumlah penduduk wanita
dan pria, tidak akan banyak berubah dari keadaan sekarang, yaitu 100 orang
wanita terhadap 96,8 pria. Jumlah penduduk berusia 40 tahun keatas, secara
relatif akan bertambah. Ini berarti perlunya peningkatan pelayanan untuk
penyakit – penyakit tidak menular seperti kanker, penyakit jantung, dan
penyakit degeneratif lainnya yang biasa diderita oleh penduduk berusia 40 tahun
keatas, yang relatif lebih mahal p</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">elayanannya dibandingkan dengan
penyakit menular.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Dengan demikian
ciri kependudukan di Indonesia sampai sekarang masih cenderung bergerak lamban
dari penduduk usia muda ke arah penduduk usia tua. Karena itu upaya kesehatan
masih ditujukan terutama kepada penyakit-penyakit yang banyak dideriita oleh
anak-anak di bawah usia 5 tahun, dengan tidak melupakan pula berbagai penyakit
yang lazim diderita oleh golongan umur produktif yang makin besar jumlahnya
serta perubahan ciri-ciri penyakit di masa akan datang kondisi kesehatan
lingkungan masih rendah; Pencemaran lingkungan dewasa ini selain
terutama disebabkan karena kebiasaan membuang kotoran yang tidak semestinya
juga disebabkan oleh pencemaran air dan tanah serta udara karena bahan buangan
industri, limbah pertanian dan pertambangan serta pencemaran udara karena
kenderaan bermotor. Pencemaran makanan dan minuman dapat terjadi karena
hygiene dan sanitasi yang belum memadai, pemakaian bahan tambahan, pemakaian
pestisida untuk menyelamatkan produksi pangan dan keadaan lingkungan yang makin
tercemar.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Mengenai
perumahan, bahwa dewasa ini masih banyak penduduk menempati rumah dan pemukiman
yang tidak layak, yang merugikan kondisi kesehatan diri sendiri dan lingkungan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Perilaku hidup sehat masyarakat yang
masih rendah</span></b><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Berdasarkan batasan
perilaku dari Skiner tersebut, maka perilaku kesehatan adalah suatu respons
seseorang (organisme) terhadap stimulus objek yang berkaitan dengan sakit dan
penyakit, sistem pelayanan kesehatan, makanan dan minuman, serta lingkungan.
dari batasan ini, perilaku kesehatan dapat diklasifikasikan menjadi :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tidak merokok<o:p></o:p></span></div>
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<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Merokok adalah
kebiasaan jelek yang mengakibatkan berbagai macam penyakit. Ironisnya kebiasaan
merokok ini, khususnya di Indonesia seolah-olah sudah membudaya. Hampir 50%
penduduk Indonesia usia dewasa merokok. bahkan dari hasil suatu penelitian,
sekitar 15% remaja kitatelah merokok. inilah tantangan pendidikan kesehatan
kita.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tidak minum-minuman keras dan narkoba<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Kebiasaan
minuman keras dan mengkonsumsi narkoba (narkotik dan bahan-bahan berbahaya
lainnya) juga cenderung meningkat. Sekitar 1% penduduk Indonesia dewasa
diperkirakan sudah mempunyai kebiasaan minuman keras ini.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Istirahat cukup<o:p></o:p></span></div>
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<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Dengan
meningkatnya kebutuhan hidup akibat tuntutan untuk penyesuaian lingkungan
modern, mengharuskan orang untuk bekerja keras dan berlebihan, sehingga kurang
waktu istirahat. hal ini dapat juga membahayakan kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Mengendalikan stres<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Stres akan
terjadi pada siapa saja, dan akibatnya bermacam-macam bagi kesehatan.
Lebih-lebih sebagai akibat dari tuntutan hidup yang keras seperti diuraikan di
atas. Kecenderungan stres akan meningkat pada setiap orang. stres tidak dapat
kita hindari, maka yang penting agar stres tidak menyebabkan gangguan
kesehatan, kita harus dapat mengendalikan atau mengelola stres dengan
kegiatan-kegiatan yang positif. <o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Perilaku atau
gaya hidup lain yang positif bagi kesehatan, misalnya : tidak berganti-ganti
pasangan dalam hubungan seks, penyesuaian diri kita dengan lingkungan, dan
sebagainya Perilaku Hidup Bersih dan Sehat (PHBS) yaitu Upaya untuk
memberikan pengalaman belajar atau menciptakan suatu kondisi bagi perorangan,
keluarga, kelompok dan masyarakat, dengan membuka jalur komunikasi, memberikan
informasi dan melakukan edukasi untuk meningkatkan pengetahuan, sikap dan perilaku
melalui pendekatan pimpinan (advocacy), bina suasana (social support) dan
pemberdayaan masyarakat (empowerment) sebagai suatu upaya untuk membantu
masyarakat mengenali dan mengetahui masalahnya sendiri, dalam tatanan rumah
tangga, agar dapat menerapkan cara-cara hidup sehat dalam rangka menjaga,
memelihara dan meningkatkan kesehatannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Keterbatasan pelayanan kesehatan</span></b><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Dalam rangka
pemerataan pengembangan dan pembinaan kesehatan masyarakat, khususnya yang
berpenghasilan rendah, telah dibangun Pusat-Pusat Kesehatan Masyarakat. Dewasa
ini seluruh kecamatan sudah mempunyai sekurang-kurangnya sebuah Puskesmas serta
beberapa Puskesmas Pembantu. Jangkauan upaya pelayanan Puskesmas dan Puskemsas
pemantu masih belum memadai terutama di daerah pedesaan yang sulit
perhubungannya atau daerah terpencil. Untuk mengatasi itu diadakan Puskesmas
Keliling dan Polindes untuk membantu memberiakan pelayanan kepeda penduduk. Namun
belum semua desa bisa terjangkau.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Upaya pelayanan
kesehatan yang menyeluruh dan terpadu hanya mungkin diwujudkan jika sistem
rujukan dikembangkan dengan meningkatkan sarana dalam arti luas, yakni
pengembangan rumah sakit yang memenuhi syarat medis teknis serta kejelasan
tanggung jawab antara Puskesmas dan Rumah sakit, baik pemerintah maupun swasta.,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Jumlah tenaga kesehatan masih kurang
merata</span></b><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Masih rendahnya
kualitas pelayanan kesehatan di Puskesmas dan jaringannya, masih rendahnya
kinerja SDM Kesehatan. Secara umum dapat dikatakan bahwa baik tenaga medis
maupun tenaga paramedis jumlah dan mutunya serta pemerataannya masih belum
memadai. Hampir seluruh dokter dan sebagian besar tenaga paramedis adalah
pegawai negeri, sedangkan banyak tenaga medis merangkap melayani usaha
kesehatan swasta. Hal ini dapat mengurangi mutu pelayanan kesehatan-kesehatan pemerintah.
Perbandingan jumlah dokter dan paramedis serta tenaga kesehatan lainnya
terhadap jumlah penduduk masih jauh dari memuaskan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pola ketenagaan
untuk unit-unit pelayanan kesehatan serta pendidikan dan latihannya masih perlu
dimantapkan. Sistem pengelolaan tenaga kesehatan yang baru dirintis belum
sepenuhnya memungkinkan pembinaan tenaga kesehatan berdasarkan sistem karier
dan prestasi kerja. Dengan meningkatnya kecepatan pembangunan bidang
kesehatan sebagi bagian dari pembangunan nsional, kiranya masalah ketenagaan
tersebut juga akan cenderung meningkat pula. Karena itu masalah ketenagaan
perlu mendapatkan prioritas penggarapan baik untuk jangka pendek maupun
menengah dan jangka panjang.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pemanfaatan
fasilitas kesehatan yang ada belum optimal</span></b><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pencarian dan
penggunaan sistem atau fasilitas pelayanan kesehatan, atau sering disebut
perilaku pencairan pengobatan (health seeking behavior). Perilaku ini adalah
menyangkut upaya atau tindakan seseorang pada saat menderita penyakit dan atau
kecelakaan. tindakan atau perilaku ini dimulai dari mengobati sendiri (self
treatment) sampai mencari pengobatan ke luar negeri. Fasilitas kesehatan
sebagi salah satu sumber daya kesehatan sampai dewasa ini telah dikembangkan
tahap demi tahap sesuai dengan keperluan. Jumlah dan fungsi rumah sakit baik
pemerintah maupun swasta telah pula ditingkatkan. Peningkatan rumah sakit ini
merupakan salah satu kegiatan dari peningkatan upaya kesehatan rujukan, yang
dimaksudkan untuk lebih menunjang upaya kesehatan Puskesmas.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Demikian pula fasilitas
kesehatan lainnya seperti laboratorium, kantor, perumahan dinas, fasilitas
pendidikan dan latihan dan yang lainnya telah pula ditingkatkan. Namun
pamanfaatan terhadap fasiltas tersebut masih belum optimal, hal ini dapat kita
lihat dari sedikitnya jumlah kunjungan rawat jalan di Puskesmas dibandingkan
dengan kunjungan ke praktek pribadi medis maupun paramedis. Selain itu masih
adanya pemanfaatan pengobatan pada praktik perdukunan pada sebagain masyarakat
di pedesaan.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Akses masyarakat untuk mencapai
fasilitas kesehatan yang ada belum optimal</span></b><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Akses yang
dimaksud adalah sarana pendukung seperti sarana jalan dan transfortasi yang
masih belum baik dan kurang. Di daerah terbelakang dan terpencil sampai saat
ini untuk sarana jalan dan transfortasi dapat dikatakan kurang mendukung. Untuk
mencapai fasilitas kesehatan terkadang membutuhkan waktu berhari-hari hanya
untuk mengobati sakit sanak keluarga masyarakat di desa terpencil tersebut.
Permasalah ini tidak lepas juga dengan letak geografis darah tersebut. Selain
itu tidak semua desa tertinggal atau terpencil ditempatkan petugas kesehatan
dikarenakan masih kurangnya tenaga kesehatan.</span><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Peran lintas sektor dalam bidang
kesehatan belum optimal</span></b><span lang="EN-US" style="font-family: "Trebuchet MS",sans-serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Diantara
faktor-faktor yang perlu mendapatkan perhatian dalam pembangunan antara lain
adalah kerja sama lintas sektor. Kerja sama yang dimaksud adalkah kerja sama
berbagai sektor pembangunan, kerjasama pemerintah dengan masyarakat termasuk
swasta. Yang masih perlu ditingkatkan adalah kerja sama lintas sektor yang
diselenggarakan oleh pemerintah dan swasta, baik dari segi teknis opersional
maupun administratif, ketengaan dan kejelasan mekanisme kerja bahkan termasuk
aspek-aspek hukum yang dapat memantapkan kerja sama secara luas Kerja sama
llintas sektor sering sukar diwujudkan jika kerja sama tersebut tidak didasari
oleh saling pengertian dan keterbukaan yang mendalam antara komponen yang
terlibat serta tidak ada kejelasan tentang tujuan bersama. Peran yang harus
dilakukan oleh masing-masing komponen dalam kerja sama itu dan mekanisme
kerjanya perlu dirumuskan.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l27 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keperawatan
kesehatan komunitas di masa mendatang<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Saat ini, pcrmasalahan
kesehatan yang dihadapi komunitas cukup komleks. Upaya kesehatan dapat
menjangkau seluruh masyarakat meskipun dapat dilihat beberapa terobosan dalam
upaya pembangunan dalam bidang kesehatan. Hal ini ditunjukkan dengan maslh
tingginya angka kematian bayi, yaitu 35 per 1000 kelahiran hidup (SDKI
2002-2003) dan angka kematian ibu, yaitu 307 per 100.000 kelahiran hidup (SDKI
2002—2003).<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masalah kesehatan
lainnya adalah munculnya penyakit – penyakit yang mengancam jiwa (emerging diseases)
seperti HIV/AIDS, SARS, serta penyakit – penyakit menular (re-emerging
diseases) seperti tuberkulosis, malaria, dan penyakit yang dapat dicegah dengan
imuntsasi. Sementara itu, untuk penyakit – penyakit degeneratif seperti
penyakit jantung dan penyakit pembuluh darah, juga terjadi angka kesakitan.
Selain penyakit, krisis dalam komunitas seperti bencana dan terjadinya
kekerasan juga menjadi fokus perhatian kesehatan komunitas. Oleh karena itu, di
masa mendatang dapat diprediksi bahwa kebutuhan akan pelayanan keperawatan
kesehatan komunitas yang berkualitas akan semakin meningkat. Pada akhirnya,
kemampuan perawat kesehatan komunitas untuk menangkap peluang dan berespons
terhadap perubahan dan tantangan di masa mendatang merupakan dasar yang kuat
bagi perkembangan keperawatan komunitas. Kompetensi komunitas, perawatan
kesehatan di rumah, perawat puskesmas di komunitas, kepemimpinan, pemakaian informasi
diprediksi menjadi fokus dari sistem kesehatan komunitas di masa mendatang. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">SETTING PRAKTIK KEPERAWATAN KOMUNTAS<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l37 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Kegiatan praktik keperawatan
komunitas<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kegiatan
prakt</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">i</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k
keperawatan komunitas yang dilakukan perawat mempunyai lahan yang luas dan
tetap menyesuaikan dengan tingkat pelayanan kesehatan, wilayah kerja perawat
tetapi secara umum kegiatan praktek keperawatan komunitas adalah sebagai
berikut:</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tahap
</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">p</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ersiapan</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pembekalan dari departemen komunitas
dan dinas kesehatan tentang program praktek.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Penjajakan ke daerah, meliputi wilayah,
sistem dalam komunitas, masalah dan kesehatan utama.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyusunan
instrumen data.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Uji
coba instrumen pengumpulan data.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pertemuan awal dengan komunitas dan
keluarga untuk perkenalan, penjelasan program praktek dan mengadakan kontrak
dengan komunitas.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Melaksanakan pendataan
dengan melibatkan tokoh-tokoh dan kader kesehatan setempat.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Melakukan tabulasi data, menganalisa
data dengan pendekatan demografi, epidemiologi dan statistik serta membuat
visualisasi/penyajian data.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Mengidentifikasi pra musyawarah
komunitas: menyusun kepanitiaan, menyiapkan dan melatih masyarakat yang akan
terlibat dalam musyawarah dan menyebarkan undangan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Melaksanakan musyawarah komunitas
tingkat RW:</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Penyajian data hasil pengkajian
kesehatan masyarakat</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Diskusi kelompok untuk menetapkan hasil
masalah, prioritas masalah, garis besar rencana kegiatan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Membentuk kelompok kerja kesehatan
sesuai dengan masalah yang telah ditetapkan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Tanggapan-tanggapan dari tokoh-tokoh
masyarakat dan petugas kesehatan dari instansi terkait.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tahap Pelaksanaan:</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menyusun
kembali rencana kerja hasil musyawarah bersama dengan kelompok kerja
kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Melaksanakan
kegiatan di komunitas bersama-sama dengan kelompok kerja kesehatan:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pelatihan
kader kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyuluhan
kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Simulasi/demonstrasi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pembuatan
model/percontohan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kunjungan
rumah (home health care)<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Kerja bakti, daan lain-lain.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l36 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Berkoordinasi dengan puskesmas dan
instansi terkait dalam pelaksanaan kegiatan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tahap Evaluasi:</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengevaluasi
setiap kegiatan yang dilakukan di komunitas dalam hal kesesuaian, kefektifan
dan keberhasilan kegiatan serta aktivitas dari komunitas.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengevaluasi
seluruh kegiatan di komunitas dalam hal pencapaian tujuan, keberhasilan
pemecahan masalah dan kemampuan komunitas dalam pemecahan masalah.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l37 level1 lfo8; mso-outline-level: 3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Area </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">p</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">raktik </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">k</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">eperawatan </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">k</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">esehatan </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">k</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">omunitas<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-outline-level: 3; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut Depkes RI (2006), pelayanan
keperawatan kesehatan komunitas dapat diterapkan langsung pada berbagai tatanan
pelayanan kesehatan, seperti:<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Unit
pelayanan kesehatan yang memiliki fasilitas rawat inap dan rawat jalan (rumah
sakit, puskesmas, dan sebagainya).<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level2 lfo8; mso-outline-level: 3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rumah.
Perawat <i>home care</i> memberikan pelayanan keperawatan pada
keluarga di rumah yang menderita penyakit akut dan kronis. Peran <i>home
care </i>adalah untuk meningkatkan fungsi keluarga dalam merawat anggota
keluarga yang beresiko tinggi mengalami masalah kesehatan.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sekolah.
Area praktik perawat komunitas juga mencakup seluruh warga di lingkungan
institusi pendidikan seperti siswa, guru dan karyawan baik di TK, SD, SMP, SMA
maupun perguruan tinggi. Perawat sekolah dapat memberikan pelayanan sesaat (<i>day
care</i>), <i>screening</i></span><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">(</span><span style="background: white; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">proses mengidentifikasi
penyakit-penyakit yang tidak diketahui/tidak terdeteksi dengan menggunakan
berbagai test/uji</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">)</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, maupun memberikan pendidikan
kesehatan.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tempat
kerja atau industri. Perawat melakukan kegiatan perawatan langsung terhadap
kejadian kesakitan maupun kecelakaan minimal yang terjadi di tempat kerja,
industri rumah tangga, pabrik dan lainnya. Selain itu perawat memberikan
pendidikan kesehatan tentang keamanan dan keselamatan kerja, nutrisi seimbang,
penurunan stres, olahraga, penanganan perokok, serta pengawasan makanan.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level2 lfo8; mso-outline-level: 3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Barak
penampungan. Perawat memberikan perawatan langsung terhadap kasus akut,
penyakit kronis, serta kecacatan fisik ganda dan mental.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level2 lfo8; mso-outline-level: 3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kegiatan
Puskesmas keliling. Pelayanan keperawatan dalam puskesmas keliling diberikan
kepada individu, kelompok masyarakat di pedesaan, dan kelompok terlantar.
Pelayanan keperawatan yang diberikan meliputi pengobatan sederhana, <i>screening </i>kesehatan,
perawatan kasus penyakit akut dan kronis, serta pengelolaan dan rujukan
penyakit. <b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Panti
atau kelompok khusus lain seperti panti asuhan anak, panti wreda, panti sosial
lain, rumah tahanan serta lembaga pemasyarakatan.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pelayanan
pada kelompok resiko tinggi. Kelompok resiko tinggi seperti (1) kelompok
wanita, anak-anak, dan lansia yang mendapat perlakuan kekerasan, (2) pusat
pelayanan kesehatan jiwa dan penyalahgunaan obat, (3) tempat penampungan
kelompok lansia, gelandangan, pengemis, kelompok orang dengan HIV/AIDS (ODHA),
dan wanita tuna susila (WTS).<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 3; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keperawatan
kesehatan komunitas identik dengan penyuluhan kesehatan. Hal ini tidak
sepenuhnya salah karena penyuluhan kesehatan juga bagian dari keperawatan
kesehatan komunitas. Akan tetapi tugas perawat komunitas ternyata tidak
sesimpel itu. Banyaknya area praktik dari perawat komunitas menuntut agar
seorang perawat komunitas memahami konsep dari berbagai area dan melakukan
fungsi advokasi pada berbagai tingkat sistem.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sasaran
keperawatan kesehatan komunitas<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; tab-stops: 36.0pt 72.0pt 98.25pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menurut DEPKES tahun 2006, sasaran keperawatan
kesehatan komuntas antara lain :<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Individu</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 98.25pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran prioritas individu adalah balita
gizi buruk, ibu hamil risiko tinggi, usia Ianjut, penderita penyakit menular
(tuberkulosis pare, kusta, malaria, demam berdarah, diare, dan ISPA atau
pneumonia), dan penderita penyakit degeneratif. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 98.25pt; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keluarga <o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran keluarga adalah keluarga yang termasuk rentan
teridap masalah kesehatan (vulnerable group) atau risiko tinggl (high risk
group) dengan prioritas sebagai berikut : <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keluarga miskin yang
belum pernah kontak dengan sarana pelayanan kesehatan (puskesmas dan
jaringannya) dan belum mempunyai kartu sehat. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keluarga yang sudah memanfaatkan
sarana kesehatan serta mempunyai masalah kesehatan terkait dengan pertumbuhan
dan perkembangan balita, kesehatan reprcuduksi, dan penyakit menular. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keluarga yang tidak
termasuk miskin dan mempunyai masalah kesehatan prioritas serta belum memanfaatkan
sarana pelayanan kesehatan. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelompok <o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran kelompok adalah kelompok khusus yang rentan
terhadap masalah kesehatan baik yang terikat maupun tidak terikat dalam suatu
institusi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelompok tidak terikat
dalam suatu institusi seperti posyandu, kelompok balita, ibu hamil, usia
lanjut, penderita penyakit tertentu, dan pekerja informal.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l35 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelompok masyarakat
khusus yang terikat dalam suatu institusi seperti sekolah, pesantren, panti
asuhan, panti wreda, rutan, dan lapas. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masyarakat <o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran masyarakat adalah yang rentan atau mempunyai
risiko tinggi terhadap timbulnya masalah kesehatan seperti berikut : <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masyarakat di suatu
wilayah (RT, RW, kelurahan, desa) yang mempunyai: <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bayi meninggal tinggi
dibandingkan daerah lain; <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jumlah penderita
penyakit tertentu lebih tinggi dibandingkan daerah lain; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Cakupan pelayanan kesehatan
lebih rendah dari daerah lain. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masyarakat di daerah
endemis penyakit menular (malaria, diare, demam berdarah, dan lainnya).<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masyarakat di lokasi
atau barak pengungsian akibat bencana atau akibat lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masyarakat di daerah
dengan kondisi geografi sulit antara lain daerah terpencil dan perbatasan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Masyarakat di daerah
pemukiman baru dengan transportasi sulit sepertl daerah transmigrasi. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; mso-list: l37 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Prinsip
dasar dalam prakt</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">i</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k perawatan kesehatan </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">komunitas </span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">adalah sebagai berikut:</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluarga adalah unit utama dalam
pelayanan kesehatan masyarakat<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sasaran terdiri dari, individu,
keluarga, kelompok dan masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perawat kesehatan bekerja dengan
masyarakat bukan b</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">e</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">kerja
untuk masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pelayanan keperawatan yang diberikan
lebih menekankan pada upaya pomotif dan preventif dengan tidak melupakan upaya
kuratif dan rehabilitatif.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dasar utama dalam peayanan perawatan
kesehatan masyarakat adalah menggunakan pendekatan pemecahan masalah yang
dituangkan dalam proses keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">kegiatan
utama perawatan kesehatan mayarakat adalah dimasyarakat dan bukan di rumah
sakit.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien adalah masyarakat secara
keseluruhan baik yang sakit maupun yang sehat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perawatan kesehatan masyarakat
ditekankan kepada pembinaan perilaku hidup sehat masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan
perawatan kesehatan masyarakat adalah meningkatkan fungsi kehidupan sehingga
dapat meningkatkan derajat kesehatan seoptimal mungkin.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perawat
kesehatan masyarakat tidak bekerja secara sendiri tetapi bekerja secara team.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebagian besar waktu dari seorang
perawat kesehatan masyarakat digunakan untuk kegiatan meningkatkan kesehatan,
pencegahan penyakit, melayani masyarakat yang sehat atau yang sakit, penduduk
sakit yang tidak berobat ke puskesmas, pasien yang baru kembali dari rumah
sakit.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Home
visite sangat penting.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">m.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendidikan kesehatan merupakan
kegiatan utama.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">n.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pelayanan perawatan kesehatan
masyarakan harus mengacu pada sistem pelayanan kesehatan yang ada.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level2 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">o.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pelaksanaan asuhan keperawatan
dilakukan di institusi pelayanan kesehatan yaitu puskesmas, institusi seperti
sekolah, panti, dan lainnya dimana keluarga sebagai unit pelayanan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendekatan </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">p</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">rakt</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">i</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">k</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">eperawatan </span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">k</span></b><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">omunitas</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Contoh pendekatan yang dapat
digunakan:<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Problem solving approach<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendekatan
pemecahan masalah yang dituangkan dengan menggunakan proses keperawatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Family approach<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendekatan terhadap keluarga binaan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Case Approach<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pembinaan
dilakukan berdasar kasus yang datang ke puskesmas yang dinilai memerlukan
tindak lanjut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Community approach</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendekatan
dilakukan terhadap masyarakat daerah binaan melalui surve</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">i</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> mawas diri dengan melibatkan
partisipasi masyarakat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Faktor yang mempengaruhi praktik keperawatan komunitas<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ilmu
pengetahuan dan teknologi baru<o:p></o:p></span></b></div>
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<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pelaksanaan
sistem pelayanan kesehatan dapat dipengaruhi oleh ilmu pengetahuan dan
teknologi baru, mengingat perkembangan ilmu pengetahuan dan teknologi, maka
akan diikuti oleh perkembangan pelayanan kesehatan atau juga sebagai dampaknya
pelayanan kesehatan jelas lebih mengikuti perkembangan dan teknologi seperti
dalam pelayanan kesehatan untuk mengatasi masalah penyakit-penyakit yang sulit
dapat digunakan penggunaan alat seperti laser, terapi perubahan gen dan
lain-lain. Berdasarkan itu maka pelayanan kesehatan membutuhkan biaya yang
cukup mahal dan pelayanan akan lebih professional dan butuh tenaga-tenaga yang
ahli dalam bidang tertentu.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pergeseran
nilai masyarakat<o:p></o:p></span></b></div>
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<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Berlangsungnya
sistem pelayanan kesehatan juga dapat dipengaruhi oleh nilai yang ada di masyarakat
sebagai pengguna jasa pelayanan, dimana dengan beragamnya masyarakat, maka
dapat menimbulkan pemanfaatan jasa pelayanan kesehatan yang berbeda. Masyarakat
yang sudah maju dengan pengetahuan yang tinggi, maka akan memiliki kesadaran
yang lebih dalam penggunaan atau pemanfaatan pelayanan kesehatan, demikian juga
sebaliknya pada masyarakat yang memiliki pengetahuan yang kurang akan memiliki
kesadaran yang rendah terhadap pelayanan kesehatan, sehingga kondisi demikian
akan sangat mempengaruhi sistem pelayanan kesehatan.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Aspek
legal dan etik<o:p></o:p></span></b></div>
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<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Dengan tingginya kesadaran masyarakat terhadap penggunaan
atau pemanfaatan jasa pelayanan kesehatan, maka akan semakin tinggi pula
tuntutan hukum dan etik dalam pelayanan kesehatan, sehingga pelaku pemberi
pelayanan kesehatan harus dituntut untuk memberikan pelayanan kesehatan secara
profesional dengan memperhatikan nilai-nilai hukum dan etika yang ada di
masyarakat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ekonomi<o:p></o:p></span></b></div>
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<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pelaksanaan pelayanan kesehatan akan dipengaruhi oleh
tingkat ekonomi di masyarakat. Semakin tinggi ekonomi seseorang, pelayanan
kesehatan akan lebih diperhatikan dan mudah dijangkau, demikian juga sebaliknya
apabila tingkat ekonomi seseorang rendah, maka sangat sulit menjangkau
pelayanan kesehatan mengingat biaya dalam jasa pelayanan kesehatan membutuhkan
biaya yang cukup mahal. Keadaan ekonomi ini yang akan dapat mempengaruhi dalam
sistem pelayanan kesehatan.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Politik<o:p></o:p></span></b></div>
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<span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Kebijakan pemerintah
melalui sistem politik yang ada akan sangat berpengaruh sekali dalam sistem
pemberian pelayanan kesehatan. Kebijakan-kebijakan yang ada dapat memberikan
pola dalam sistem pelayanan.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">BAB III<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">PENUTUP<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">KESIMPULAN<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">I</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">su keperawatan komunitas adalah
suatu masalah yang dikedepankan untuk ditangani</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">atau</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">desas
- desus dalam ruang lingkup keperawatan komunitas.</span><b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tren dan isu yang sedang dibicarakan
dalam keperawatan komunitas :</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5.0pt; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pengaruh
politik terhadap keperawatan professional</span><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pengaruh
perawat dalam aturan dan praktik keperawatan</span><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Puskesmas
Idaman</span><span lang="EN-US" style="font-family: "Cherry Cream Soda",serif; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adapun<b> </b></span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">masalah
bidang kesehatan di Indonesia salah satunya yaitu m</span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">asih cukup
tingginya perbedaan status kesehatan antar tingkat sosial ekonomi dan m</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">obilitas
penduduk yang cukup tinggi. Untuk k</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">eperawatan kesehatan komunitas di masa mendatang </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">diprediksi
bahwa kebutuhan akan pelayanan keperawatan kesehatan komunitas yang berkualitas
akan semakin meningkat.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Kegiatan
praktik keperawatan komunitas meliputi t</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">ahap </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">p</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">ersiapan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">, p</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">elaksanaan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> dan e</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">valuasi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">. </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Area </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">p</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">raktik </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">eperawatan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">esehatan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">omunitas</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> yaitu u</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">nit pelayanan kesehatan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, r</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">umah</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, s</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ekolah</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, t</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">empat kerja atau industri</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, b</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">arak penampungan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">egiatan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">p</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">uskesmas keliling</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, p</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">anti atau kelompok khusus lain</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> serta p</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">elayanan pada kelompok resiko tinggi</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sasaran keperawatan kesehatan komunitas antara lain
individu, k</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">eluarga, kelompok dan masyarakat. </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Prinsip
dasar dalam prakt</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">i</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">k
perawatan kesehatan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">komunitas :</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluarga adalah unit utama dalam
pelayanan kesehatan masyarakat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sasaran terdiri dari, individu,
keluarga, kelompok dan masyarakat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perawat kesehatan bekerja dengan
masyarakat bukan b</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">e</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">kerja
untuk masyarakat.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pendekatan </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">p</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">rakt</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">i</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">k </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">eperawatan
</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">k</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">omunitas</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> meliputi <i>p</i></span><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">roblem solving approach</span></i><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, </span></i><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Family approach</span></i><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, c</span></i><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ase Approach</span></i><i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, dan </span></i><i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Community
approach</span></i><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">. </span><span lang="FI" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Faktor
yang mempengaruhi praktik keperawatan komunitas anatar lain IPTEK yang </span><span lang="SV" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">baru, pergeseran nilai masyarak, aspek legal dan etik, ekonomi
serta politik.<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Efendi, Ferry dan Makhfudli.(2009).<i>Keperawatan Kesehatan Komunitas : Teori dan
Praktik dalam Keperawatan</i>.Salemba Medika : Jakarta.<o:p></o:p></span></div>
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<span style="background: white; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">http://www.scribd.com/doc/48222370/Isu-Tren-Keperawatan-Komunitas</span><span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-46713334733109861822016-05-16T07:47:00.003-07:002016-05-16T07:47:47.408-07:00Makalah PROMKES (Promosi Kesehatan)<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 115%;">BAB I<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 115%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Latar
Belakang<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kesehatan
adalah keadaan sejahtera dari badan, </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Jiwa"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">jiwa</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">, dan </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Sosial"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">sosial</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> yang memungkinkan setiap orang
hidup </span><span lang="EN-US"><a href="http://id.wikipedia.org/w/index.php?title=Produktif&action=edit&redlink=1" title="Produktif (halaman belum tersedia)"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">produktif</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> secara sosial dan </span><span lang="EN-US"><a href="http://id.wikipedia.org/w/index.php?title=Ekonomis&action=edit&redlink=1" title="Ekonomis (halaman belum tersedia)"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">ekonomis</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pemeliharaan kesehatan adalah upaya penaggulangan dan
pencegahan gangguan kesehatan yang memerlukan pemeriksaan, pengobatan dan/atau
perawatan termasuk kehamilan dan persalinan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Salah satu </span><span lang="EN-US"><a href="http://id.wikipedia.org/w/index.php?title=Tujuan_nasional&action=edit&redlink=1" title="Tujuan nasional (halaman belum tersedia)"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">tujuan nasional</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> adalah
memajukan kesejahteraan </span><span lang="EN-US"><a href="http://id.wikipedia.org/w/index.php?title=Bangssa&action=edit&redlink=1" title="Bangssa (halaman belum tersedia)"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">bangssa</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">, yang berarti memenuhi kebutuhan dasar
manusia, yaitu pangan, </span><span lang="EN-US"><a href="http://id.wikipedia.org/w/index.php?title=Sandang&action=edit&redlink=1" title="Sandang (halaman belum tersedia)"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">sandang</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">, </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Pangan" title="Pangan"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">pangan</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">, </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Pendidikan"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">pendidikan</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">,
kesehatan, </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Lapangan"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">lapangan</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> kerja dan ketenteraman hidup.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> <span lang="EN-US"><o:p></o:p></span></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tujuan
pembangunan kesehatan adalah tercapainya kemampuan untuk hidup sehat bagi
setiap penduduk, jadi tanggung jawab untuk terwujudnya </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Derajat"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">derajat</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> kesehatan
yang</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Optimal" title="Optimal"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">optimal</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> berada di
tangan seluruh masyarakat Indonesia, </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Pemerintah"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">pemerintah</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> dan </span><span lang="EN-US"><a href="http://id.wikipedia.org/wiki/Swasta"><span lang="IN" style="color: windowtext; font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">swasta</span></a></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> bersama-sama.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Salah satu usaha pemerintah dalam
menyadarkan masyarakat tentang hidup sehat dan pelaksanaanya bagaimana cara
hidup sehat adalah dengan cara melakukan pendidikan kesehatan yang tidak hanya
didapat dibangku sekolah tapi juga bisa dilakukan dengan cara penyuluhan oleh
tim medis. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pembangunan
kesehatan merupakan bagian integral dari pembangunan nasional. Dalam
konstitusi Organisasi Kesehatan Dunia tahun 1948 disepakati antara lain bahwa
diperolehnya derajat kesehatan yang setinggi-tingginya adalah hak
yang fundamental bagi setiap orang tanpa membedakan ras, agama,
politik yang dianut dan tingkat sosial ekonominya. Program pembangunan
kesehatan yang dilaksanakan telah berhasil meningkatkan derajat kesehatan
masyarakat secara cukup bermakna, walaupun masih dijumpai berbagai masalah dan
hambatan yang akan mempengaruhi pelaksanaan pembangunan kesehatan. Oleh karena
itu diperlukan adanya reformasi di bidang kesehatan untuk mengatasi ketimpangan
hasil pembangunan kesehatan antar daerah dan antar golongan, derajat kesehatan
yang masih tertinggal dibandingkan dengan negara-negara tetangga dan kurangnya
kemandirian dalam pembangunan kesehatan. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Reformasi di
bidang kesehatan perlu dilakukan mengingat lima fenomena yang berpengaruh
terhadap pembangunan kesehatan. Pertama, perubahan pada dinamika kependudukan.
Kedua, Temuan-temuan ilmu dan teknologi kedokteran. Ketiga, Tantangan global
sebagai akibat dari kebijakan perdagangan bebas, revolusi informasi, telekomunikasi
dan transportasi.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Keempat,
Perubahan lingkungan.</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kelima,
Demokratisasi. Perubahan pemahaman konsep akan sehat dan sakit serta
semakin maju IPTEK dengan informasi tentang determinan penyebab penyakit telah
menggugurkan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">paradigma pembangunan
kesehatan yang lama yang mengutamakan pelayanan kesehatan yang
bersifat kuratif dan rehabilitatif. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Paradigma
pembangunan kesehatan yang baru yaitu Paradigma Sehat merupakan upaya untuk
lebih meningkatkan kesehatan masyarakat yang bersifat proaktif. Paradigma sehat
sebagai model pembangunan kesehatan yang dalam jangka panjang diharapkan mampu
mendorong masyarakat untuk mandiri dalam menjaga kesehatan melalui kesadaran
yang lebih tinggi pada pentingnya pelayanan kesehatan yang bersifat promotif
dan preventif.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Dalam Indonesia
Sehat 2010, lingkungan yang diharapkan adalah yang kondusif bagi terwujudnya
keadaan sehat yaitu lingkungan yang bebas dari polusi,
tersedianya air bersih, sanitasi lingkungan yang memadai, pemukiman
yang sehat, perencanaan kawasan yang berwawasan kesehatan serta terwujudnya
kehidupan masyarakat yang saling tolong menolong. Perilaku masyarakat Indonesia
Sehat 2010 yang diharapkan adalah yang bersifat proaktif untuk memelihara dan
meningkatkan kesehatan, mencegah risiko terjadinya penyakit, melindungi diri
dari ancaman penyakit serta berpartisipasi aktif dalam gerakan kesehatan
masyarakat. </span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Dalam
Piagam Ottawa disebutkan bahwa promosi kesehatan adalah proses yang
memungkinkan orang-orang untuk mengontrol dan meningkatkan kesehatan mereka
(Health promotion is the process of enabling people to increase control
over, and to improve, their health, WHO, 1986). Jadi, tujuan akhir promosi
kesehatan adalah kesadaran di dalam diri orang-orang tentang pentingnya
kesehatan bagi mereka sehingga mereka sendirilah yang akan melakukan
usaha-usaha untuk menyehatkan diri mereka.Untuk mencapai derajat kesehatan yang
sempurna, baik fisik, mental, maupun sosial, individu atau kelompok harus mampu
mengenal serta mewujudkan aspirasi-aspirasinya untuk memenuhi kebutuhannya dan
agar mampu mengubah atau mengatasi lingkungannya (lingkungan fisik, sosial
budaya, dan sebagainya). Kesehatan adalah sebuah konsep positif yang
menitikberatkan sumber daya pada pribadi dan masyarakat sebagaimana halnya pada
kapasitas fisik. Untuk itu, promosi kesehatan tidak hanya merupakan tanggung
jawab dari sektor kesehatan, akan tetapi jauh melampaui gaya hidup secara sehat
untuk kesejahteraan (WHO,1986). Penyelenggaraan promosi kesehatan dilakukan
dengan mengombinasikan berbagai strategi yang tidak hanya melibatkan sektor
kesehatan belaka, melainkan lewat kerjasama dan koordinasi segenap unsur dalam
masyarakat. Hal ini didasari pemikiran bahwa promosi kesehatan adalah suatu
filosofi umum yang menitikberatkan pada gagasan bahwa kesehatan yang baik
merupakan usaha individu sekaligus kolektif (Taylor, 2003).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
Sejarah dari Promosi Kesehatan?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Apa
Definisi dari Promosi Kesehatan?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sebutkan
Tujuan dari Promosi Kesehatan?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sebutkan
Visi dari Promosi Kesehatan?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sebutkan
Misi dari Promosi Kesehatan?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
Strategi dari Promosi Kesehatan?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
Sasaran dari Promosi Kesehatan?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sebutkan
Prinsip-prinsip dari Promosi Kesehatan?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jelaskan
Program/Jenis-jenis Kegiatan dari Promosi Kesehatan?<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan
Sejarah dari Promosi Kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Mengetahui
Definisi dari Promosi Kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menyebutkan
Tujuan dari Promosi Kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menyebutkan
Visi dari Promosi Kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menyebutkan
Misi dari Promosi Kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan
Strategi dari Promosi Kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan
Sasaran dari Promosi Kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menyebutkan
Prinsip-prinsip dari Promosi Kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menjelaskan
Program/Jenis-jenis Kegiatan dari Promosi Kesehatan</span></div>
<a name='more'></a><o:p></o:p><br />
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 115%;">BAB
II<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 115%;">PEMBAHASAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Sejarah
Promosi Kesehatan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sebelum menjadi promosi kesehatan
pengertiannya di samakan dengan pendididkan kesehatan, pada pendidikan
kesehatan di tekankan pada perubahan perilaku masyarakat dengan cara memberikan
informasi kesehatan melalui berbagai cara dan teknologi. Dari hasil studi yang
di lakukan oleh Organisasi Kesehatan Dunia (WHO) dan para ahli pendidikan
kesehatan didapati bahwa pengetahuan masyarakat tentang kesehatan meningkat
tetapi tidak di imbangi oleh perubahan perilakunya. Disadari bahwa pendidikan
kesehatan belum “memampukan” masyarakat tetapi baru dapat
“memaukan” Mengenai istilah Promosi Kesehatan sendiri juga mengalami
perkembangan. Mula-mula dicetuskan di Ottawa, Canada pada tahun 1986
merupakan konferensi Internasional promosi kesehatan yang pertama kali
dilaksanakan yang berlangsung tanggal 17 sampai dengan 21 November 1986 dikenal
dengan Ottawa Charter.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada konferensi Internasional promosi
kesehatan ini mengambil tema Menuju Kesehatan Masyarakat Baru, namun pada
konferensi ini tidak terlepas dari Deklarasi Alma Ata tahun 1978 tentang
Pelayanan Kesehatan Dasar atauPrimary Health Care oleh WHO promosi
kesehatan didefinisikan sebagai: theprocess of enabling people to control
over and improve their health.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tetapi definisi tersebut
diaplikasikan ke dalam bahasa Indonesia menjadiProses pemberdayaan
masyarakat untuk memelihara,Meningkatkan dan melindungi
kesehatannya. Definisi ini tetap dipergunakan, sampai kemudian mengalami
revisi pada konferensi dunia di Bangkok pada bulan Agustus 2005, menjadi
(Health promotion is the process of enabling people to increase control
over their health and its determinants, and thereby improve their
health) dan dimuat dalam The Bangkok Charter. Dan definisi baru
ini belum dibakukan bahasa Indonesia. Selain istilah Promosi Kesehatan,
sebenarnya juga beredar banyak istilah lain yang mempunyai kemiripan makna,
atau setidaknya satu nuansa dengan istilah promosi kesehatan, seperti: komunikasi,
Informasi dan Edukasi, Pemasaran social, Mobilisasi social dan Pemberdayaan
masyarakat, dll.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Definisi
Promosi Kesehatan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Promosi
Kesehatan adalah segala bentuk kombinasi pendidikan kesehatan dan intervensi
yang terkait dengan ekonomi, politik, dan organisasi, yang dirancang untuk
memudahkan perubahan perilaku dan lingkungan yang kondusif bagi kesehatan.
(Lawrence Green, 1984)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Menurut
Piagam Ottawa (1986), Promosi Kesehatan adalah suatu proses untuk memampukan
masyarakat dalam memelihara dan meningkatkan kesehatan mereka.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Prom</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">osi K</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">es</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">ehatan</span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> adalah Proses membuat orang mampu meningkatkan kontrol
terhadap, dan memperbaiki kesehatan mereka</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">
(WHO,1984)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Australian
Health Foundation merumuskan batasan lain pada promosi kesehatan sebagai
berikut :“ Health promotion is programs are design to bring about “change”within
people, organization, communities, and their environment ”. Artinya bahwa
promosi kesehatan adalah program-program kesehatan yang dirancang untuk membawa
perubahan (perbaikan), baik di dalam masyarakat sendiri, maupun dalam
organisasi dan lingkungannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Soekidjo Notoatmojo (2005), Pertama:…promosi
kesehatan dalam konsep <i>Level and Clark </i>(4 tingkat
pencegahan penyakit) berarti <i>peningkatan kesehatan. </i>Kedua:…upaya
memasarkan, menyebarluaskan, memperkenalkan pesan-pesan kesehatan, atau
upaya-upaya kesehatan sehingga masyarakat menerima pesan-pesan tersebut.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Promosi
kesehatan merupakan proses pemberdayaan seseorang untuk
meningkatkan control dan peningkatan kesehatannya. WHO
menekankan bahwa promosi kesehatan merupakan suatu proses yang bertujuan memungkinkan
individu meningkatkan kontrol terhadap kesehatan dan meningkatkan kesehatannya
berbasis filosofi yang jelas mengenai pemberdayaan diri sendiri (Maulana,2009).<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
promosi kesehatan</span></b><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Green,1991
dalam Maulana,2009,tujuan promosi kesehatan terdiri dari tiga tingkatan yaitu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
Program</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Refleksi
dari fase social dan epidemiologi berupa pernyataan tentang apa yang akan
dicapai dalam periode tertentu yang berhubungan dengan status kesehatan. Tujuan
program ini juga disebut tujuan jangka panjang, contohnya mortalitas akibat
kecelakaan kerja pada pekerja menurun 50 % setelah promosi kesehatan berjalan
lima tahun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
Pendidikan</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pembelajaran
yang harus dicapai agar tercapai perilaku yang diinginkan. Tujuan ini merupakan
tujuan jangka menengah, contohnya : cakupan angka kunjungan
ke klinik perusahaan meningkat 75% setelah promosi kesehatan berjalan
tiga tahun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tujuan
Perilaku</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Gambaran
perilaku yang akan dicapai dalam mengatasi masalah kesehatan. Tujuan ini
bersifat jangka pendek, berhubungan dengan pengetahuan, sikap, tindakan,
contohnya: pengetahuan pekerja tentangtanda-tanda bahaya di tempat kerja
meningkat 60% setelah promosi kesehatan berjalan 6 bulan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Visi promosi kesehatan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Visi adalah impian,
cita – cita atau harapan yang ingin dicapai oleh suatu kegiatan atau program.
Promosi kesehatan sebagai lembaga atau institusi atau suatu program yang
seyogianya mempunyai visi dan misi yang jelas. Sebab dengan visi dan misi
tersebut institusi atau program mempunyai arah dan tujuan yang akan dicapai.
Oleh sebab itu, visi promosi kesehatan (khususnya Indonesia) tidak terlepas
dari visi pembangunan kesehatan di Indonesia, seperti yang tercantum dalam
Undang – Undang Kesehatan RI No. 36 Tahun 2009, yakni: “<i>Meningkatkan kesadaran, kemauan dan kemampuan hidup sehat bagi setiap
orang agar terwujud derajat kesehatan masyarakat yang setinggi – tingginya,
sebagai investasi sumber daya manusia yang produktif secara sosial dan ekonomi</i>”.
Promosi kesehatan sebagai bagian dari program kesehatan masyarakat di Indonesia
harus mengambil bagian dalam mewujudkan visi pembangunan kesehatan di Indonesia
tersebut. Sehingga promosi kesehatan dapat dirumuskan : “Masyarakat mau dan
mampu memelihara dan meningkatkan kesehatannya” (Soekidjo Notoatmodjo, 2010).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adapun visi promosi
kesehatan antara lain :</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mau (<i>willigness</i>)
memelihara dan meningkatkan kesehatannya.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mampu (<i>ability</i>)
memelihara dan meningkatkan kesehatannya.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memelihara kesehatan, berarti mau dan mampu mencegah
penyakit, melindungi diri dari gangguan – gangguan kesehatan.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan kesehatan, berarti mau dan mampu
meningkatkan kesehatannya. Kesehatan perlu ditingkatkan karena derajat
kesehatan baik individu, kelompok atau masyarakat itu bersifat dinamis tidak
statis.</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Misi promosi kesehatan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mewujudkan visi
promosi kesehatan yakni masyarakat mau dan mampu memelihara dan meningkatkan
kesehatannya diperlukan upaya – upaya. Upaya – upaya untuk mewujudkan visi ini
disebut <i>misi promosi kesehatan</i> yaitu
apa yang harus dilakukan untuk mencapai visi (Soekidjo Notoatmodjo, 2010).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut (Ottawa
Charter, 1984) secara umum misi promosi kesehatan ini ada 3 hal antara lain :</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l17 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Advokat (<i>Advocate</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kegiatan advokat ini dilakukan terhadap para pengambil
keputusan dari berbagai tingkat dan sektor terkait dengan kesehatan. Tujuan
kegiatan ini adalah meyakinkan para pejabat pembuat keputusan atau penentu
kebijakan bahwa program kesehatan yang akan dijalankan tersebut penting. Oleh
sebab itu, perlu dukungan kebijakan atau keputusan dari pejabat tersebut
(Soekidjo Notoatmodjo, 2010).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l17 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjembatani (<i>Mediate</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Promosi kesehatan juga mempunyai misi mediator atau
menjembatani antara sektor kesehatan dengan sektor yang lain sebagai mitra.
Dengan kata lain promosi kesehatan merupakan perekat kemitran di bidang
pelayanan kesehatan. Kemitraan adalah sangat penting sebab tanpa kemitraan
niscaya sektor kesehatan tidak mampu menangani masalah–masalah kesehatan yang
begitu kompleks dan luas (Soekidjo Notoatmodjo, 2010).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l17 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memampukan (<i>Enable</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sesuai dengan visi promosi kesehatan mau dan mampu
memelihara serta meningkatkan kesehatannya, promosi kesehatan mempunyai misi
utama untuk memampukan masyarakat. Hal ini berarti baik secara langsung atau
melalui tokoh – tokoh masyarakat, promosi kesehatan harus memberikan
keterampilan – keterampilan kepada masyarakat agar mereka mandiri di bidang
kesehatan. Telah kita sadari bersama bahwa kesehatan dipengaruhi banyak faktor
luar kesehatan seperti pendidikan, ekonomi, sosial dan sebagainya. Oleh sebab
itu, dalam rangka memberdayakan masyarakat di bidang kesehatan, maka
keterampilan di bidang ekonomi (pertanian, peternakan, perkebunan), pendidikan
dan sosial lainnya perlu dikembangkan melalui promosi kesehatan ini (Soekidjo
Notoatmodjo, 2010).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Strategi promosi kesehatan</span></b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mewujudkan
promosi kesehatan, diperlukan suatu strategi yang baik. Strategi adalah cara
yang digunakan untuk mencapai apa yang diinginkan dalam promosi kesehatan
sebagai penunjang program – program kesehatan yang lainnya seperti
pemberantasan penyakit menular, sanitasi lingkungan, status gizi masyarakat,
pelayanan kesehatan dan lain sebagainya. Strategi ini diperlukan dalam
mewujudkan visi dan misi dari promosi kesehatan (Mubarak dan Nurul, 2009).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berdasarkan rumusan
WHO (1994), strategi promosi kesehatan secara global terdiri dari 3 hal yaitu :</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Advokasi (<i>Advocacy</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Advokasi yaitu kegiatan memberikan bantuan kepada
masyarakat dengan membuat keputusan dan penentu kebijakan dalam bidang
kesehatan maupun sektor lain di luar kesehatan yang mempunyai pengaruh terhadap
masyarakat (Mubarak dan Nurul, 2009).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Advokasi adalah kegiatan untuk meyakinkan orang lain
agar membantu atau mendukung terhadap apa yang diinginkan. Dalam konteks
promosi kesehatan, advokasi adalah pendekatan kepada para pembuat keputusan
atau penentu kebijakan di berbagai sektor dan tingkat sehingga para pejabat
tersebut mau mendukung program kesehatan yang kita inginkan. Dukungan dari para
pejabat pembuat keputusan dapat berupa kebijakan – kebijakan yang dikeluarkan
dalm bentuk undang – undang, peraturan pemerintah, surat keputusan, surat
instruksi dan sebagainya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kegiatan advokasi ini ada bermacam – macam bentuk,
baik secara formal atau informal. Secara formal misalnya, penyajian atau
presentasi dan seminar tentang <i>issu</i>
atau usulan program yang ingin diharapkan dukungan dari pejabat terkait.
Kegiatan advokasi secara informal, misalnya mengunjungi pejabat yang relevan
dengan program yang diusulkan, untuk secara informal minta dukungan, baik dalam
bentuk kebijakan, dana atau fasilitas lain. Dari uraian di atas, dapat
disimpulkan bahwa advokasi adalah para pejabat baik eksekutif dan legislatif
diberbagai tingkat dan sektor yang terkait dengan masalah kesehatan (Soekidjo
Notoatmodjo, 2010).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dukungan Sosial (<i>Social
Support</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Promosi kesehatan akan mudah dilakukan jika mendapat
dukungan dari berbagai elemen yang ada di masyarakat. Dukungan dari masyarakat
antara lain berasal dari unsur informal (tokoh agama dan tokoh adat) yang
mempunyai pengaruh di masyarakat serta unsur formal seperti petugas kesehatan
dan pejabat pemerintah (Mubarak dan Nurul, 2009).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan utamanya agar para tokoh masyarakat sebagai
jembatan antara sektor kesehatan sebagai pelaksana program kesehatan dengan
masarakat (penerima program) kesehatan. Dengan kegiatan mencari dukungan sosial
melalui tokoh masyarakat pada dasarnya adalah mensosialisasikan program –
program kesehatan agar masyarakat menerima dan mau berpartisipasi terhadap
program tersebut. Oleh sebab itu, strategi ini juga dapat dikatakan sebagai
upaya membina suasana yang kondusif terhadap kesehatan. Bentuk kegiatan
dukungan sosial ini anatara lian : pelatihan – pelatihan tokoh masyarakat,
seminar, lokakarya, bimbingan kepada tokoh masyarakat dan sebagainya. Dengan
demikian sasaran utama dukungan sosial atau bina suasana adalah para tokoh
masyarakat di berbagai tingkat (Soekidjo Notoatmodjo, 2010).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberdayaan Masyarakat (<i>Empowerment</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberdayaan adalah strategi promosi kesehatan yang
ditujukan kepada masyarakat secara langsung. Tujuan utama pemberdayaan adalah
mewujudkan kemampuan masyarakat dalam memelihara dan meningkatkan kesehatan
mereka sendiri (<i>visi promosi kesehatan</i>).
Bentuk kegiatan pemberdayaan ini dapat diwujudkan dengan berbagai kegiatan
anatara lain : penyuluhan kesehatan, pengorganisasian dan pengembangan
masyarakat dalam bentuk misalnya koperasi, pelatihan – pelatihan untuk
kemampuan peningkatan pendapatan keluarga (<i>income
generating skill</i>). Dengan meningkatkan kemampuan ekonomi keluarga akan
berdampak terhadap kemampuan dalam pemeliharaan kesehatan contohnya,
terbentuknya dana sehat, terbentuknya pos obat desa, berdirinya polindes dan
sebagainya. Kegiatan – kegiatan semacam ini di masyarakat sering disebut
gerakan masyarakat untuk kesehatan. Dari uraian tersebut dapat disimpulkan
bahwa sasaran pemberdayaan masyarakat adalah masyarakat itu sendiri (Soekidjo
Notoatmodjo, 2010).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konferensi
internasional promosi kesehatan di Ottawa Canada pada tahun 1986 menghasilkan <b>Piagam Ottawa (<i>Ottawa Charter</i>)</b>. Dalam Piagam Ottawa tersebut dirumuskan pula
strategi baru promosi kesehatan yang mencakup 5 butir, yakni :</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebijakan Berwawasan Kebijakan (<i>Healthy Public Policy</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adalah suatu strategi promosi kesehatan yang ditujukan
kepada para penentu atau pembuat kebijakan agar mereka mengeluarkan kebijakan –
kebijakan publik yang mendukung atau menguntungkan kesehatan. Dengan kata lain,
agar kebijakan dalam bentuk peraturan, perundangan, surat – surat keputusan dan
sebagainya, selalu berwawasan atau berorientasi kepada kesehatan publik.
Misalnya, ada peraturan atau undang – undang yang mengatur adanya analisis
dampak lingkungan untuk mendirikan pabrik, perusahaan rumah sakit dan
sebagainya. Setiap kebijakan yang dikeluarkan oleh pejabat publik harus
memperhatikan dampaknya terhadap lingkungan kesehatan masyarakat (Soekidjo
Notoatmodjo, 2010).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lingkungan yang Mendukung (<i>Supporting Environment</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hendaknya setiap aktivitas yang dilakukan oleh
masyarakat harus memperhatikan dampak pada lingkungan sekitar agar mempermudah
promosi kesehatan. Lingkungan yang dimaksud di sini bukan saja lingkungan
fisik, tetapi lingkungan non – fisik yang kondusif terhadap kesehatan
masyarakat (Mubarak dan Nurul, 2009).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Strategi ini ditujukan kepada para pengelola tempat
umum termasuk pemerintah kota, agar mereka menyediakan sarana – prasarana atau
fasilitas yang mendukung terciptanya perilaku sehat bagi masyarakat atau
sekurang – kurangnya pengunjung tempat – tempat umum tersebut. Lingkungan yang
mendukung bagi kesehatan tempat – tempat umum antara lain : tersedianya tempat sampah,
buang air besar atau kecil, air bersih, ruangan bagi perokok dan non perokok
serta lain sebagainya. Jadi, para pengelola tempat – tampat umum seperti pasar,
terminal, stasiun kereta api, bandara, pelabuhan, mall harus menyediakan sarana
– sarana untuk mendukung perilaku sehat bagi pengunjungnya. (Soekidjo
Notoatmodjo, 2010).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reorientasi Pelayanan Kesehatan (<i>Reorient Helath Service</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sudah menjadi pemahaman masyarakat pada umumnya, bahwa
dalam pelayanan kesehatan itu ada <i>provider</i>
dan <i>customer</i>. Penyelenggara
(penyedia) pelayanan kesehatan adalah pemerintah, sedangkan swasta dan
masyarakat adalah pemakai atau pengguna pelayanan kesehatan. Pemahaman semacam
ini harus diubah dan dioreintasikan bahwa masyarakat bukan hanya sekedar
pengguna atau penerima pelayanan kesehatan, tetapi sekaligus sebagai
penyelenggara pelayanan kesehatan baik pemerintah ataupun swasta harus
melibatkan, bahkan memberdayakan masyarakat agar mereka juga dapat berperan
bukan hanya sebagai penerima pelayanan kesehatan tetapi sekaligus sebagai
penyelenggra kesehatan masyarakat. Dalam mereorientasikan pelayanan kesehatan
ini peran promosi kesehatan sangatlah penting (Soekidjo Notoatmodjo, 2010).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keterampilan Individu (<i>Personnel Skill</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapkan tiap – tiap individu yang berada di
masyarakat mempunyai pengetahuan dan kemampuan yang baik dalam memelihara
kesehatannya, mengenai penyebab penyakit, mencegah penyakit, meningkatkan
kesehatannya dan mampu mencari pengobatan yang layak jika mereka atau anak –
anak mereka sedang sakit (Mubarak dan Nurul, 2009).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesehatan masyarakat adalah kesehatan agregat yang
terdiri dari individu, keluarga dan kelompok – kelompok. Jadi, kesehatan
masyarakat akan terwujud apabila kesehatan individu, keluarga serta kelompok
dapat terwujud. Strategi untuk mewujudkan keterampilan individu (<i>personnel skill</i>) dalam memelihara dan
meningkatkan kesehatan adalah sangat penting. Langkah awal dari peningkatan
keterampilan dalam memelhara dan meningkatkan kesehatan mereka ini adalah
memberikan pemahaman – pemahaman kepada anggota masyarakat tentang cara – cara
memelihara kesehatan, mencegah penyakit, mengenal penyakit, mencari pengobatan
ke fasilitas kesehatan profesional, meningkatkan kesehatan dan sebagainya.
Metode dan tekhnik pemberian pemahaman ini lebih bersifat individual daripada
massa (Soekidjo Notoatmodjo, 2010).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan Masyarakat (<i>Community Action</i>)</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mendukung perwujudan masyarakat yang mau, mampu
memelihara dan meningkatkan kesehatannya seperti tersebut dalam visi promosi
kesehatan ini, maka di dalam masyarakat itu sendiri harus ada gerakan atau
kegiatan – kegiatan untuk kesehatan. Oleh sebab itu, promosi kesehatan harus
mendorong serta memacu kegiatan – kegiatan di masyarakat dalam mewujudkan
kesehatan mereka. Tanpa adanya kegiatan masyarakat di bidang kesehatan, niscaya
terwujud perilaku yang kondusif untuk kesehatan atau masyarakat yang mau dan
mampu memelihara serta meningkatkan kesehatan mereka (Soekidjo Notoatmodjo,
2010).</span><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 115%;">Sasaran
promosi kesehatan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Berdasarklan pentahapan upaya promosi kesehatan,
maka sasaran dibagi dalam tiga kelompok sasaran, yaitu :</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran Primer (primary target)</span><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran umumnya adalah masyarakat yang dapat
dikelompokkan menjadi, kepala keluarga untuk masalah kesehatan umum, Ibu hamil
dan menyusui anak untuk masalah KIA (Kesehatan Ibu dan Anak) serta anak sekolah
untuk kesehatan remaja dan lain sebagianya. Sasaran promosi ini sejalan dengan
strategi pemberdayaan masyarakat (empowerment).</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran Sekunder (secondary target)</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran sekunder dalam promosi kesehatan adalah
tokoh-tokoh masyarakat, tokoh agama, tokoh adat, serta orang-orang yang
memiliki kaitan serta berpengaruh penting dalam kegiatan promosi kesehatan,
dengan harapan setelah diberikan promosi kesehatan maka masyarakat tersebut
akan dapat kembali memberikan atau kembali menyampaikan promosi kesehatan pada
lingkungan masyarakat sekitarnya.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> <span style="background: white;">Tokoh masyarakat yang telah mendapatkan promosi
kesehatan diharapkan pula agar dapat menjadi model dalam perilaku hidup sehat
untuk masyarakat sekitarnya.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sasaran Tersier (tertiary target)</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Adapun yang menjadi sasaran tersier dalam promosi
kesehatan adalah pembuat keputusan (decission maker) atau penentu kebijakan
(policy maker). Hal ini dilakukan dengan suatu harapan agar kebijakan-kebijakan
atau keputusan yang dikeluarkan oleh kelompok tersebut akan memiliki
efek/dampak serta pengaruh bagi sasaran sekunder maupun sasaran primer dan
usaha ini sejalan dengan strategi advokasi (advocacy).<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="background: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Prinsip-prinsip promosi kesehatan</span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Prinsip
promosi kesehatan menurut WHO pada Ottawa Charter for health promotion
(1986) mengemukakan ada tujuh prinsip pada promosi kesehatan, antara lain :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Empowerment
(pemberdayaan) yaitu cara kerja untuk memungkinkan seseorang untuk mendapatkan
kontrol lebih besar atas keputusan dan tindakkan yang mempengaruhi kesehatan mereka.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Partisipative
(partisipasi) yaitu dimana seseorang mengambil bagian aktif dalam pengambilan
keputusan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Holistic (menyeluruh)
yaitu memperhitungkan hal-hal yang mempengaruhi kesehatan dan interaksi dari
dimensi-dimensi tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Equitable
(kesetaraan) yaitu memastikan kesamaan atau kesetaraan hasil yang di dapat oleh
klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intersectoral
(antar sektor) yaitu bekerja dalam kemitraan dengan instasi terkait lainnya
atau organisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sustainable (berkelanjutan)
yaitu memastikan bahwa hasil dari kegiatan promosi kesehatan yang berkelanjutan
dalam jangka panjang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Multi Strategy yaitu
bekerja pada sejumlah strategi daerah seperti program kebijakkan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 130.5pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sedangkan menurut
Michael,dkk,2009 Prinsip-prinsip promosi kesehatan antara lain sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l13 level1 lfo12; tab-stops: 130.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Manajemen
puncak harus mendukung secara nyata serta antusias program intervensi dan turut
terlibat dalam program tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo12; tab-stops: 130.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pihak
pekerja pada semua tingkat ini pengorganisasian harus terlibat dalam
perencanaan dan implementasi intervensi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo12; tab-stops: 130.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Fokus
intervensi harus berdasarkan pada factor risiko yang dapat didefinisikan serta
dimodifikasi dan merupakan prioritas bagi pekerja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo12; tab-stops: 130.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi
harus disusun sesuai dengan karakteristik dan kebutuhan pekerja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo12; tab-stops: 130.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Sumber
daya setempat harus dimanfaatkan dalam mengorganisasikan dan mengimplementasikan
intervensi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo12; tab-stops: 130.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Evaluasi
harus dilakukan juga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo12; tab-stops: 130.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Organisasi
harus menggunakan inisiatif kebijakan berbasis populasi maupun intervensi
promosi kesehatan yang intensif dengan berorientasi pada perorangan dan kelompok.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l13 level1 lfo12; tab-stops: 130.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Intervensi
harus bersifat kontinue serta didasarkan pada prinsip-prinsippemberdayaan dan
atau model yang berorientasi pada masyarakat dengan menggunakan lebih dari satu
metode.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Program/
Jenis-Jenis Kegiatan Promosi Kesehatan<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ditujukan
kepada populasi tertentu dengan setting khusus, melibatkan partisipasi
masyarakat sejak perencanaan (termasuk <i>need assessment</i>), hingga
implementasi dan evaluasi,bertujuan mengubah individu, lingkungan fisik dan
sosial, masyarakat dan kebijakan,mengkaitkan perhatian tentang kesehatan dengan
isu kehidupan yang lebih luas (kesejahteraan), memberdayakan sumber daya yang
ada. <b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Ewlest
& simnet (1994) dalam Heri.D.J. Maulana (2009) hal. 26, mengidentifikasi
tujuan area kegiatan promosi kesehatan yaitu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Progam Pendidikan
Kesehatan<b><o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Program
pendidikan kesehatan adalah kesempatan yang direncanakan untuk belajar tentang
kesehatan, dan melakukan perubahan-perubahan secara sukarela dalam tingkah
laku.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pelayanan
Kesehatan Preventif<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Winslow (1920)
dalam Level & Clark (1958) dalam Heri.D.J. Maulana
(2009) hal. 27, mengungkapkan 3 tahap pencegahan yang dikenal dengan
teori five levels of prevention, yaitu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pencegahan
Primer<b><o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Dilakukan saat
individu belum menderita sakit, meliputi:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Promosi
Kesehatan (health promotion)<b><o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan pada
tahap ini ditujukan untuk meningkatkan daya tahan tubuh terhadap masalah
kesehatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Perlindungan
Khusus (specific protection)<b><o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Berupa upaya
spesifik untuk mencegah terjadinya penularan penyakit tertentu, misalnya
melakukan imunisasi, dan peningkatan keterampilan remaja untuk mencegah ajakan
menggunakan narkotik, dan penanggulangan stress.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pencegahan
Skunder<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diagnosis
dini dan pengobatan segera.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pembatasan
kecacatan<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pencegahan
Tersier<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pada tahap ini
upaya yang dilakukan adalah mencegah agar cacat yang diderita tidak menjadi
hambatan sehingga indiviu yang menderita dapat
berfungsi optimal secara fisik, mental, dan sosial.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan
Berbasis Masyarakat<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Promosi
kesehatan menggunakan pendekatan “dari bawah”, bekerja dengan dan untuk
penduduk, dengan melibatkan masyarakat dalam kesadaran kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengembangan
Organisasi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengembangan
organisasi berhubungan dengan pengembangan dan pelalaksanaan kebijakan dalam
oranisasi-organisasi yang berupayameningkatkan kesehatan para staf dan
pelanggan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kebijakan
Publik Yang Sehat<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Upaya
ini melibatkan badan resmi atau sukarela, kelompok profesional, dan masyarakat
umum yang bekerja sama mengembangkan perubahan-perubahan dalam situasi dan
kondisi kehidupan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Tindakan
Kesehatan Berwawasan Lingkungan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Upaya
yang dilakukan adalah menjadikan lingkungan fisik penunjang kesehatan, baik di
rumah, tempat kerja, atau tempat-tempat umum.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan
ekonomi yang bersifat peraturan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kegiatan
politik dan edukasional ini ditunjukan pada politisi untuk kebijaksanaan dan
perencana yang melibatkan upaya lobi dan implementasi perubahan perubahan
legestalatif.seperti peratuaran pemberian lebel makanan halal mendorang pratik
etik yang sukarela.<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Jenis
kesehatan promosi kesehatan meliputi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level2 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemberdayaan
masyarakat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemgembangan
kemitraan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Upaya
advokasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pembinaan
suasana<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemgembangan
SDM<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pemgembangan
IPTEK<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level2 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengembangan
media dan sarana<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Pengembangan
infrastruktur<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%;">BAB
III<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Untuk mewujudkan atau mencapai visi
dan misi promosi kesehatan secara efektif dan efisien, maka diperlukan cara dan
pendekatan yang strategis yaitu strategi promosi kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Saran<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Diharapkan dengan adanya makalah ini
pembaca khususnya kita sebagai perawat dapat memahami tentang strategi promosi
kesehatan dalam rangka memajukan kesehatan masyarakat serta meningkatkan
derajat kesehatan masyarakat , dan dengan promosi kesehatan yaitu melalui
penyuluhan kesehatan atau pendidikan kesehatan kita sebagai perawat dapat
mencegah berbagai penyakit.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">DAFTAR
PUSTAKA<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Maulana, Herry.( 2007 ). Promosi Kesehatan.
Jakarta : EGC<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Notoatmodjo, Soekidjo.( 2003 ). Pendidikan dan
Prilaku Kesehatan.Jakarta : Rineka Cipta.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%;">Notoatmodjo, Soekidjo.(2007). Promosi Kesehatan
dan Ilmu Perilaku.Jakarta : Rineka Cipta.<o:p></o:p></span></div>
<br />
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<br /></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-40654426694744842092016-05-16T07:43:00.003-07:002016-05-16T07:43:29.803-07:00Konsep Keperawatan Kesehatan Sekolah<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">A.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">KONSEP
KEPERAWATAN KESEHATAN SEKOLAH<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12pt;">1.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12pt;">Keperawatan
kesehatan sekolah<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: 18pt;">
<span style="font-size: 12pt;">Pelayanan keperawatan </span><span lang="EN-US" style="font-size: 12pt;">ditingkat sekolah </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> </span><span style="font-size: 12pt;">pendídikan pencegahan penyakit, peningkatan derajat kesehatan dan
pendidikan seks. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: 18pt;">
<b><i><span style="font-size: 12pt;">Pelayanan kesehatan di sekolah
diutamakan</span></i></b><b><i><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></i></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Peningkatan kesehatan (<i>promotif</i>),
</span></b><b><span lang="EN-US" style="color: #7030a0; font-family: Wingdings; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><b><span lang="EN-US" style="color: #7030a0; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span></b><span style="font-size: 12pt;">dilaksanakan melalui
kegiatan intra kurikuler dan penyuluhan kesehatan serta latihan ket</span><span lang="EN-US" style="font-size: 12pt;">e</span><span style="font-size: 12pt;">rampilan oleh tenaga
kesehatan disekolah, <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<b><span lang="EN-US" style="font-size: 12pt;">C</span></b><b><span style="font-size: 12pt;">ontohnya</span></b><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">kegiatan penyuluhan gizi,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">kesehatan pribadi, <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">p</span><span style="font-size: 12pt;">enyakit menular, <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">cara menggosok gigi yang benar</span><span lang="EN-US" style="font-size: 12pt;">, </span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">cara mengukur tinggi dan berat badan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">cara memeriksa ketajaman penglihatan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Pencegahan (<i>preventif</i>)</span></b><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span lang="EN-US" style="color: #7030a0; font-family: Wingdings; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="color: #7030a0; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12pt;">dilaksanakan melalaui
kegiatan peningkatan daya</span><span style="font-size: 12pt;"> </span><span style="font-size: 12pt;">tahan tubuh. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<b><span lang="EN-US" style="font-size: 12pt;">C</span></b><b><span style="font-size: 12pt;">ontohnya</span></b><span style="font-size: 12pt;"> <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">I</span><span style="font-size: 12pt;">munisasi oleh petugas puskesmas,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pemberantasan sarang nyamuk,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pengobatan sederhana oleh dokter kecil,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">kegiatan penjaringan kesehatan bagi siswa kelas I yang baru masuk
dan pemeriksaan berkala setiap 6 bulan bagi seluruh siswa.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Penyembuhan dan pemulihan (<i>kuratif
dan rehabilitatif</i>)</span></b><b><span lang="EN-US" style="color: #7030a0; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,</span></b><span lang="EN-US" style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span lang="EN-US" style="color: #7030a0; font-family: Wingdings; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="color: #7030a0; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12pt;">dilakukan melalui
kegiatan mencegah komplikasi dan kecacatan akibat proses penyakit dan untuk
meningkatkan kemamapuan peserta didik yang cedera atau cacat agar dapat
berfungsi normal.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<b><span style="font-size: 12pt;">Kegiatan</span></b><span style="font-size: 12pt;"> <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pengobatan ringan untuk mengurangi derita sakit<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pertolongan pertama di sekolah serta rujukan medik ke puskesmas.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">Kasus kecelakaan, keracunan atau kondisi </span><span lang="EN-US" style="font-size: 12pt;">lain </span><span style="font-size: 12pt;">yang membahayakan nyawa
dan kasus penyakit khusus.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">2.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Peran perawat kesehatan sekolah<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span lang="EN-US" style="font-size: 12pt;">a.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12pt;">Sebagai pelaksana askep di sekolah,
perawat mempunyai peran :<o:p></o:p></span></i></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">Mengkaji masalah kesehatan dan keperawatan
peserta didik dengan melakukan pengumpulan data, analisis data serta perumusan
dan prioritas masalah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">2)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">Menyusun perencanaan kegiatan UKS bersama
Tim Pemina Usaha Kesehatan di Sekolah (TPUKS)<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">3)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">Melaksanakan kegiatan UKS sesuai dengan
rencana kegiatan yang disusun<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">4)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">Menilai dan memantau kegiatan UKS<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">5)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">Mencatat dan melaporkan sesuai dengan
prosedur yang ditetapkan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span lang="EN-US" style="font-size: 12pt;">b.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12pt;">Sebagai pengelola kegiatan UKS</span></i></b><span lang="EN-US" style="font-size: 12pt;">,
perawat kesehatan yang bertugas di puskesmas menjadi salah seorang anggota
dalam TPUKS atau dapat juga ditunjuk sebagai seorang koordinator UKS I tingkat
puskesmas. Bila perawat kesehatan ditunjuk sebagai koordinator makan
pengelolaan pelaksanaan UKS menjadi tanggung jawabnya atau paling tidak ikut
terlibat dalam tim pengelola UKS.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span lang="EN-US" style="font-size: 12pt;">c.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12pt;">Sebagai penyuluh dalam bidang kesehatan</span></i></b><span lang="EN-US" style="font-size: 12pt;">,
peranan perawat kesehatan dalam memberikan penyuluhan kesehatan dapat dilakukan
secara langsung melalui penyuluhan kesehatan yang bersifat umum dan klasikal
atau tidak langsung sewaktu melakukan pemeriksaan kesehatan peserta didik
perseorangan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">3.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Fungsi perawat sekolah<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">Memberikan pelayanan serta meningkatkan
kesehatan individu dan memberikan pendidikan kesehatan kepada semua populasi
yang ada di sekolah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">Memberikan kontribusi untuk mempertahankan
dan memperbaiki lingkungan fisik sekolah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">Menghubungkan program kesehatan sekolah
dengan program kesehatan masyarakat yang lain.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="background: white; margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span style="color: red; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">4.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Menurut
WHO (DEPKES 2008) ada 6 ciri utama sekolah yang dapat mempromosikan atau
meningkatkan kesehatan</span></b><span style="color: red; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="font-size: 12pt;">a.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Melibatkan semua
pihak yang berkaitan dengan masalah kesehatan sekolah</span></i></b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;"> yaitu peserta</span><span style="font-size: 12pt;"> <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">didik, orangtua dan para tokoh masyarakat maupun organisasi-organisasi
di masyarakat</span></span><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">.</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="font-size: 12pt;">b.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Berusaha keras
untuk menciptakan lingkungan sehat dan aman</span></i></b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">, meliputi :</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Sanitasi dan air
yang cukup</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">2)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Bebas dari
pengaruh negatif</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">3)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Pekarangan
sekolah yang aman</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">4)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Dukungan masyarakat
yang sepenuhnya</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">5)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Bebas dari
segala macam bentuk kekerasan</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">6)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Suasana yang
memperdulikan pola asuh, rasa hormat dan saling percaya</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="font-size: 12pt;">c.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Memberikan
pendidikan kesehatan sekolah</span></i></b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;"> dengan
:</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Kurikulum yang
mampu meningkatkan sikap dan perilaku peserta didik yang positif</span><span style="font-size: 12pt;"> <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">terhadap kesehatan serta dapat
mengembangkan berbagai ket</span></span><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">e</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">rampilan hidup
yang</span><span style="font-size: 12pt;"> <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">mendukung kesehatan
fisik, mental dan sosial</span></span><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">.</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">2)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Memperhatikan
pentingnya pendidikan dan pelatihan untuk guru maupun orangtua</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="font-size: 12pt;">d.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Memberikan akses
untuk di laksanakannya pelayanan kesehatan di sekolah</span></i></b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">, yaitu :</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Kerjasama dengan
Puskesmas setempat</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">2)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Penjaringan,
diagnosa dini, imunisasi serta pengobatan sederhana</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">3)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Adanya
program-program makanan bergizi dengan memperhatikan keamanan makanan</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="font-size: 12pt;">e.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Menerapkan
kebijakan dan upaya di sekolah untuk mempromosikan dan meningkatkan</span></i></b><b><i><span style="font-size: 12pt;"> <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">kesehatan</span></span></i></b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">, yaitu :</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Kebijakan yang
di dukung oleh staf sekolah termasuk mewujudkan proses belajar</span><span style="font-size: 12pt;"> <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">mengajar yang dapat menciptakan
lingkungan psikososial yang sehat bagi seluruh</span> <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">masyarakat sekolah</span><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">2)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Kebijakan-kebijakan
dalam memberikan pelayanan yang adil untuk seluruh siswa</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">3)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Kebijakan-kebijakan
dalam penggunaan rokok, penyalahgunaan narkoba termasuk alkohol</span><span style="font-size: 12pt;"> <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">serta pencegahan segala bentuk
kekerasan/pelecehan</span><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="font-size: 12pt;">f.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Bekerja keras
untuk ikut atau berperan serta meningkatkan kesehatan masyarakat</span></i></b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">, dengan :</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Memperhatikan
adanya masalah kesehatan masyarakat yang terjadi</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">2)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 12pt;">Berpartisipasi
dalam kegiatan-kegiatan kesehatan masyarakat</span><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 72pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="background: white; margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span style="color: red; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">5.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Cara melaksanakan</span></b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> <b>pendidikan kesehatan di sekolah</b></span><span style="color: red; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin-bottom: 0.0001pt; text-align: justify;">
<b><i><span lang="EN-US" style="font-size: 12pt;">Tujuan
penkes </span></i></b><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">memiliki pengetahuan ttg
isu kesehatan, <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">memiliki nilai dan sikap
positif terhadap prinsip hidup sehat,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">memiliki keterampilan
dalam pemeliharaan, pertolongan dan perawatan kesehatan,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">memiliki kebiasaan hidup
sehat, mampu menularkan perilaku hidup sehat, peserta didik tumbuh kembang
secara harmonis,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">menerapkan prinsip-prinsip
pencegahan penyakit,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">memiliki daya tangkal terhadap
pengaruh buruk dari luar<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">memiliki kesegaran jasmani
dan kesehatan yang optimal<o:p></o:p></span></div>
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<br /></div>
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<b><span style="font-size: 12pt;">Cara melaksanakan
pendidikan kesehatan di sekolah</span></b><span style="font-size: 12pt;"> <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><b><i><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Cara penyajian</span></i></b><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span lang="EN-US" style="color: #7030a0; font-family: Wingdings; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="color: #7030a0; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">
</span><span style="font-size: 12pt;">pendidikan lebih menekankan
peran aktif peserta didik melalui kegiatan ceramah, diskusi, demonstrasi,
pembimbingan, permainan, dan penugasan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><b><i><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Cara penanaman
kebiasaan</span></i></b><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> </span><span style="font-size: 12pt;">penugasan untuk melalukan
cara hidup sehat sehari-hari dan pengamatan terus menerus oleh guru dan kepala
sekolah.<o:p></o:p></span></div>
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<br /></div>
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<b><i><span style="font-size: 12pt;">Materi pendidikan kesehatan</span></i></b><span style="font-size: 12pt;"> <b><i>di sekolah</i></b> <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">demam berdarah,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">flu burung,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pelayanan gizi,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">kesehatan gigi dan mulut,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pengelolaan sampah,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pengelolaan tinja,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">sarana pembuangan limbah,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pengelolaan air bersih,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">penyediaan air bersih,
air dan sanitasinya,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pegenalan pada penyakit
menular dan pencegahannya. <o:p></o:p></span></div>
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<i><span style="font-size: 12pt;">Khusus untuk peserta didik
SMP/MTs dan SMA/SMK/MA</span></i><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">kesehatan
reproduksi,<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">bahaya
rokok<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">deteksi
dini penyalahgunaan narkotika, obat terlarang, minuman keras, dan bahan-bahan
yang berbahaya serta zat adiktif (NAPZA) dan HIV/AIDS.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span style="color: red; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">6.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Peran
sekolah dalam meningkatkan kesehatan</span></b><span style="color: red; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">fasilitas dan program
pendidikan jasmani atau olah raga memadai dan terprogram dengan baik, di
sekolah dan di lingkungan masyarakat sekitar.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">menciptakan dan
meningkatkan kesehatan peserta didik.<o:p></o:p></span></div>
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<b><i><span style="font-size: 12pt;">Upaya
yang dilakukan</span></i></b><span style="font-size: 12pt;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> </span><span style="font-size: 12pt;">menciptakan lingkungan
Sekolah Sehat (<i>Health Promoting
School/HPS</i>) melalui UKS.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">B.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: red; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">PROGRAM
USAHA KESEHATAN SEKOLAH (UKS)<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #00b0f0; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">1.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #00b0f0; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Pengertian
usaha kesehatan sekolah</span></b><b><span lang="EN-US" style="color: #00b0f0; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 15.85pt 0.0001pt 36pt; text-align: justify; text-indent: 18pt;">
<b><i><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">D<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .2pt;">p</span><span style="letter-spacing: -.25pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">e</span>n <span style="letter-spacing: .05pt;">P</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .2pt;">k</span>an <span style="letter-spacing: .2pt;">d</span>an
<span style="letter-spacing: -.25pt;">K</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: .2pt;">u</span><span style="letter-spacing: .05pt;">d</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.5pt;">y</span><span style="letter-spacing: .2pt;">aa</span>n</span></i></b><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><b><i><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">U<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">h</span>a<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.25pt;">K</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: .2pt;">an </span><span style="letter-spacing: .05pt;">S</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .2pt;">k</span><span style="letter-spacing: .05pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span>h</span></i></b><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; letter-spacing: -.05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">up<span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">y</span>a<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .25pt;">b</span><span style="letter-spacing: -.2pt;">i</span>na<span style="letter-spacing: .2pt;"> </span>d<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span>b<span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">g</span>k<span style="letter-spacing: -.05pt;">a</span>n
k<span style="letter-spacing: .2pt;">e</span>b<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .25pt;"> </span>h<span style="letter-spacing: -.45pt;">i</span>dup<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: .75pt;"> </span><span style="letter-spacing: -.5pt;">y</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g <span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">il</span><span style="letter-spacing: -.05pt;">a</span>kuk<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .2pt;">c</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .1pt;">r</span>a<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.3pt;">e</span><span style="letter-spacing: .1pt;">r</span>p<span style="letter-spacing: -.05pt;">a</span>du<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: .25pt;">u</span>i p<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">o</span>g<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .2pt;">a</span>m p<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .25pt;">d</span>ik<span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .2pt;"> </span>d<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span>p<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">y</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span>k<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .5pt;">d</span>i
<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">ek</span><span style="letter-spacing: .55pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">h</span>,<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.05pt;">p</span>e<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">gu</span><span style="letter-spacing: .2pt;">r</span><span style="letter-spacing: -.05pt;">u</span>an<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">ag</span>a<span style="letter-spacing: -.45pt;">m</span>a<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">t</span>a<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.05pt;">usa</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .1pt;">-</span>u<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">h</span>a<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.25pt;">y</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">il</span><span style="letter-spacing: -.05pt;">a</span>kuk<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span>d<span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: .2pt;">a</span>m <span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .25pt;">k</span>a p<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span>b<span style="letter-spacing: -.2pt;">i</span>n<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .2pt;">a</span>n
d<span style="letter-spacing: .2pt;">a</span>n <span style="letter-spacing: .25pt;">p</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">li</span>h<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .3pt;">r</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .2pt;">a</span>n
k<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span>h<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .25pt;"> </span>l<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.25pt;">ng</span><span style="letter-spacing: .5pt;">k</span><span style="letter-spacing: -.25pt;">u</span>n<span style="letter-spacing: -.25pt;">g</span><span style="letter-spacing: .45pt;">a</span>n<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">k</span><span style="letter-spacing: .7pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span>h
<b><span style="letter-spacing: .1pt;">(</span><span style="letter-spacing: .35pt;">E</span><span style="letter-spacing: -.15pt;">f</span><span style="letter-spacing: -.4pt;">f</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .1pt;">,</span>1998<span style="letter-spacing: .1pt;">)</span></b>.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.85pt 0.0001pt 36pt; text-align: justify; text-indent: 18pt;">
<b><i><span lang="EN-US" style="color: #7030a0; font-size: 12.0pt; letter-spacing: .05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">D</span></i></b><b><i><span style="color: #7030a0; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span></i></b><b><i><span style="color: #7030a0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">p<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.15pt;">r</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">e</span>n k<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span></span></i></b><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">, </span><b><i><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">UKS</span></i></b><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; letter-spacing: -.05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">us</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">h</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a <span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.25pt;">y</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">ak</span>at
<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.5pt;">y</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g <span style="letter-spacing: .25pt;"> d</span><span style="letter-spacing: -.2pt;">ij</span><span style="letter-spacing: .45pt;">a</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: -.05pt;">k</span><span style="letter-spacing: .25pt;">a</span>n <span style="letter-spacing: .25pt;">d</span>i <span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">ek</span><span style="letter-spacing: .3pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .1pt;">-</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span>k<span style="letter-spacing: .5pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span>h d<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .2pt;">a</span>n <span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: -.05pt;">a</span>k
<span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.45pt;">i</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span>k
<span style="letter-spacing: .45pt;"> </span>b<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">t</span>a <span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.2pt;">li</span>ngk<span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .2pt;">a</span>n <span style="letter-spacing: .45pt;"> </span>h<span style="letter-spacing: -.2pt;">i</span>du<span style="letter-spacing: .25pt;">p</span>n<span style="letter-spacing: -.25pt;">y</span>a
<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">g</span><span style="letter-spacing: .2pt;">a</span>i <span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">a</span>n <span style="letter-spacing: .2pt;"> </span>u<span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: -.05pt;">a</span>. <span style="letter-spacing: .55pt;"> </span>U<span style="letter-spacing: -.25pt;">K</span>S
<span style="letter-spacing: .75pt;"> </span></span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; letter-spacing: -.45pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.45pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">w<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .2pt;">a</span>na<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">e</span>n<span style="letter-spacing: -.2pt;">i</span>ngk<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span>k<span style="letter-spacing: -.05pt;">a</span>n
k<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">m</span>pu<span style="letter-spacing: .2pt;">a</span>n h<span style="letter-spacing: -.2pt;">i</span>d<span style="letter-spacing: .25pt;">u</span>p<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.5pt;">y</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .25pt;"> </span>p<span style="letter-spacing: -.05pt;">a</span>da<span style="letter-spacing: .2pt;"> </span>g<span style="letter-spacing: -.2pt;">i</span>l<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .2pt;">a</span>nnya <span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">g</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.2pt;">il</span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: -.1pt;"> </span>d<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.45pt;">j</span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: .4pt;"> </span>k<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span>h<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.5pt;">y</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .25pt;">o</span>p<span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.2pt;">im</span><span style="letter-spacing: .2pt;">a</span>l<span style="letter-spacing: -.35pt;"> </span><span style="letter-spacing: .1pt;">(</span><span style="letter-spacing: .35pt;">E</span><span style="letter-spacing: -.15pt;">f</span><span style="letter-spacing: .1pt;">f</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span>,<span style="letter-spacing: .25pt;"> </span>1998<span style="letter-spacing: .1pt;">)</span>.</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<b><span style="font-size: 12pt;">UKS</span></b><span style="font-size: 12pt;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> </span><span style="font-size: 12pt;">suatu usaha yang
dilakukan sekolah untuk menolong murid dan juga warga sekolah yang sakit di
kawasan lingkungan sekolah.<o:p></o:p></span></div>
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<b><span style="font-size: 12pt;">UKS</span></b><span style="font-size: 12pt;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> </span><span style="font-size: 12pt;">usaha membina dan
mengembangkan kebiasaan dan perilaku hidup sehat pada peserta didik usia
sekolah yg dilakukan secara menyeluruh dan terpadu.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">2.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #00b0f0; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Tujuan
usaha kesehatan sekolah</span></b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span lang="EN-US" style="font-size: 12pt;">a.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12pt;">Tujuan umum<o:p></o:p></span></i></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">M</span><span style="font-size: 12pt;">eningkatkan mutu pendidikan dan prestasi belajar peserta didik</span><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">2)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">M</span><span style="font-size: 12pt;">enciptakan lingkungan yang sehat</span><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span lang="EN-US" style="font-size: 12pt;">b.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12pt;">Tujuan khusus<o:p></o:p></span></i></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">M</span><span style="font-size: 12pt;">enciptakan lingkungan kehidupan sekolah yang sehat,</span><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">2)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">M</span><span style="font-size: 12pt;">eningkatkan pengetahuan,</span><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">3)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">M</span><span style="font-size: 12pt;">engubah sikap dan membentuk perilaku masyarakat sekolah yang sehat
dan mandiri. </span><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">4)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">M</span><span style="font-size: 12pt;">eningkatkan peran serta peserta didik dalam usaha peningkatan
kesehatan di sekolah dan rumah tangga serta lingkungan masyarakat,</span><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12pt;">5)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12pt;">M</span><span style="font-size: 12pt;">eningkatkan keteramp</span><span lang="EN-US" style="font-size: 12pt;">i</span><span style="font-size: 12pt;">lan hidup sehat agar mampu melindungi diri dari pengaruh buruk
lingkungan.</span><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">3.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="color: #00b0f0; font-size: 14.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Sasaran
usaha kesehatan sekolah</span></b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12pt;">a.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12pt;">Primer
</span></b><b><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-symbol-font-family: Wingdings;">à</span></b><b><span lang="EN-US" style="font-size: 12pt;"> </span></b><span style="font-size: 12pt;">peserta didik sebagai sasaran primer,</span><b><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12pt;">b.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12pt;">Sekunder
</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span></b><span lang="EN-US" style="font-size: 12pt;"> </span><span style="font-size: 12pt;">guru pamong belajar atau
tutor orang tua, pengelola pendidikan dan pengelola kesehatan serta TP UKS
disetiap jenjang</span><b><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12pt;">c.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12pt;">T</span></b><b><span style="font-size: 12pt;">ertier</span></b><span style="font-size: 12pt;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> </span><span style="font-size: 12pt;">lembaga pendidikan mulai
dari tingkat pra sekolah/TK/RA sampai SLTA/MA, termasuk satuan pendidikan luar
sekolah dan perguruan tinggi agama serta pondok pesantren beserta lingkungannya.</span><b><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12pt;">d.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span style="font-size: 12pt;">Sasaran lainnya</span></b><span style="font-size: 12pt;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> </span><span style="font-size: 12pt;">sarana dan prasarana
pendidikan kesehatan dan pelayanan kesehatan. </span><b><span lang="EN-US" style="font-size: 12pt;"><o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-size: 12pt;">3 </span></b><b><span style="font-size: 12pt;">kualitas sumber daya
manusia</span></b><span style="font-size: 12pt;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">pendidikan berkaitan dgn
berapa lama mengikuti pendidikan,<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">kesehatan berkaitan
sumber daya manusianya, <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12pt;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">ekonomi berkaitan dgn
daya beli.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">4.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">R<span style="letter-spacing: .05pt;">u</span>a<span style="letter-spacing: .05pt;">n</span>g<span style="letter-spacing: -.1pt;"> l</span>i<span style="letter-spacing: .05pt;">n</span>g<span style="letter-spacing: -.2pt;">k</span><span style="letter-spacing: .05pt;">u</span>p<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.05pt;">e</span>gia<span style="letter-spacing: .1pt;">t</span>an<span style="letter-spacing: -.05pt;"> </span>u<span style="letter-spacing: -.1pt;">s</span>a<span style="letter-spacing: .05pt;">h</span>a<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .05pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .15pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n
<span style="letter-spacing: -.2pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.2pt;">k</span><span style="letter-spacing: .25pt;">o</span><span style="letter-spacing: -.2pt;">la</span>h</span></b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 1.3pt 0.0001pt 36pt; text-align: justify;">
<b><span style="font-size: 12.0pt; letter-spacing: .1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Tr</span></b><b><span style="font-size: 12.0pt; letter-spacing: -.45pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i</span></b><b><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span></b><b><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">s U<span style="letter-spacing: -.25pt;">K</span><span style="letter-spacing: .05pt;">S</span></span></b><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 129.5pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;"> </span></span></i></b><!--[endif]--><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: -.15pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">P</span></i></b><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span></i></b><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: .05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">nd</span></i></b><b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i<span style="letter-spacing: .05pt;">d</span>i<span style="letter-spacing: -.2pt;">k</span><span style="letter-spacing: .05pt;">a</span>n<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .05pt;">hata</span>n<span style="letter-spacing: -.1pt;"> </span>(H<span style="letter-spacing: -.05pt;">e</span>alth<span style="letter-spacing: .1pt;"> E</span>du<span style="letter-spacing: -.05pt;">c</span>ation<span style="letter-spacing: -.1pt;"> </span>in<span style="letter-spacing: -.1pt;"> </span>S<span style="letter-spacing: -.05pt;">c</span>hool)</span></i></b><b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></i></b></div>
<div class="MsoListParagraph" style="margin: 0cm 1.3pt 0.0001pt 54pt; text-align: justify;">
<b><i><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Tujuan</span></i></b><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 1.3pt 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">p</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">t</span>a<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.05pt;">d</span><span style="letter-spacing: -.4pt;">i</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.45pt;">i</span>k<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span>il<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .5pt;">k</span>i
<span style="letter-spacing: -.05pt;">p</span>e<span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: -.05pt;">g</span>e<span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: 2.75pt;"> </span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g <span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span>,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 1.3pt 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; letter-spacing: -.45pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">g<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span>b<span style="letter-spacing: .2pt;">a</span>ngk<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: 2.75pt;"> </span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">e</span>k<span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .5pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .25pt;">o</span>gi<span style="letter-spacing: 2.55pt;"> </span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">e</span>p<span style="letter-spacing: -.05pt;">a</span>t
<span style="letter-spacing: .25pt;"> </span>gu<span style="letter-spacing: -.25pt;">n</span>a<span style="letter-spacing: 2.95pt;"> </span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g
k<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span>,<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 1.3pt 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; letter-spacing: -.45pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">pu<span style="letter-spacing: .45pt;">
</span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span>h<span style="letter-spacing: -.2pt;">i</span>dup<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: .2pt;">d</span><span style="letter-spacing: -.25pt;">a</span><span style="letter-spacing: .3pt;">r</span>i
<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .2pt;">g</span>a<span style="letter-spacing: -.2pt;">l</span>a<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .2pt;">ca</span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.25pt;">y</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">b</span>a<span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">y</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.15pt;">f</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .35pt;">s</span><span style="letter-spacing: -.2pt;">i</span>k
<span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.2pt;">up</span><span style="letter-spacing: .65pt;">u</span>n<span style="letter-spacing: .25pt;"> </span></span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 1.3pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;"> </span></span></i></b><!--[endif]--><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: -.15pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">P</span></i></b><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span></i></b><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">l</span></i></b><b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">aya<span style="letter-spacing: .05pt;">n</span>an<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .05pt;">h</span>a<span style="letter-spacing: .1pt;">t</span>an<span style="letter-spacing: -.05pt;"> </span></span></i></b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">(<span style="letter-spacing: -.05pt;">S</span>c<span style="letter-spacing: -.05pt;">hoo</span>l<span style="letter-spacing: .3pt;"> </span>H<span style="letter-spacing: -.05pt;">ea</span><span style="letter-spacing: .05pt;">l</span>th<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.05pt;">S</span>e<span style="letter-spacing: -.1pt;">r</span><span style="letter-spacing: -.05pt;">v</span>i<span style="letter-spacing: -.05pt;">c</span>e)</span></i><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></i></div>
<div class="MsoListParagraph" style="margin: 0cm 1.3pt 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">1)<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><b><span style="color: #00b0f0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">k<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .25pt;">g</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .25pt;"> </span>p<span style="letter-spacing: .2pt;">e</span>n<span style="letter-spacing: -.2pt;">i</span>n<span style="letter-spacing: .25pt;">g</span>k<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .25pt;"> </span><i><span style="letter-spacing: -.15pt;">(</span><span style="letter-spacing: .1pt;">P</span><span style="letter-spacing: -.1pt;">r</span>omoti<span style="letter-spacing: .25pt;">f</span><span style="letter-spacing: .1pt;">)</span>,<span style="letter-spacing: .6pt;"> </span></i></span></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; letter-spacing: -.5pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.5pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">l</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: .5pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">t</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">h</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n <span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .25pt;">p</span><span style="letter-spacing: -.2pt;">il</span><span style="letter-spacing: .2pt;">a</span>n <span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">ekn</span><span style="letter-spacing: -.1pt;">i</span>s<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.05pt;">p</span><span style="letter-spacing: .25pt;">e</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span>l<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.05pt;">h</span>a<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .2pt;">a</span>n
<span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.05pt;">h</span>a<span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n
<span style="letter-spacing: -.05pt;">d</span><span style="letter-spacing: .25pt;">a</span>n
<span style="letter-spacing: -.05pt;">p</span><span style="letter-spacing: .25pt;">e</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">uk</span><span style="letter-spacing: .05pt;">a</span>n <span style="letter-spacing: -.05pt;">p</span>e<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .2pt;">a</span>n
<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">t</span>a
<span style="letter-spacing: -.05pt;">ak</span><span style="letter-spacing: .3pt;">t</span><span style="letter-spacing: -.2pt;">i</span>f <span style="letter-spacing: -.05pt;">p</span><span style="letter-spacing: .25pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">t</span>a
<span style="letter-spacing: -.05pt;">d</span><span style="letter-spacing: -.4pt;">i</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span>k
<span style="letter-spacing: -.05pt;">d</span><span style="letter-spacing: .25pt;">a</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span>m
<span style="letter-spacing: -.05pt;">p</span><span style="letter-spacing: .25pt;">e</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">j</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .2pt;">a</span>n
<span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span>,<span style="letter-spacing: .55pt;"> </span></span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">Cth</span></b><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">:
<span style="letter-spacing: -.05pt;">k</span>a<span style="letter-spacing: -.05pt;">d</span>er
<span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: .2pt;">a</span>n <span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">ek</span><span style="letter-spacing: .55pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">h</span>, <span style="letter-spacing: .25pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">ag</span>a,</span><span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">k</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.05pt;">n</span><span style="letter-spacing: -.15pt;">i</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>,</span><span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: .1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">r</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">k</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">u</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span><span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">d</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">an</span><span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.45pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">l</span><span style="font-size: 12.0pt; letter-spacing: .5pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">o</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a.</span><span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> <span lang="EN-US"><o:p></o:p></span></span></div>
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<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">2)<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">K</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">g</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">t</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">p</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">ce</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">g</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">h</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n <i><span style="letter-spacing: -.15pt;">(</span><span style="letter-spacing: .1pt;">P</span><span style="letter-spacing: -.1pt;">r</span><span style="letter-spacing: -.05pt;">even</span><span style="letter-spacing: .05pt;">t</span>i<span style="letter-spacing: .25pt;">f</span><span style="letter-spacing: .1pt;">)</span></i>,</span></b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .55pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; letter-spacing: -.45pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.45pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.45pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">l<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.05pt;">h</span>a<span style="letter-spacing: .1pt;">r</span>a<span style="letter-spacing: .4pt;"> </span><span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .15pt;">s</span>i<span style="letter-spacing: -.15pt;">f</span><span style="letter-spacing: -.05pt;">a</span>t<span style="letter-spacing: .45pt;"> </span><span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .25pt;">u</span>m
<span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span>k<span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.1pt;">s</span>u<span style="letter-spacing: -.1pt;">s</span>,<span style="letter-spacing: .55pt;"> </span>p<span style="letter-spacing: -.05pt;">e</span>n<span style="letter-spacing: -.2pt;">j</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .3pt;">r</span><span style="letter-spacing: -.2pt;">i</span>ng<span style="letter-spacing: .45pt;">a</span>n
<span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n <span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">g</span>i
<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">k</span>,
<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .5pt;">o</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .25pt;">to</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.25pt;">n</span>g
<span style="letter-spacing: .5pt;"> </span>p<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">t</span>a <span style="letter-spacing: .45pt;"> </span>d<span style="letter-spacing: -.45pt;">i</span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span>k,
<span style="letter-spacing: 1.1pt;"> </span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: -.05pt;">a</span>kuk<span style="letter-spacing: .2pt;">a</span>n <span style="letter-spacing: .25pt;"> u</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">h</span>a
<span style="letter-spacing: .45pt;"> </span>p<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: -.05pt;">ce</span><span style="letter-spacing: .25pt;">g</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .2pt;">a</span>n</span><span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">p<span style="letter-spacing: -.05pt;">e</span>n<span style="letter-spacing: -.25pt;">y</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.45pt;">i</span>t<span style="letter-spacing: .7pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .1pt;">r</span>.</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 1.3pt 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">3)<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">K</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">g</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.45pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">t</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span></b><b><span style="color: #00b0f0; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n p<span style="letter-spacing: -.05pt;">e</span>n<span style="letter-spacing: -.25pt;">y</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span>b<span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .2pt;">a</span>n d<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span>p<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .25pt;">u</span>l<span style="letter-spacing: -.2pt;">i</span>h<span style="letter-spacing: .2pt;">a</span>n
<i><span style="letter-spacing: .1pt;">(</span><span style="letter-spacing: -.1pt;">Ku</span>rati<span style="letter-spacing: .25pt;">f</span><span style="letter-spacing: .1pt;">)</span>,</i></span></b><i><span style="color: #00b0f0; font-size: 12.0pt; letter-spacing: .1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span></i><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">d</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">g</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">o</span><span style="font-size: 12.0pt; letter-spacing: -.1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">s</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.2pt;">i</span>ni
<span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span>d<span style="letter-spacing: -.05pt;">a</span>p<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: -.1pt;">s</span>u<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span>u<span style="letter-spacing: .2pt;"> </span>p<span style="letter-spacing: -.05pt;">e</span>n<span style="letter-spacing: -.25pt;">y</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.45pt;">i</span><span style="letter-spacing: .25pt;">t</span>,<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: -.05pt;">a</span>kuk<span style="letter-spacing: .2pt;">a</span>n p<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .25pt;">o</span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n
<span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">d</span><span style="letter-spacing: .45pt;">a</span>p p<span style="letter-spacing: -.05pt;">en</span><span style="letter-spacing: -.2pt;">y</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.45pt;">i</span><span style="letter-spacing: .25pt;">t</span>,<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.2pt;">im</span><span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.2pt;">n</span>i<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.45pt;">i</span>,<span style="letter-spacing: .6pt;"> </span><span style="letter-spacing: -.45pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: -.05pt;">a</span>k<span style="letter-spacing: .2pt;">a</span>n
<span style="letter-spacing: .05pt;">P</span><span style="letter-spacing: .25pt;">3</span>K
d<span style="letter-spacing: -.05pt;">a</span>n <span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.25pt;">n</span>d<span style="letter-spacing: .2pt;">a</span>k<span style="letter-spacing: -.05pt;">a</span>n <span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.45pt;">j</span>uk<span style="letter-spacing: .2pt;">a</span>n ke<span style="letter-spacing: .2pt;"> </span>pu<span style="letter-spacing: -.1pt;">s</span>k<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">a</span>s<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">t</span>a
<span style="letter-spacing: -.25pt;">p</span><span style="letter-spacing: .45pt;">e</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .3pt;">r</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">k</span><span style="letter-spacing: .45pt;">a</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: .45pt;">a</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .2pt;">a</span>k<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.25pt;">k</span><span style="letter-spacing: .7pt;">o</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span>h <span style="letter-spacing: .1pt;">(</span>D<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: .2pt;">a</span>w<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.45pt;">i</span>,<span style="letter-spacing: .25pt;"> </span>2007<span style="letter-spacing: .1pt;">)</span>.</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;"> </span></span></i></b><!--[endif]--><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: -.15pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">P</span></i></b><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span></i></b><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: -.15pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span></i></b><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: .05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b</span></i></b><b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i<span style="letter-spacing: .05pt;">naa</span>n<span style="letter-spacing: .05pt;"> </span></span></i></b><b><i><span lang="EN-US" style="color: red; font-size: 12.0pt; letter-spacing: .05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">l</span></i></b><b><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i<span style="letter-spacing: .05pt;">ng</span><span style="letter-spacing: -.25pt;">k</span><span style="letter-spacing: .05pt;">unga</span>n<span style="letter-spacing: .05pt;"> s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.2pt;">k</span><span style="letter-spacing: .05pt;">o</span><span style="letter-spacing: -.25pt;">l</span><span style="letter-spacing: .05pt;">a</span>h<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: .05pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .05pt;">hat</span></span></i></b><b><i><span style="color: red; font-size: 12.0pt; letter-spacing: .05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span></i></b><b><i><span lang="EN-US" style="color: red; font-family: Wingdings; font-size: 12.0pt; letter-spacing: .05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></i></b><b><i><span lang="EN-US" style="color: red; font-size: 12.0pt; letter-spacing: .05pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span></i></b><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">k</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: .15pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">s</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">h</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">t</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n<span style="letter-spacing: .35pt;"> </span>l<span style="letter-spacing: -.2pt;">i</span>ngk<span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: .1pt;">f</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.2pt;">i</span>k,
p<span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.2pt;">i</span>k<span style="letter-spacing: .25pt;">o</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .25pt;">o</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.45pt;">l</span>,<span style="letter-spacing: .35pt;"> </span>d<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.25pt;">b</span>ud<span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">y</span>a<span style="letter-spacing: .65pt;"> </span></span><i><span style="color: red; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></i></div>
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<!--[if !supportLists]--><b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">5.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span style="color: #00b0f0; font-size: 14.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">M</span></b><b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a<span style="letter-spacing: -.1pt;">s</span>a<span style="letter-spacing: -.2pt;">l</span>ah<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: .25pt;">K</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .05pt;">h</span>a<span style="letter-spacing: .1pt;">t</span>an<span style="letter-spacing: -.05pt;"> </span>ya<span style="letter-spacing: .05pt;">n</span>g<span style="letter-spacing: -.1pt;"> </span><span style="letter-spacing: .05pt;">d</span>a<span style="letter-spacing: .05pt;">p</span>at<span style="letter-spacing: -.05pt;"> </span><span style="letter-spacing: .05pt;">d</span>i<span style="letter-spacing: -.2pt;">k</span><span style="letter-spacing: .05pt;">u</span><span style="letter-spacing: -.3pt;">r</span>a<span style="letter-spacing: .05pt;">n</span>gi<span style="letter-spacing: .15pt;"> </span><span style="letter-spacing: -.15pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: .25pt;">a</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: .05pt;">u</span>i<span style="letter-spacing: .15pt;"> </span>U<span style="letter-spacing: .25pt;">K</span>S</span></b><span style="color: #00b0f0; font-size: 14.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 12.0pt; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.95pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">I</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">m</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">u</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i<span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.45pt;">i</span>,</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.95pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.15pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">K</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: -.1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">s</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">h</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">t</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n <span style="letter-spacing: .25pt;">g</span><span style="letter-spacing: -.45pt;">i</span><span style="letter-spacing: .25pt;">g</span><span style="letter-spacing: -.45pt;">i</span>,</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.95pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">S</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">t</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: .15pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">s</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i <span style="letter-spacing: -.2pt;">d</span><span style="letter-spacing: .4pt;">a</span>n <span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">i</span>r<span style="letter-spacing: .3pt;"> </span><span style="letter-spacing: -.25pt;">b</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .15pt;">s</span><span style="letter-spacing: -.2pt;">i</span>h,</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.95pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">d.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">M</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: -.1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">s</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">l</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">h<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .25pt;">g</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: .2pt;">z</span>i<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: .2pt;">d</span>an<span style="letter-spacing: .2pt;"> a</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .2pt;">e</span>m<span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.05pt;">a</span>,</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.95pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">K</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">ek</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">a</span>n <span style="letter-spacing: -.05pt;">d</span><span style="letter-spacing: .25pt;">a</span>n <span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.05pt;">c</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: -.05pt;">ak</span><span style="letter-spacing: .25pt;">a</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>,</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">f.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">G</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">ggu<span style="letter-spacing: .45pt;">a</span>n <span style="letter-spacing: -.05pt;">k</span>e<span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .1pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: .2pt;">a</span>l</span><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,</span><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: -.35pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">g.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">K</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: .1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">r</span><span style="font-size: 12.0pt; letter-spacing: .15pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">s</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">h<span style="letter-spacing: .2pt;">a</span>n<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .25pt;">d</span><span style="letter-spacing: -.45pt;">i</span><span style="letter-spacing: .3pt;">r</span>i<span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: -.05pt;">a</span>up<span style="letter-spacing: .25pt;">u</span>n
l<span style="letter-spacing: -.2pt;">i</span>ngk<span style="letter-spacing: .25pt;">u</span><span style="letter-spacing: -.25pt;">n</span>g<span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">n</span>,</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.95pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">h.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">M</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: -.1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">s</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: -.2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">l</span><span style="font-size: 12.0pt; letter-spacing: .2pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">ah </span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">k<span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">t</span><span style="letter-spacing: -.05pt;">a</span>n<span style="letter-spacing: .2pt;"> </span><span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">e</span>p<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .25pt;">o</span>duk<span style="letter-spacing: -.1pt;">s</span>i
<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">j</span><span style="letter-spacing: -.05pt;">a</span>,</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.95pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">i.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">M</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e</span><span style="font-size: 12.0pt; letter-spacing: .1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">r</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">o</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">k</span><span style="font-size: 12.0pt; letter-spacing: .25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">ok</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,<span style="letter-spacing: .35pt;"> </span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.45pt;">l</span>k<span style="letter-spacing: .25pt;">o</span><span style="letter-spacing: -.25pt;">h</span><span style="letter-spacing: .5pt;">o</span>l
d<span style="letter-spacing: .2pt;">a</span>n <span style="letter-spacing: -.25pt;">p</span><span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.25pt;">n</span>y<span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.25pt;">hg</span><span style="letter-spacing: .5pt;">u</span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .2pt;">aa</span>n</span><span style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"> </span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">n</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; letter-spacing: .1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">r</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">k</span><span style="font-size: 12.0pt; letter-spacing: .5pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">o</span><span style="font-size: 12.0pt; letter-spacing: -.25pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">b</span><span style="font-size: 12.0pt; letter-spacing: -.05pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">a</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 15.95pt 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">j.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">P</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">e<span style="letter-spacing: -.05pt;">n</span><span style="letter-spacing: -.45pt;">y</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .25pt;">k</span><span style="letter-spacing: -.45pt;">i</span>t <span style="letter-spacing: .5pt;"> </span><span style="letter-spacing: -.2pt;">in</span><span style="letter-spacing: .05pt;">f</span><span style="letter-spacing: -.05pt;">e</span><span style="letter-spacing: -.2pt;">k</span><span style="letter-spacing: .35pt;">s</span>i <span style="letter-spacing: 2.55pt;"> </span><span style="letter-spacing: .3pt;">(</span><span style="letter-spacing: -.2pt;">m</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">l</span><span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .3pt;">r</span><span style="letter-spacing: -.2pt;">i</span><span style="letter-spacing: -.05pt;">a</span>, g<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: -.25pt;">n</span>ggu<span style="letter-spacing: .2pt;">a</span>n
<span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.2pt;">l</span>u<span style="letter-spacing: .1pt;">r</span><span style="letter-spacing: -.05pt;">a</span>n <span style="letter-spacing: .25pt;"> </span><span style="letter-spacing: -.25pt;">n</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.15pt;">f</span><span style="letter-spacing: .2pt;">a</span><span style="letter-spacing: -.1pt;">s</span><span style="letter-spacing: .1pt;">)</span></span><span lang="EN-US" style="font-size: 12.0pt; letter-spacing: .1pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">.</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<div class="MsoNormal" style="margin: 0cm 15.95pt 0.0001pt 36pt; text-align: justify;">
<span style="font-size: 12.0pt; letter-spacing: .1pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">(</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">D<span style="letter-spacing: .2pt;">e</span><span style="letter-spacing: -.45pt;">l</span><span style="letter-spacing: -.05pt;">a</span>w<span style="letter-spacing: -.05pt;">a</span><span style="letter-spacing: .5pt;">t</span><span style="letter-spacing: -.45pt;">i</span>,<span style="letter-spacing: .25pt;"> </span>2007<span style="letter-spacing: .1pt;">)</span>.</span><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-72281464685737881782016-05-16T07:40:00.000-07:002016-05-16T07:40:08.458-07:00Program Pemberantasan Penyakit menular<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 21.3pt; text-align: justify; text-indent: -21.3pt;">
<a href="https://www.blogger.com/null" name="_GoBack"></a><!--[if !supportLists]--><b><span style="font-size: 14pt;">A.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span style="font-size: 14pt;">Program
Pemberantasan Penyakit menular<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 21.3pt; text-align: justify; text-indent: 14.7pt;">
<b><i><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Pencegahan dan Pengendalian Penyakit menular dan tidak menular</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">program pelayanan kesehatan Puskesmas </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">mencegah </span><span lang="EN-US" style="font-size: 12pt;">&</span><span style="font-size: 12pt;"> mengendalikan penular
penyakit menular/infeksi (misalnya TB, DBD, Kusta dll).<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 21.3pt; text-align: justify;">
<b><i><span style="font-size: 12pt;">Tujuan program</span></i></b><span style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">menurunkan angka kesakitan,
kematian dan kecacatan akibat penyakit menular dan penyakit tidak menular.<b><i><o:p></o:p></i></b></span></div>
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<b><i><span style="font-size: 12pt;">Prioritas penyakit menular</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">malaria, </span><span lang="EN-US" style="font-size: 12pt;">DBD</span><span style="font-size: 12pt;">, diare, polio, filaria,
kusta tuberkulosis paru, HIV/AIDS, pneumonia, dan
penyakit-penyakit yang dapat dicegah dengan imunisasi.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 21.3pt; text-align: justify;">
<b><i><span style="font-size: 12pt;">Prioritas penyakit tidak menular</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">penyakit jantung dan gangguan sirkulasi,
</span><span lang="EN-US" style="font-size: 12pt;">DM</span><span style="font-size: 12pt;">, dan kanker.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 21.3pt; text-align: justify;">
<b><i><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Kegiatan
pokok dan kegiatan indikatif program ini meliputi:</span></i></b><b><i><span style="color: red; font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 42.55pt; text-align: justify; text-indent: -21.25pt;">
<b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Pencegahan
dan penanggulangan faktor risiko: </span></b><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi </span><span lang="EN-US" style="font-size: 12pt;">&</span><span style="font-size: 12pt;">menyusun rancangan
peraturan dan perundang-undangan, kebijakan pencegahan, penanggulangan
faktor risiko dan diseminasinya; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi </span><span lang="EN-US" style="font-size: 12pt;">&</span><span style="font-size: 12pt;">menyusun
rencana kebutuhan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">pencegahan,
penanggulangan faktor resiko;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyediakan kebutuhan pencegahan,
penanggulangan faktor risiko sbg stimulam;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi, menyusun
rancangan juklak/juknis/pedoman pencegahan dan penanggulangan faktor risiko;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Meningkatkan kemampuan tenaga
pengendalian penyakit </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">pencegahan
dan penanggulangan faktor risiko;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan bimbingan, pemantauan
dan evaluasi kegiatan pencegahan dan penanggulangan faktor risiko;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membangun dan mengembangkan
kemitraan dan jejaring kerja informasi dan konsultasi teknis pencegahan
dan penanggulangan faktor risiko; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan kajian
program pencegahan dan penanggulangan faktor risiko; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membina dan mengembangkan UPT
dalam pencegahn dan penanggulangan faktor risiko;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melaksanakan
dukungan administrasi dan operasional pelaksanaan pencegahan
dan pemberantasan penyakit.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 42.55pt; text-align: justify; text-indent: -21.25pt;">
<b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Peningkatan
imunisasi</span></b><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun rancangan peraturan
dan perundang-undangan, dan kebijakan peningkatan imunisasi, dan
diseminasinya;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun
perencanaan kebutuhan peningkatan imunisasi; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyediakan kebutuhan
peningkatan imunisasi sebagai stimulan yang ditujukan terutama untuk
masyarakat miskin dan kawasan khusus sesuai dengan skala prioritas; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan
menyusun rancangan juklak/juknis/protap program imunisasi;<b> </b><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan dan
mendistribusikan sarana dan prasarana imunisasi; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Meningkatkan kemampuan
tenaga pengendalian penyakit </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">melaksanakan
program imunisasi<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan bimbingan,
pemantauan, dan evaluasi kegiatan imunisasi; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membangun dan mengembangkan
kemitraan dan jejaring kerja informasi dan konsultasi teknis
peningkatan imunisasi;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan kajian upaya
peningkatan imunisasi; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membina dan mengembangkan UPT
dalam upaya peningkatan imunisasi; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 10pt;">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melaksanakan
dukungan administrasi dan operasional pelaksanaan imunisasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 42.55pt; text-align: justify; text-indent: -21.25pt;">
<b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Penemuan dan tatalaksana penderita</span></b><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun rancangan peraturan
dan perundangundangan, dan kebijakan penemuan dan
tatalaksana penderita dan diseminasinya;<b> </b><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi
dan menyusun perencanaan kebutuhan penemuan dan tatalaksana
penderita; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyediakan
kebutuhan penemuan dan tatalaksana penderita sebagai stimulan; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">d.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun
rancangan juklak/juknis/pedoman program penemuan dan
tatalaksana penderita; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">e.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Meningkatkan kemampuan
tenaga pengendalian penyakit </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">melaksanakan
program penemuan dan tatalaksana penderita;<b> </b><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">f.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan bimbingan,
pemantauan, dan evaluasi kegiatan penemuan dan tatalaksana
penderita; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">g.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membangun dan mengembangkan
kemitraan dan jejaring kerja informasi dan konsultasi teknis penemuan dan
tatalaksana penderita;<b> </b><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">h.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan kajian upaya penemuan
dan tatalaksana penderita;<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">i.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membina dan mengembangkan UPT
dalam upaya penemuan dan tatalaksana penderita; <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">j.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melaksanakan dukungan
administrasi dan operasional pelaksanaan penemuan dan tatalaksana
penderita. </span></div>
<a name='more'></a><o:p></o:p><br />
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">4.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Peningkatan surveilens epidemiologi
dan penanggulangan wabah: </span></b><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">a.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi
dan menyusun rancangan peraturan dan perundang-undangan, dan
kebijakan peningkatan surveilans epidemiologi dan penanggulangan KLB/wabah
dan diseminasinya;<b> </b><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun perencanaan
kebutuhan peningkatan surveilans epidemiologi dan
penanggulangan KLB/wabah; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyediakan kebutuhan peningkatan surveilans
epidemiologi dan penanggulangan KLB/wabah sebagai stimulan; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">d.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun rancangan
juklak/juknis/pedoman program surveilans epidemiologi dan penanggulangan
KLB/wabah; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">e.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Meningkatkan sistem kewaspadaan dini dan
menanggulangi KLB/Wabah, termasuk dampak bencana; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">f.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Meningkatkan kemampuan tenaga pengendalian penyakit
untuk melaksanakan program surveilans epidemiologi dan penanggulangan
KLB/wabah;<b> </b><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">g.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan bimbingan, pemantauan, dan evaluasi
kegiatan surveilans epidemiologi dan penanggulangan KLB/wabah;<b> </b><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">h.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membangun dan mengembangkan kemitraan dan jejaring
kerja informasi dan konsultasi teknis peningkatan surveilans epidemiologi
dan penanggulangan KLB/wabah; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">i.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan kajian upaya peningkatan surveilans
epidemiologi dan penanggulangan KLB/wabah; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">j.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membina dan mengembangkan UPT dalam upaya
peningkatan surveilans epidemiologi dan penanggulangan KLB/wabah. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">k.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melaksanakan dukungan administrasi dan operasional
pelaksanaan surveilans epidemiologi dan penanggulangan KLB/wabah. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">5.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Peningkatan komunikasi, informasi dan edukasi
(KIE) pencegahan dan pemberantasan penyakit</span></b><b><span style="color: #7030a0; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun rancangan peraturan
dan perundang-undangan, dan kebijakan peningkatan komunikasi
informasi dan edukasi (KIE) pencegahan dan pemberantasan penyakit dan
diseminasinya;<b> </b><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun perencanaan
kebutuhan peningkatan komunikasi informasi dan edukasi
(KIE) pencegahan dan pemberantasan penyakit.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyediakan kebutuhan peningkatan komunikasi
informasi dan edukasi (KIE) pencegahan dan pemberantasan penyakit
sebagai stimulan; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">d.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Menyiapkan materi dan menyusun
rancangan juklak/juknis/pedoman program komunikasi informasi
dan edukasi (KIE) pencegahan dan pemberantasan penyakit;<b> </b><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">e.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Meningkatkan kemampuan tenaga pengendalian
penyakit untuk melaksanakan program komunikasi informasi dan edukasi
(KIE) pencegahan dan pemberantasan penyakit;<b> </b><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">f.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan bimbingan, pemantauan, dan evaluasi
kegiatan komunikasi informasi dan edukasi (KIE) pencegahan
dan pemberantasan penyakit; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">g.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membangun dan mengembangkan kemitraan dan jejaring
kerja informasi dan konsultasi teknis peningkatan komunikasi informasi
dan edukasi (KIE) pencegahan dan pemberantasan penyakit;<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">h.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melakukan kajian upaya peningkatan komunikasi
informasi dan edukasi (KIE) pencegahan dan
pemberantasan penyakit; <o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">i.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Membina dan mengembangkan UPT dalam upaya
peningkatan komunikasi informasi dan edukasi (KIE) pencegahan dan
pemberantasan penyakit;<b> </b><o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">j.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-size: 12pt;">Melaksanakan dukungan administrasi dan operasional
pelaksanaan komunikasi informasi dan edukasi (KIE) pencegahan
dan pemberantasan penyakit.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 42.55pt; text-align: justify;">
<b><i><span style="font-size: 12pt;">Program Pencegahan dan Penanggulangan
Penyakit Menular</span></i></b><b><i><span style="font-size: 12pt;"><o:p></o:p></span></i></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><b><span style="font-size: 12pt;">a.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span style="font-size: 12pt;">Pemberian </span></b><b><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Imunisasi</span></b><b><span style="font-size: 12pt;"><o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12pt;">S</span><span style="font-size: 12pt;">asaran kegiatan </span><span style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">erlaksananya imunisasi rutin dan vaksinasi anak sekolah Target
kegiatan</span><span style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">terimunisasinya semua bayi, Wanita Usia Subur (WUS) anak
SD/MI/SDLB/SLB kelas 1 sampai degan kelas III.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><b><span style="font-size: 12pt;">b.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span style="font-size: 12pt;">Pemberantasan
Penyakit </span></b><b><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam Berdarah</span></b><b><span style="font-size: 12pt;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12pt;">S</span><span style="font-size: 12pt;">asaran
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;">t</span><span style="font-size: 12pt;">erlaksananya
kecepatan penanggulangan kasus<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12pt;">T</span><span style="font-size: 12pt;">arget
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">ertanganinya
kasus yg ditemukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><b><span style="font-size: 12pt;">c.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span style="font-size: 12pt;">Pemberantasan
Penyakit </span></b><b><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TB Kusta</span></b><b><span style="font-size: 12pt;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12pt;">S</span><span style="font-size: 12pt;">asaran
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">erlaksananya
kegiatan monitoring, evaluasi dan pengobatan penderita kusta<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span style="font-size: 12pt;">Target
kegiatan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">tercapainya target penemuan, angka
kesembuhan penderita kusta yg diobati.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">d.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><span style="font-size: 12pt;">Pengamatan
penyakit dan penaggulangan </span></b><b><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejadian Luar Biasa (KLB)
/ Bencana Alam</span></b><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12pt;">S</span><span style="font-size: 12pt;">asaran
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">erlaksananya
pelacakan KLB penyakit menular, keracunan makanan dan bencana alam<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span style="font-size: 12pt;">Target
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">ertanganinya
KLB penyakit dan bencana alam.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">e.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><span style="font-size: 12pt;">Penanggulangan
</span></b><b><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi Menular Seksual (IMS) / HIV – AIDS</span></b><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12pt;">S</span><span style="font-size: 12pt;">asaran
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">erlaksananya
serro survey dan penyuluhan HIV/AIDS pd kelompok resti serta pembentukan klinik
VCT<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span style="font-size: 12pt;">Target
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">ertanganinya
penderita HIV/AIDS dan terbentuknya klinik VCT di RS Panti Rahayu.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">f.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><span style="font-size: 12pt;">Pencegahan
penyakit </span></b><b><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Avian Influensa (AI) / Flu
Burung</span></b><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12pt;">S</span><span style="font-size: 12pt;">asaran
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">erlaksananya
pelacakan flu burung, adanya alat pelindung diri dan pelatihan kader flu burung<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span style="font-size: 12pt;">Target
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">ertanganinya
kasus atau tersangka flu burung yg ditemukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">g.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><span style="font-size: 12pt;">Pencegahan
dan Pemberantasan Penyakit Tuberkulosis </span></b><b><span style="color: red; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(TBC)</span></b><span style="font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">S</span><span style="font-size: 12pt;">asaran kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span lang="EN-US" style="font-size: 12pt;"> t</span><span style="font-size: 12pt;">erlaksananya
kegiatan monitoring, evaluasi dan pengobatan penderita TBC<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<span style="font-size: 12pt;">Target
kegiatan</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt;">à</span><span style="font-size: 12pt;">tercapainya target penemuan, angka
kesembuhan penderita TBC yg diobati<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span style="color: #00b050; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">B.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span style="color: #00b050; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Penyehatan Lingkungan Pemukiman</span></b><span style="color: #00b050; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<b><i><span lang="EN-US" style="font-family: Calibri, sans-serif;">Kriteria r</span></i></b><b><i><span style="font-family: Calibri, sans-serif;">umah sehat</span></i></b><span style="font-family: Calibri, sans-serif;"><o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: Wingdings;">à</span><span style="font-family: Calibri, sans-serif;">luas
bangunan rumah minimal 2,5 m<sup>2</sup> per penghuni<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: Wingdings;">à</span><span lang="EN-US" style="font-family: Calibri, sans-serif;">f</span><span style="font-family: Calibri, sans-serif;">asilitas
air bersih yang cukup,<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: Wingdings;">à</span><span style="font-family: Calibri, sans-serif;">pembuangan
tinja, sampah dan limbah,<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: Wingdings;">à</span><span style="font-family: Calibri, sans-serif;">fasilitas
dapur dan ruang berkumpul keluarga<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: Wingdings;">à</span><span style="font-family: Calibri, sans-serif;">gudang dan
kandang ternak untuk rumah pedesaan<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<a href="http://keperawatankomunitas.blogspot.com/2010/05/pembinaan-kesehatan-lingkungan-terkait.html"><b><i><span style="color: black; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-themecolor: text1; text-decoration: none; text-underline: none;">Pembinaan
Kesehatan Lingkungan Terkait dengan Penyakit yang Berhubungan dengan Air dan
Sanitasi</span></i></b></a><b><i><span style="font-family: Calibri, sans-serif;"><o:p></o:p></span></i></b></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">Sebagian besar penyakit menular terjadi karena buruknya
kesling :<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">• Penyakit menular </span><span lang="EN-US" style="font-family: Wingdings;">à</span><span style="font-family: Calibri, sans-serif;">penyebab kematian tinggi pd bayi dan balita <o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">• Urutan penyakit menular penyebab kematian pada bayi :
pneumonia, diare, tetanus, infeksi saluran pernafasan akut <o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">• Proporsi penyakit menular penyebab kematian pada balita
: pneumonia (22,5%), diare (19,2%) infeksi saluran pernafasan akut (7,5%), malaria
(7%), serta campak (5,2%). <o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">• Beberapa penyakit menular diidentifikasikan sebagai
penyebab kematian dasar seperti Tuberculosis (9,2%), diare (7,2%), pneumonia
(6,9%). <o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">• Penyakit menular baru muncul dan berkembang diberbagai tempat
antara lain Flu Burung, <o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">• Beberapa penyakit berbasis lingkungan seperti
Pneumonia, ISPA , TBC, DBD, Malaria dan Diare sangat terkait erat dengan
kondisi lingkungan yang belum memadai. <o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<b><i><span style="font-family: Calibri, sans-serif;">Kaitan Faktor Lingkungan dan penyakit <o:p></o:p></span></i></b></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><i><span style="color: red; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="color: red; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">Manfaat
terhadap kesehatan</span></i></b><b><span lang="EN-US" style="color: red; font-family: Wingdings; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">m</span><span style="font-family: Calibri, sans-serif;">enurunkan
angka kesakitan dan kematian beberapa penyakit berbasis lingkungan </span><span lang="EN-US" style="font-family: Wingdings;">à</span><span style="font-family: Calibri, sans-serif;">diare, Pneumonia, ISPA , TBC,
DBD, malaria dan Flu Burung</span><b><i><span style="color: red; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></i></b></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><i><span style="color: red; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="color: red; font-family: "Calibri","sans-serif"; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">M</span></i></b><b><i><span style="color: red; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">enurunkan
beban pembiayaan yankes</span></i></b><b><span lang="EN-US" style="color: red; font-family: Wingdings; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-family: "Calibri","sans-serif"; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">m</span><span style="font-family: Calibri, sans-serif;">enurunnya
angka kesakitan dan kematian karena penyakit menular terkait lingkungan akan
meringankan beban pelayanan kesehatan perorangan (pengobatan) yg memerlukan
alokasi sbr daya dan pembiayaan yg besar.</span><b><i><span style="color: red; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></i></b></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level5 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><i><span style="color: red; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span style="color: red; font-family: "Calibri","sans-serif"; mso-ascii-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">Investasi
pada kesehatan anak<o:p></o:p></span></i></b></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">Kematian bayi akan menurun sebesar:<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">a. 3-4% à jika akses pada air minum naik 10%<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">b. 3% jika lama
sekolah perempuan naik 10%<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">c. 0,8%-1,5% à jika anggaran kesehatan naik 10%<o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: Calibri, sans-serif;">d. 2-3% àjika pendapatan per kapita naik 10% <o:p></o:p></span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<b><i><span style="font-size: 12pt;">PRIORITAS DEPKES<o:p></o:p></span></i></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">1.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">Kesehatan Ibu dan Anak <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">2.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">Pelayanan kesehatan utk
maskin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">3.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">Pendayagunaan tenaga
kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-size: 12pt;">4.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span style="font-size: 12pt;">Penanggulangan penyakit
menular (termasuk pengendalian faktor resiko lingkungan), gizi buruk, dan krisis
kesehatan akibat bencana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span style="font-size: 12pt;">5.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><span style="font-size: 12pt;">Peningkatan pelay kesehatan di daerah terpencil,
tertinggal, dan daerah perbatasan serta pulau-pulau terluar.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-size: 12pt;">Program
Pembangunan Kesehatan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">1. Program Promosi Kesehatan dan
Pemberdayaan Masyarakat<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">2. Program Lingkungan Sehat<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">3. Program Upaya Kesehatan
Masyarakat<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">4. Program Upaya Kesehatan
Perorangan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">5. Program Pencegahan dan Pemberantasan
Penyakit<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">6. Program Perbaikan Gizi
Masyarakat<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">7. Program Sumber Daya Kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">8. Program Obat dan Perbekalan
Kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">9. Program Pengawasan Obat dan
Makanan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">10. Program Pengembangan Obat
Asli Indonesia<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">11. Program Kebijakan dan Manajemen
Pembangunan Kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">12. Program Penelitian dan
Pengembangan Kesehatan <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<b><i><span style="font-size: 12pt;">Program Lingkungan Sehat <o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">Kegiatan <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">a. Penyediaan sarana air bersih
dan sanitasi dasar; <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">b. Pemeliharaan dan pengawasan
kualitas lingkungan; <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">c. Pengendalian dampak resiko
pencemaran lingkungan; dan <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">d. Pengembangan wilayah sehat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">Memicu Perubahan Perilaku melalui
CLTS – di masa awal <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">Pendekatan yang selama ini dilakukan:<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">1. Membangunan ribuan-jutaan MCK<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">2. Distribusi sarana MCK gratis
dan stimulan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">3. Distribusi uang dalam bentuk
pinjaman bergulir<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">Pilar STBM<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">a. Stop Buang Air Besar
Sembarangan (STOP BABS) atau Open Defecation Free<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">b. Cuci Tangan Pakai Sabun (CTPS)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">c. Pengelolaan Air Minum dan
Makanan Rumah Tangga (PAM-RT)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">d. Pengelolaan Limbah Rumah
Tangga<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-size: 12pt;">e. Pengelolaan Sampah di Rumah
Tangga<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-4958118876690988512016-05-16T07:37:00.003-07:002016-05-16T07:37:53.552-07:00Peran dan Fungsi Keperawatan Komunitas<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 14.0pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;">A.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt;">Peran dan Fungsi Keperawatan Komunitas<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Definisi <b>Peran</b> Perawat<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 63pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Peran</span></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> bentuk dari
perilaku yang diharapkan dari seseorang pada situasi sosial tertentu. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 63pt; text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Peran Perawat</span></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">cara untuk
menyatakan aktivitas perawat dalam praktik, di mana telah menyelesaikan
pendidikan formalnya yang diakui dan diberi kewenangan oleh pemerintah untuk
menjalankan tugas dan tanggung jawab keperawatan secara professional sesuai
dengan kode etik professional.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 63pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Kozier,
Barbara (1995:21)peran</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> adalah seperangkat tingkah laku yang
diharapkan oleh orang lain terhadap seseorang sesuai kedudukannya dalam suatu
system.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 63pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Peran adalah tingkah laku yang
diharapkan oleh seseorang terhadap orang lain, dalam hal ini peran perawat
untuk memberikan asuhan keperawatan, melakukan pembelaan pada klien, sebagai
pendidik tenaga perawat dan masyarakat, coordinator dalam pelayanan pasien,
kolaborator dalam membina kerja sama dengan profesi lain dan sejawat, konsultan
pada tenaga kerja dan pasien, pembaharu system, serta metodologi dan sikap (Peran
perawat, CHS, 1989)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Elemen Peran</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">care
giver, client advocate, counselor, educator, collaborator, change agent,
consultant dan Interpersonal process.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Care
Giver<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Memberikan pelayanan keperawatan kepada
individu, keluarga, kelompok, atau masyarakat sesuai diagnosis masalah yang
terjadi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Memperhatikan individu dalam konteks
sesuai kehidupan klien<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Perawat menggunakan proses keperawatan
untuk mengidentifikasi diagnosis keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pembela
Klien (Client Advocate)<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Bertanggung jawab untuk membantu klien
dan keluarga dalam menginterpretasikan informasi dari berbagai pemberi layanan
dan memberikan informasi lain yang diperlukan untuk mengambil persetujuan
(inform concent) atau tindakan keperawatan yang diberikan kepadanya.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Mempertahankan dan melindungi hak-hak
klien harus dilakukan oleh perawat, <o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Berikut
ini adalah hak-hak klien:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak atas pelayanan yang sebaik-baiknya.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak atas informasi tentang penyakitnya.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak atas privasi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">d)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak untuk menentukan nasibnya sendiri<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">e)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak untuk menerima ganti rugi akibat
kelalaian tindakan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Sedangkan
hak-hak kesehatan antara lain.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak atas informasi yang benar<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak untuk bekerja sesuai standar<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak untuk mengakhiri hubungan dengan
klien<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">d.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak untuk menolak tindakan yang kurang
cocok<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">e.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak atas rahasia pribadi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">f.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Hak atas balas jasa.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Konseling
(Concelor)</span></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">proses
membantuk klien untuk menyadari dan mengatasi tekanan psikologis atau masalah
social untuk mebangun hubungan interpersonal yang baik<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Mengidentifikasi perubahan pola
interaksi klien terhadap keadaan sehat sakitnya.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Perubahan pola interaksi
merupakan’’dasar’’dalam merencanakan metode untuk meningkatkan kemampuan
adaptasinya.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Memberikan konseling atau bimbingan
penyuluhan kepada individu atau keluarga dalam mengintegrasikan pengalaman
kesehatan dengan pengalaman yang lalu.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">d.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pemecahan masalah difokuskan pada
masalah keperawatan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">e.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Mengubah perilaku hidup sehat
(perubahan pola interaksi)<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">4.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pendidik
(Educator)</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">merujuk kepada aktivitas di mana
seseorang guru membantu murid untuk belajar. <b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Proses pengajaran mempunyai empat komponen yaitu : (1)
Pengkajian; (2) perencanaan; (3) Pelaksanaan (4); evaluasi. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pada peran ini perawat diharapkan mampu melakukan hal-hal
berikut.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Dapat dilakukan klien atau keluarga,
tim kesehatan lain, baik secara spontan pada saat berintekasi maupun formal
(sudah di siapkan terlebih dahulu).<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Membantu klien meningkatkan pengetahuan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Dasar pelaksanaan perawat adalah
intervensi dalam proses keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">5.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Kolaborasi
(Collaborator)</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">bekerja sama
dengan tim kesehatan yang lain</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">mempercepat
proses penyembuhan klien.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">6.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Koordinasi
(Coordinator)</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">mengarahkan,
merencanakan, dan mengorganisasikan pelayanan dari semua anggota tim kesehatan<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">7.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pembawa
Perubahan/Pembaharu (Change Agent)</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">seseorang atau
kelompok orang yang berinisiatif merubah atau membantu orang lain membuat
perubahan pada dirinya atau pada system. (kemp,1986). <b><o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Marriner Torney, pembawa perubahan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">mengidentifikasikan
masalah, mengkaji, memotivasi dan kemampuan klien untuk berubah, menunjukkan
alternative, menggali kemungkinan hasil dari alternative, mengkaji sumber daya,
menunjukkan peran membantu, membina dan mempertahankan hubungan membantu selama
fase proses perubahan, serta membimbing klien melalui fase-fase ini. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">8.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Konsultan
(Consultant)</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">tempat konsultasi pasien </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">masalah yang di
alaminya atau tindakan keperawatan yang tepat.</span></div>
<a name='more'></a><b><o:p></o:p></b><br />
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<br /></div>
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<br /></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 14.0pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;">B.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt;">Fungsi Perawat Komunitas<o:p></o:p></span></b></div>
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<i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Fungsi</span></i><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">suatu pekerjaan
yang harus dilaksanakan sesuai dengan perannya.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Fungsi
perawat</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">independen,
fungsi dependen, dan fungsi interdependen.</span><b><span lang="EN-US" style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Fungsi Independen</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">fungsi di mana
perawat melaksanakan perannya secara mandiri<b><i><o:p></o:p></i></b></span></div>
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<!--[if !supportLists]--><b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Fungsi Dependen</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">dilaksanakan
oleh perawat atas instruksi dari tim kesehatan lain, atau tindakan pelimpahan
atas tugas yang diberikan seperti pelimpahan dari dokter, ahli gizi, radiologi,
dan lain-lain.<b><i><o:p></o:p></i></b></span></div>
<div class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3.<span style="font-size: 7pt; font-stretch: normal; font-style: normal; font-weight: normal;">
</span></span></i></b><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Fungsi Interdependen</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">kerja tim
sifatnya saling ketergantungan, baik dalam keperawatan maupun kesehatan.<b><i><o:p></o:p></i></b></span></div>
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<br /></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 14.0pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;">C.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt;">Proses Keperawatn Komunitas<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pengkajian</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">pengumpulan
data yang bertujuan mengidentifikasikan data yang penting mengenai klien.<b><o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Yang perlu di
kaji pada kelompok atau komunitas adalah :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Core atau inti</span></i></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> :
data demografi kelompok atau komunitas: umur, pendidikan, jenis kelamin,
pekerjaan, agama, nilai-nilai, keyakinan serta riwayat timbulnya kelompok atau
komunitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">8 subsistem</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">
yang mempengaruhi komunitas (Betty Neuman):<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Perumahan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pendidikan <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Keamanan dan Keselamatan di lingkungan
tempat tinggal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Politik dan Kebijakan pemerintah
terkait dengan kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pelayanan kesehatan yang tersedia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Sistem komunikasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Ekonomi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Rekreasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Status
Kesehatan Komunitas</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">dilihat dari
biostatistik dan vital statistic</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">angka
morrtalitas, morbiditas, IMR,MMR,serta cakupan imunisasi.<b><o:p></o:p></b></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Diagnosa Keperawatan Komunitas atau
kelompok dan analisa data <o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Masalah
kesehatan, karakteristik populasi, karakteristik lingkungan.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">è<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Diagnosa
</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">tingkat reaksi
komunitas </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">stressor</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> 3 komponen, </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">problem atau
masalah , etiologi atau penyebab, ,manifestasi atau data penunjang.<b><o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Contoh :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Resiko
gangguan nutrisi kurang dari kebutuhan tubuh pada komunitas di RW 04 kelurahan.
Kampung Melayu berhubungan dengan kurangnya pengetahuan masyarakat tentang
pemenuhan kebutuhan nutrisi bagi tubuh.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Masalah
kesehatan yang ditemukan di masyarakat disampaikan dalam pelayanan lokakarya
mini atau istilah lainnya musyawarah
masyarakat desa/ RW. Data dapat disajikan dengan menggunakan grafik, table
ataupun melalui sosio drama. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Perencanaan (intervensi)</span></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">tindakan
menetapkan apa yang harus dilakukan untuk membantu sasaran dalam upaya
promotif, preventif, kuratif dan rehabilitative.<b><o:p></o:p></b></span></div>
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<br /></div>
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<b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Dalam
pelaksanaan pengembangan masyarakat dilakukan melalui tahapan sebagai berikut:<o:p></o:p></span></i></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tahap persiapan</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">pemilihan
daerah prioritas menentukan cara untuk Dengan masyarakat, mempelajari dan
bekerjasama dengan masyarakat.<b><i><o:p></o:p></i></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tahap pengorganisasian</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">persiapan
pembentukan kelompok kerja kesehatan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">kepedulian
terhadap kesehatan dalam masyarakat.<b><i><o:p></o:p></i></b></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Kelompok kerja
kesehatan(Pokjakes) </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">wadah
kegiatan dibentuk oleh masyarakat secara bergotong royong </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">menolong diri
mereka sendiri </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">mengenal
dan memecahkan masalah atau kebutuhan kesehatan dan kesejahteraan, meningkatkan
kemampuan masyarakat untuk memelihata kehidupan yang sehat dan sejahtera .,
serta bertujuan untuk mengajak masyarakat berperan serta dalam pembangunan
kesehatan di wilayahnya.<b><i><o:p></o:p></i></b></span></div>
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<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tugas
pokok Pokjakes </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">mengidentifikasi
dan memfasilitasi masalah kesehatan ibu dan anak, mensukseskan NKKBS,
mengidentifikasi dan memfasilitasi kesehatan lansia, ,mengidentifikasi dan
memfasilitasi kesehatan remaja, serta sebagai penggerak kesehatan lingkungan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tahap pendidikan dan latihan.<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Kegiatan pertemuan teratur dengan
kelompok masyarakat .<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Melakukan pengkajian<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Membuat program berdasarkan masalah
atau diagnose keperawatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Melatih kader<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Keperawatan langsung terhadap individu,
keluarga dan masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">d.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tahap formasi kepemimpinan</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> m</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">emberikan
dukungan, pelatihan dan mengembangkan keterampilan kepemimpinan<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">e.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tahap koordinasi intersektoral</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Kerjasama
dengan sector terkait dalam upaya memandirikan masyarakat.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">f.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tahap
akhir</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">melakukan supervise atau kunjungan
bertahap untuk mengevaluasi serta
memberikan umpan balik untuk perbaikan kegiatan kelompok kerja kesehatan lebih
lanjut.<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: 18pt;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Untuk lebih singkatnya perencanaan dapat diperoleh dengan
tahapan sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pendidikan kesehatan tentang gangguan
nutrisi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Demonstrasi pengolahan dan pemilihan
makanan yang baik<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Melakukan deteksi dini tanda-tanda
gangguan kurang gizi melalui pemeriksaan fisik dan labolatorium<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Bekerjasama dengan aparat pemda
setempat untuk mengamankan lingkungan atau komunitas bila stressor dari
lingkungam<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Rujukan ke rumah sakit bila diperlukan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 39pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">4.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pelaksanaan
(Implementasi)</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">perawat
bertanggung jawab melaksanakan tindakan yang telah direncanakan yang sifatnya:<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">bantuan mengatasi masalah kurang
nutrisi, mempertahkan kondisi seimbang atau sehat dan meningkatkan kesehatan.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Mendidik komunitas tentang perilaku
sehat untuk mencegah kurang gizi<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Sbg advokat komunitas, untuk sekaligus
memfasilitasi terpenuhinya kebutuhan komunitas.<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pada
kegiatan praktik keperawatan komunitas berfokus pada tingkat pencegahan, yaitu:<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #00b0f0; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pencegahan Primer </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">pencegahan
sebelum sakit dan difokuskan pada populasi sehat.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Contoh </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">imunisasi,penyuluhan gizi, simulasi dan bimbingan diri
kesehatan keluarga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="color: #00b0f0; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pencegahan
Sekunder</span></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">kegiatan yang
dilakukan pada saat terjdinya perubahan derajat kesehatan masyarakat dan
ditemukan masalah kesehatan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">menekankan
pada diagnose dini dan tindakan untuk menghambat proses penyalit.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Contoh </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> mengkaji keterbelakangan tumbuh kembang anak, memotivasi
keluaraga untuk melakukan pemeriksaan kesehatan seperti mata, gigi, telinga.dll<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<a href="https://www.blogger.com/null" name="_GoBack"><!--[if !supportLists]--><b><span lang="EN-US" style="color: #00b0f0; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pencegahan Primer</span></b></a><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">kegiatan
menekankan pengembalian individu pada tingkat berfungsinya secara optimal dari
ketidakmampuan keluarga<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Contoh </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> membantuk keluarga yg mempunyai anak dgn resiko gangguan
kurang gizi untuk melakukan pemeriksaan secara teratur ke Posyandu.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">5.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Evaluasi
</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">penilaian terhadap program yang telah
dilaksanakan dibandingkan dengan tujuan semula dan dijadikan dasar untuk
memodifikasi rencana berikutnya.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Evaluasi
</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">evaluasi
struktur, evaluasi proses dan evaluasi hasil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Focus
evaluasi askep komunitas adalah :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Relevansi atau hubungan antara
kenyataan yang ada dengan target pelaksanaan<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Perkembangan atau kemajuan proses :
kesesuaian dengan perencanaan ; peran staf atau pelaksana tindakan, fasilitas
dan jumlah peserta.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Efisiensi biaya. Bagaimana pencarian
sumber dana dan penggunaanya serta keuntungan program,<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">d.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Efektifirtas kerja. Apakah tujuan
tercapai dan apakah klien atau
masyarakat puas terhadap tindakan yang dilaksanakan,<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">e.<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Dampak ,. Apakah status kesehatan
meningkat setelag dilaksanakan tindakan, apa perubahan yang terjadi dalam 6
bulan atau 1tahun.<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify;">
<b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Proses
evaluasi meliputi:<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">a) Menilai respon verbal dan non verbal komunitas setelah intervensi
dilakukan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">b) Mencatat adanya kasus baru yang di rujuk ke rumah sakit.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 22.5pt; text-align: justify;">
<b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Program Evaluasi <o:p></o:p></span></i></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pengertian
Penyuluhan dalam Promosi Kesehatan<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Perencanaan</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">serangkaian
kegiatan di mana keputusanakandibuat seharusnya di wujudkan dlm bentuk tindakan
nyata.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> Contoh </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">perencanaan
penyuluhan promkes penanggulangan penyakit DHF (Dengue Haemoragic Fever), atau
masalah gizi buruk.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">b.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Menentukan
Tujuan Penyuluhan<o:p></o:p></span></b></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tujuanpenyuluhan kesehatan</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">tujuan jangka
pendek, menengah dan jangka panjang<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tujuan jangka pendek </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">terciptanya pengertian, sikap, dan norma menuju kepada
tercapainya perilaku sehat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tujuan jangka menengah </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">terjadinya perilaku sehat<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tujuan jangka panjang </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">terjadinya perubahan status kesehatan yang optimal.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">c.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Menentukan
metode penyuluhan</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">metode
penyuluhan bergantung pada tujuan penyuluhan yang akan dicapai.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Tujuan penyuluhan</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">pengertian,sikap
dan keterampilan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">*Tujuan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">pengertian
</span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">pesan disampaikan
dgn diucapkan atau secara trtulis.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">*Tujuan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">
sikap positif </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">sasaran perlu
mengetahui bagaimana kejadian tersebut. Misalnya untuk menciptakan sikap empati
pada mereka yang terkena bencana alam lumpur lapindo maka sasaran penyuluhan
perlu melihat kejadian bencana alam tersbut baik melihat secara langsung ,
maupun melalui foto atau rekaman video.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">*Tujuan </span><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">keterampilan
maka sasaran perlu diberikan kesempatan mencoba sendiri pada keterampilan yang
akan diharapkan.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">d.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Menentukan
Media penyuluhan</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">poster, leaflet
dan lain-lain.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">e.<span style="font-size: 7pt; font-stretch: normal; font-weight: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Evaluasi</span></b><b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">pihak
dalam &luar<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<b><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pihak dalam</span></i></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> pihak yg melaksanakan
program itu sendiri.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Berikut ini cara evaluasi yang bisa dipergunakan:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1)<span style="font-size: 7pt; font-stretch: normal; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pencatatan
dan pelaporan</span></i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Laporan disampaikan para pelaksana berbagai tindakan hendaknya
<b>jangan tumpah tindih</b>, hanya
mengandung data yg diperlukan untuk evaluasi.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 58.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2)<span style="font-size: 7pt; font-stretch: normal; font-style: normal;">
</span></span></i><!--[endif]--><i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Supervisi
evaluasi</span></i><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";"> bisa <i>efektif</i> jika
hasil supervise segera diadakan tindak lanjut<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">Pihak luar</span></b><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">à</span><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-family: "Times New Roman";">pihak-pihak yang akan dievaluasi di luar program.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-11008213874790415312016-05-16T07:32:00.002-07:002016-05-16T07:32:46.908-07:00Home Care<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">BAB
I<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-bidi-font-size: 12.0pt;">PENDAHULUAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang <o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkembangan
keperawatan di Indonesia saat ini sangat pesat, hal ini disebabkan oleh
perkembangan ilmu pengetahuan dan teknologi yang sangat cepat sehingga
informasi dengan cepat dapat diakses oleh semua orang sehingga informasi dengan
cepat diketahui oleh masyarakat. Perkembangan era globalisasi yang menyebabkan
keperawatan di Indonesia harus menyesuaikan dengan perkembangan keperawatan di
negara yang telah berkembang, sosial ekonomi masyarakat semakin meningkat sehingga
masyarakat menuntut pelayanan kesehatan yang berkualitas tinggi, tapi di lain
pihak bagi masyarakat ekonomi lemah mereka ingin pelayanan kesehatan yang murah
dan terjangkau. Sehingga diperlukan perawatan yang meminimalkan biaya perawatan
bagi masyarakat ekonomi rendah dengan diadakannya home care. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Home
care adalah pelayanan yang sesuai dengan kebutuhan pasien, individu dan
keluarga, direncanakan, dikoordinasikan, dan disediakan, oleh pemberi
pelayanan, yang diorganisir untuk memberi pelayanan rumah melalui staf atau
pengaturan berdasarkan perjanjian kerja atau kontrak (Warola, 1980 Dalam
Perkembangan Modal Praktek Mandiri Keperawatan Di Rumah Yang Disusun Oleh PPNI
dan DEPKES). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hasil
kajian Depkes RI tahun 2000 diperoleh hasil : 97,7 % menyatakan perlu dikembangkan
pelayanan kesehatan di rumah, 87,3 % mengatakan bahwa perlu standarisasi
tenaga, sarana dan pelayanan, serta 91,9 % menyatakan pengelola keperawatan
kesehatan di rumah memerlukan izin operasional. Berbagai faktor yang mendorong
perkembangan pelayanan keperawatan kesehatan dirumah antara lain : Kebutuhan
masyarakat, perkembangan IPTEK bidang kesehatan, tersedianya SDM kesehatan yang
mampu memberi pelayanan kesehatan di rumah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
pengertian dari home care?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
tujuan dari home care?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
manfaat dari home care?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebutkan
prinsip dari come care?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan
ruang lingkup dari home care?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
bentuk pelayanan dari home care?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">standar praktik pelayanan kesehatan rumah?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan
program </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">dari home care?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo3; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tujuan
umum<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: list 36.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Mahasiswa
mampu menerapkan serta melakukan konsep home care dan mengetahui program home
care. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Tujuan
khusus<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa mengetahui pengertian dari home care.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa mengetahui tujuan dari home care.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa mengetahui manfaat dari home care.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa mengetahui prinsip dari home care.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa menjelaskan ruang lingkup dari home care.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa menjelaskan bentuk pelayanan dari home care.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa menjelaskan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">standar praktik pelayanan kesehatan
rumah.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level2 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Diharapkan
mahasiswa menjelaskan program dari home care.</span></div>
<a name='more'></a><o:p></o:p><br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18pt; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></b><b style="line-height: 150%; text-align: center;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> II</span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 18pt; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">PEMBAHASAN<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
Home Care<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Home
Care adalah pelayanan kesehatan yang diberikan kepada pasien setelah dirawat di
rumah sakit serta masyarakat umum yang dilakukan di rumah. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pelayanan kesehatan di rumah adalah
pelayanan keperawatan yang diberikan kepada pasien di rumahnya, yang merupakan
sintesa dari pelayanan keperawatan komunitas dan keterampian teknikal tertentu
yang berasal dari spesalisasi kesehatan tertentu, yang befokus pada asuhan
keperawatan individu dengan melibatkan keluarga, dengan tujuan menyembuhkan,
mempertahankan dan meningkatkan kesehatan fisik, mental/ emosi pasien. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
American Medical Association, home care merupakan penyediaan peralatan dan jasa
pelayanan keperawatan kepada pasien di rumah yang bertujuan untuk memulihkan
dan mempertahankan secara maksimal tingkat kenyamanan dan kesehatan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Home
Care juga diartikan pelayanan keperawatan dan pengobatan yang dilaksanakan di
rumah bagi pasien yang oleh karena keadaan fisiknya tidak memungkinkan datang
ke rumah sakit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Home
Health care merupakan sistem pelayanan kesehatan dan pelayanan sosial diberikan
di rumah kepada orang cacat atau yang tinggal di rumah karena kondisi
kesehatannya (Neis dan Mc Ewen,2001).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Home
Care adalah pelayanan kesehatan yang berkesinambungan
dan komprehensif yang diberikan kepada individu dan keluarga ditempat tinggal
mereka yang bertujuan untuk meningkatkan, mempertahakan atau memaksimalkan
tingkat kemandirian dan meminimalkan akibat dari penyakit(DEPKES,2002)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Home
Health Care merupakan ketentuan tentang pelayanan profesional dan para
profesional, dan peralatan yang berhubungan secara medis untuk klien dan
keluarga di tempat tinggalnya untuk memelihara kesehatan, pendidikan,
pencegahan penyakit, diagnosa dan pengobatan penyakit, paliasi dan
rehabilitasi. (Potter & Perry, 2005).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">NAHC (1994)
perawatan kesehatan rumah adalah sprektum luas dari kesehatan dan servis sosial
yg dilakukan dilingkungan rumah untuk perbaikan individu yg memiliki
ketidakmampuan (cacat) atau penyakit kronik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut
direktorat Bina Pelayanan Keperawatan Departemen Kesehatan RI dalam makalahnya
pada seminar nasional 2007 tentang Home Care : “ Bukti kesehatan Kemandirian
Perawat “ menyebutkan bahwa pelayanan keperawatan kesehatan di rumah sebagai
salah satu bentuk praktik mandiri perawat. Pelayanan keperawatan di rumah
merupakan sintesis dari pelayanan keperawatan kesehatan komunitas dan
ketrampilan teknis keperawatan klinik yang berasal dari spesialis keperawatan
tertentu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Home Care (HC) menurut Habbs dan
Perrin, 1985 adalah merupakan layanan kesehatan yang dilakukan di rumah pasien
(Lerman D. & Eric B.L, 1993), Sehingga home care dalam keperawatan
merupakan layanan keperawatan di rumah pasien yang telah melalui sejarah yang
panjang.</span><span lang="EN-US" style="font-family: "Trebuchet MS","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Home Care<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Stanhope (1996), tujuan utama dari <i>home
care </i>adalah untuk mencegah terjadinya suatu penyakit dan meningkatkan
kesehatan pasien. Tujuan yang paling mendasar dari pelayanan <i>home care </i>adalah untuk meningkatkan,
mempertahankan atau memaksimalkan tingkat kemandirian, dan meminimalkan akibat
dari penyakit untuk mencapai kemampuan individu secara optimal selama mungkin
yang dilakukan secara komprehensif dan berkesinambungan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Direktorat Bina Pelayanan Keperawatan DEPKES RI dalam makalahnya pada seminar
nasional tentang <i>home care</i>: “Bukti
Kemandirian Perawat” menyebutkan bahwa tujuan umum dari pelayanan kesehatan di
rumah adalah untuk meningkatkan kualitas hidup pasien dan keluarga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Secara
khusus <i>home care </i>bertujuan untuk
meningkatkan upaya promotif, preventif, kuratif, dan rehabilitative, mengurangi
frekuensi hospitalisasi meningkatkan efisiensi waktu, biaya, tenaga, dan pikiran.
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Direktorak Bina pelayanan keperawatan DEPKES RI dalam makalahnya pada seminar
nasional tentang <i>home care</i>: “Bukti
Kemandirian Perawat” menyebutkan bahwa tujuan khusus dari pelayanan kesehatan
di rumah antara lain:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l18 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terpenuhinya
kebutuhan dasar bagi pasien secara bio-psiko-sosio-spriritual.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l18 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatkan
kemandirian pasien dan keluarga dalam pemeliharaan dan perawatan anggota
keluarga yang memiliki maslaah kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l18 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terpenuhinya
kebutuhan pelayanan keperawatan kesehatan di rumah sesuai kebutuhan pasien <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Home Care<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Ferry Efendi – Makhfudli,2009 Perawatan kesehatan di rumah juga memiliki
manfaat baik untuk keluarga maupun perawat. Manfaat tersebut adalah sebagai
berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
untuk keluarga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biaya
kesehatan akan lebih terkendali<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mempererat
ikatan keluarga karena dapat berdekatan dengan anggota keluarga yang lain saat
sakit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merasa
lebih nyaman karena berada di rumah sendiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
untuk perawat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan
variasi lingkungan kerja sehingga tidak jenuh dengan lingkungan yang sama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
mengenal lingkungan dan klien dengan baik sehingga pendidikan kesehatan yang
diberikan sesuai dengan situasi dan kondisi rumah klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip
Home Care<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengelolaan pelayanan keperawatan
kesehatan di rumah dilaksanakan oleh perawat/TIM yang memiliki keahlian khusus
bidang tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengaplikasikan konsep sebagai dasar
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mengambil keputusan dalam praktik.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengumpulkan dan mencatat data
dengan sistematis, akurat dan komprehensif secara terus-menerus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menggunakan data hasil pengkajian
untuk menetapkan diagnosa keperawatan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengembangkan rencana keperawatan
didasarkan pada diagnosa keperawatan yang dikaitkan dengan tindakan-tindakan
pencegahan, terapi dan pemulihan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberikan pelayanan keperawatan
dalam rangka menjaga kenyamanan, penyembuhan, peningkatan kesehatan dan
pencegahan komplikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengevaluasi secara terus-menerus
respon pasien dan keluarganya terhadap intervensi keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bertanggung jawab terhadap pasien
dan keluarganya akan pelayanan yang bermutu melalui manajemen kasus, rencana penghentian
asuhan keperawatan (discharge planning), dan koordinasi dengan sumber-sumber di
komunitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memelihara hubungan diantara anggota
tim untuk menjamin agar kegiatan yang dilakukan anggota tim saling mendukung.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengembangkan
kemampuan professional dan berkontribusi pada pertumbuhan kemampuan
professional tenaga yang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berpartisipasi
dalam aktifitas riset untuk mengembangkan pengetahuan pelayanan keperawatan
kesehatan di rumah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">12.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menggunakan
kode etik keperawatan dalam melaksanakan praktik keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ruang
Lingkup Home Care<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ruang
lingkup <i>home care </i>adalah
masalah-masalah yyang menjadi cakupan home care. Menurut Nuryandari (2004) ruang lingkup pelayanan <i>home care </i>meliputi: pelayanan medik, pelayanan dan asuhan
keperawatan, pelayanan social dan upaya menciptakan lingkungan terapeutik,
pelayanan rehabilitasi medik dan keterapian fisik, pelayanan imformasi dan
rujukan, pendidikan pelatihan dan penyuluhan kesehatan, hygiene dan sanitasi
perorangan serta lingkungan, dan pelayanan perbantuan untuk kegiatan social.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Direktorat Bina Pelayanan Keperawatan DEPKES RI dalam makalahnya pada seminar
nasional 2007 tentang <i>home care, </i>menyebutkan
bahwa ruang lingkup pelayanan keperawatan di rumah meliputi: pelayanan asuhan
keperawatan secara komprehensif pada proses penyembuhan kesehatan,
rehabilitasi, pemeliharaan dan peningkatan kesehatan; pelaksanaan pendidikan
kesehatan kepada pasien dan keluarganya tentang kondisi yang dialami;
mengembangkan pemberdayaan pasien dan keluarga dalam rangka mencapai kualitas
hidup yang lebih baik. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mantin&Scheet
(1992 cit. Martin, 1997) dalam panduannya bagi perawat komunitas
mengklasifikasiikan masalah dalam 4 domain, yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Domain
I: masalah-masalah lingkungan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Termasuk dalam
kategori ini adalah sumber-sumber di lingkungan, lingkungan fisik, lingkungan
internal dan eksternal dari pasien (lingkungan rumah, tetangga dan komunitas
sekitar pasien dengan spectrum yang lebih luas). Masalah-masalah itu
diantaranya:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendapatan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sanitasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat
tinggal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l20 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keamanan
lingkungan sekitar tempat tinggal (tetangga) dan tempat kerja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Domain
II: masalah-masalah psikososial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cakupan domain
II adalah pola tingkah laku, pola komunikasi, pola hubungan dan pola
perkembangan. Masalah-masalah yang dicakup antara lain:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komunikasi
pasien dengan masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontak
social <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
peran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hubungan
interpersonal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Spiritual<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berduka<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stabilitas
emosi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masalah
seksual<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Care taking/parenting<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anak/orang dewasa yang
terlantar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kekerasan
pada anak/dewasa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertumbuhan dan
perkembangan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Domain
III: masalah-masalah fisiologi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masalah yang
berkaitan dengan status normal fungsi tubuh dalam mempertahankan kehidupan,
diantaranya adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendengaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penglihatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahasa
dan komunikasi lisan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masalah
gigi <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kognisi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bingung
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Integumen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi neuromuskular<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Respirasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hidrasi&digesti <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">m.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
bowel<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">n.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
system genitourinari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">o.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondisi
antepartum/postpasrtum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l2 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Domain
IV: masalah-masalah yang terkait dengan perilaku kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meliputi
masalah-masalah seperti:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola
tidur dan istirahat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktifitas
fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Personal
hygiene <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan
obat <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluarga
berencana <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengawasan
tenaga kesehatan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aturan
pemberian obat yang diresepkan <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Petunjuk prosedur
teknis.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bentuk
Pelayanan Home Care<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bentuk
pelayanan home care pada setiap penyedia pelayanan home care meliputi:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dokter<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
home health care harus berada dibawah perawatan dokter. Dokter harus sudah
menyetujui rencana keperawatan sebelum perawatan diberikan kepada pasien.
Rencana keperawatan meliputi: diagnose, status mental, tipe pelayanan dan
peralatan yang dibutuhkan, frekuensi kunjungan, prognosis, kemungkinan untuk
rehabilitasi, pembatasan fungsional, aktifitas yang diperbolehkan, kebutuhan
nutrisi, pengobatan dan perawatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawat<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bidang
keperawatan dalam home health care, mencakup fungsi langsung dan fungsi tidak
langsung. <i>Direct care</i> yaitu aspek
actual dari keperawatan, semua yang membutuhkan kontak fisik dan interaksi face
to face. Aktifitas yang termasuk dalam <i>direct
care </i>mencakup pemeriksaan fisik, perawatan luka, injeksi, pemasangan dan
penggantian kateter, dan terapi intravena. <i>Direct
care </i>juga mencakup tindakan mengajarkan kepada pasien dan keluarga
bagaimana menjalankan suatu prosedur dengan benar. <i>Indirect care </i>terjadi ketika pasien tidak perlu mengadakan kontak
personal dengan perawat. Tipe perawatan ini terlihat saat perawatan <i>home helath care </i>berperan sebagai
konsultan untuk personil kesehatan yang lain menyediakan <i>home care </i>atau bahkan pada penyediaan perawatan rumah sakit. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Physical therapist.</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Physical therapist </span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">menyediakan
perawatan pemeliharaan, pencegahan, dan penyembuhan pada pasien di rumah.
Perawatan yang diberikan meliputi perawatan langsung dan perawatan tidak
langsung. Perawatan langsung meliputi: penguatan otot, pemulihan mobilitas,
mengontrol spastisitas, latihan berjalan, dan mengajarkan latihan pasif dan
aktif. Perawatan tidak langsung meliputi konsultasi dengan petugas home care
yang lain dan berkontribusi dalam konferensi perawatan pasie.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Occupational
therapist<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Occupational
therapist membantu pasien mencapai level fungsi optimal dengan cara mengajarkan
pada pasien untuk mengembangkan kemampuan untuk melakukan aktifitas sehari-hari
(activity daily living) di rumah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Speech
pathologist<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
dari Speech pathologist adalah untuk membantu pasien mengembangkan dan
memelihara kemampuan berbicara dan berbahasa. Speech pathologist juga bertugas
memberi konsultasi kepada keluarga agar dapat berkomunikasi kepada pasien,
serta mengatasi masalah gangguan menelan dan makan yang dialami pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Social
Wolker (pekerja social)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerja
social membantu pasien dan keluarga untuk menyesuaikan diri dengan factor
social, emosional, dan lingkungan yang berpengaruh pada kesehatan mereka. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Homemaker/ home health
aide</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tugas
dari <i>home health aide </i>adalah untuk
membnatu pasien mencapai level kemandirian dengan cara sementara waktu membantu
memberikan personal hygiene. Tugas tambahan meliputi pencahayaan rumah dan
keterampilan rumah tangga yang lain.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Macam-macam
tindakan yang diberikan pelayanan home care meliputi: pengukuran TTV,
pemasangan atau penggantian selang lambung atau NGT, pemasangan atau
penggantian selang usus besar atau kolon, pemasangan atau penggantian kateter,
pemasangan atau penggantian tube pernapasan, perawatan luka dekubitus atau
ulcer dan jenis luka lainnya, penghisapan lendir dengan atau tanpa mesin:
pemasangan perawatan oksigen, penyuntikan secara IV,IM,SC, pemasangan atau
penggantian infus, pengambilan preparat laboratorium, pemberian huknah,
perawatan kebersihan diri, pemberian latihan, fisioterapi, terapi bicara dan
pelayanan tambahan lain, transportasi pasien, pemberian pendidikan, pelatihan,
penyuluhan perawatan kesehatan, konseling pada kasus-kasus khusus, konsultasi
melalui telepon, fasilitas untuk konsultasi dokter, menyiapkan menu makanan
sesuai diet pasien. Menyiapkan dan membersihkan tempat tidur, fasilitas
terhadap kegiatan social atau mendampingi, fasilitas atau perbaikan
sarana/kondisi kamar rumah (melakukan modifikasi lingkungan tempat tinggal
pasien). <i> <o:p></o:p></i></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar
Praktik Pelayanan Kesehatan Rumah</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar
praktik merupakan salasatu prangkat yang diperlukan oleh setiap tenaga
profesinal. Standar praktik keperawatan mengidentifikasi harapan minimal bagi
para perawat profesional dalam memberikan asuhan keperawataan yang aman efektif
dan etis. Standar praktik pelayanan kesehatan rumah yang dikembangkan oleh
Amerikan Nurse Association (1986) yang memperlihatkan hubungan proses keperawatan
dengan standar praktik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar I (Organisasi)<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seluruh
pelayanan rumah direncanakan, diorganisir langsung oleh perawat profesional
tingkat master yanag telah dipersiapkan
untuk memberi pelayanan kesehatan rumah dan mempunyai pengalaman baik secara
organisasi maupun diorganisasi kesehatan komunitas. Pimpinan dan perawat
pelaksana bekerja bersama-sama, untuk membuat rencana dan program yang sesuai
dengan kebutuhan dengan pelayanan komunitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawat
administrator (pengelola) membuat misi,filosofi,dan tujuan agen yang akan
memutuskan jenis pelayana yang dibutuhkan klien adan keluarganya di lingkungan
mereka. Anggaran kebijakan perorangan dan metoda evaluasi terhadap program dan
personal ditetapkan. Penetapan cara memantau program kendali mutu untuk
memperbaiki dan meningkat pelayanan yang diberikan.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar II-IV (Teori)</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengumpulan
data dan diagnosis kerangka kerja bermanfaat untuk pengkajian ,intervensi,dan
evaluasi berdasarkan pada konsep teori dari keperawatan,kesehatan
masyaraka,fisik,sosial dan ilmu prilaku. Perawatan pelayanan kesehatan rumah
bertanggung jawab untuk mengkaji klien dan kluarga pada sat kunjungan rumah
pertama kali dan kunjungan teratur brikutnya. Informasi ynga diprileh dari
klien dan keluarga di tetapkan menjadi
data dasar yang terdiri dari data objektif dan subjektif. Sebagai contoh: <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data subjektif : meliputi informasi
klien,keluarga,dokter dan perawat dalam bentuk komuniksai verbal.informasi
diperoleh melalui pertanyaan langsung untuk melengkapi data dasar guna
mendirikan diagnosis keperawatan yang akurat meliputi:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tinjauan terhadap riwayat kesehatan
dan penyakit yang terkait dengan
sistem kardiovaskuler, paru-paru, muskuloskeletal, gastrointestinal, genitourinara
,endokrin, neurologi dan integumen.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondisi sosial ekonomi, meliputi:
sumber pengahasilan, besarnya penghasilan, agama, sistem pendukung, keamanan
lingkungan dan ketergantungan terhadap pekerja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola hidup sehari-hari yang mencakup
diet, pola makan, eliminasi, istirahat dan tidur, latihan, aktivitas, rekreasi
dan kebersihan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data objektif: diperoleh dari tijaun
seluruh sistem tubuh melalui pengkajian /pemeriksaan fisik secara terampil dari
kepala hingga kaki.dari data lain yang tercatan pada format diklinik pelayanan
rumah,diidentifikasi dan dikembangkan menjadi diagnosis keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada tahap pengkajian perawat
pelayanan kesehatan rumah menentukan profesi lain yangg dibutuhkan klien
seperti ahli terapi okupasi, ahli terapi wicara, pekerja sosial,dibidang
kesehatan ahli gizi keluarga harus
dilibatkan dalam secara keseluruhan dalam proses keperawatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar V (Perencanaan)<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rencana
keperawatan dikembangkan menjadi tujuan jangka pendek dan jangka panjang.
Tujuan berfokus pada unsure-unsur promosi dan pemeliharaan kesehatan, pemulihan
dan pencegahan terjadinya komplikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar VI (pelaksanaan /
intervensi)<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Implementasi
rencana dilakukan dalam tiga fase : sebelum, selama dan sesudah kunjungan
rumah., bertanggung pada keperluan perawat pelayanan kesehatan rumah
bertanggung jawab membantu klien kembali ketingkat fungsi optimal dan kesehatannya
dan menjamin klien dan keluarga terlibat. Dan partisipasi dalam pelayanan
kesehatan rumah, penyuluhan, pengawasan terhadap obat-obat dan diet dan evaluasi terhadap Pengaturan klien dengan
diabetes.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar VII (evaluasi)<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara
bersama-sama klien , keluarga dan perawat pelayanan kesehatan rumah melakukan
penilaian terhadap status klien dan kemajuan yang dicapai sesuai dengan tujuan
yang telah ditetapkan. Karena pada kunjungan rumah yang pertama perawat telah
menjelaskan kepada klien dan keluarga tentang tujuan jangka pendek dan tujuan
jangka panjang yang harus dicapai.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar VIII ( keperawatan
Berkelanjutan)<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawat
bertanggung jawab untuk menyediakan
system keperawatan yang menyediakan suatu transisi secara bertahap bag kliendan keluarga, dari
rumah sakit kerumah.hal ini dilakukan melalui
koordinasi dengan sumber daya lainyang ada dimasyarakat sesuai dengan
kebutuhan klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar IX (kerja sama antar
di-siplin)</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerja sama
antara disiplin pada area pelayanan kesehatan rumah cukup penting karena banyak
anggota yang terlihat dalam tim pelayanan kesehatan rumah.agar kerja tim antar
disiplin ini sukses maka mereka harus
bersama-sama merencanakan, menerapkan dan melakukan evaluasi terhadap pelayanan yang diberikan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar X (pengembangan Profesional)</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawatan
kesehatan masyarakat selalu aktif berusaha (mengambil bagian) dalam menjamin
pelayanan yang berkualitas melalui evaluasi terhadap kelompok, evaluasi diri
sendiri yang merupakan bagian dari tim keehatan. Perawat pelayanan kesehatan dirumah
diberi kesempatan untuk meningkatkan pendidikan formal maupun kegiatan ilniah
lainnya. Pengembangan professional adalah suatu area pentiing karena pelayanan
kesehatan rumah sedang berkembang dengan pesat dalam rangka memenuhi kebutuhan
masyarakat dalam masalah sosisl dan ebutuhan peleyanan kesehatan dirumah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar XI (Riset)</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawat
pelayana kesehatan rumah berpartisifasi dalam berbagai kesempatan dalam
melakukan riset,walau belum pernah mempunyai pengalaman riset keperawatan
terutama dalam riset keperawatan komunitas.namun jika sumberdaya dan faktor pendukung dalam penelitian
tersebut memadai ,perawat kesehatan rumah dapat dilibatkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar XII (Etika)</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kode etik
yang disun oleh American Nurses Assosiasion bagi perawat guna membuat
pertimbangaan etis dalam haal bertindak sebagai advokat kilen,melakukan promosi
kesehatan,memberikan informed consent dan melakukan kontrak pertama untuk
melihat sumberdaya yang ada dimasyarakat.dilema dan komflik diselesaikan
melalui suatu mekanisme yang di rancang dan disepakati. Untu kmencapai tujuan
tersebut perawat bertanggung jawab untuk membina hubungan saling percaya dengan
keluarga dalam meyakinkan bahwa rumah adalah tempat yang sesuai untuk pemberian
pelayanan kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l16 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Program Home
Health Care Provider (HCCP) / Pemberi Perawatan Kesehatan di Rumah</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada tiga
cara utama pemberian pelayanan perawatan kesehatan dirumah: lembaga
kesehatan-di-rumah bersertifikat (certified home health agency / CHHA), program
perawatan kesehatan-di-rumah jangka-panjang (the long-term home health care
program (LTHHCP), dan lembaga berlisensi. Tujuan setiap program ini adalah
mempertahankan individu di rumah masing-masing. Tidak ada metode perawatan
terbaik. Metode harus didasarkan pada sumber di komunitas, mampuan mengembangkan
sumber melalui hubungan dan jaringan kerja serta kebutuhan klien</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lembaga Kesehatan di Rumah
Bersertifikat (CHHA)</span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dasar
pemikiran CHHA adalah untuk memberikan kesempatan bagi individu yang mengalami
penyakit akut untuk menerima perawatan terampil yang dibutuhkan di rumah mereka
sendiri. CHHA memenuhi kebutuhan individu dengan memberi berbagai jenis
pelayanan, termasuk pelayanan keperawatan terampil, terapi wicara, terapi fisik
dan terapi okupasi, pelayanan sosial medis, asisten perawatan kesehatan di rumah
(HHA), konseling nutrisi, transportasi, peralatan, dan terapi pernapasan.
Selain itu, CHHA memiliki program khusus, seperti pelayanan kesehatan mental,
pelayanan pediatrik, program untuk anak dan ibu, dan program AIDS, terdapat
juga pelayanan berteknologi tinggi seperti terapi intravena,
kemoterapi-di-rumah, dan penatalaksanaan nyeri. CHHA juga dikenal sebagai
program jangka-pendek karena pelayanan yang diberikan biasanya singkat.<o:p></o:p></span></div>
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-add-space: auto; mso-list: l13 level1 lfo22; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Program Perawatan Kesehatan di-Rumah
Jangka Panjang (LTHHCP)</span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Program
Perawatan Kesehatan-di-Rumah Jangka-Panjang atau “rumah perawatan tanpa
dinding,” dibentuk untuk memenuhi kebutuhan individu yang menderita penyakit
kronis di rumah. Program Perawatan Kesehatan di-Rumah Jangka Panjang adalah
suatu program yang memberikan pelayanan sosial dan kesehatan kepada masyarakat
yang membutuhkan perawatan kesehatan-di-rumah dalam waktu yang lama. Biaya
pelayanan kesehatan klien tidak boleh lebih dan 75% dan biaya rata-rata
perawatan institusional jangka panjang di wilayah setempat. Program Perawatan
Kesehatan-di-Rumah Jangka-Panjang memberikan pelayanan keperawatan terampil
minimal dua minggu sekali, meliputi terapi fisik, okupasi, dan wicara,
pelayanan sosial medis, dukungan nutrisi serta pelayanan perawatan personal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-add-space: auto; mso-list: l13 level1 lfo22; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><b><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lembaga Berlisensi</span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lembaga
perawatan-di-rumah berlisensi menawarkan berbagai pelayanan yang mencerminkan
pelayanan yang diberikan oleh CHHA. Kriteria pendaftaran, pembagian pelayanan
terampil, dan proses rujukan pada hakikatnya sama. Namun, ada juga perbedaan
yang nyata. Lembaga berlisensi bukan merupakan lembaga Medicare bersertifikat.
Lembaga berlisensi dapat memiliki komponen pelayanan professional yang
menyediakan pelayanan terampil yang diberikan CHHA. Lembaga ini juga dapat
meniru banyak program khusus CHHA. Bagian perawatan terbesar yang diberikan
berasal dan pelayanan perawatan personal. Lembaga berlisensi menyediakan
pelayanan profesional, termasuk pengaturan rumah, ibu rumah tangga, pegawai
perawatan personal (Personal Care Workers /PCW), dan perawatan seperti yang diberikan
HHA.<o:p></o:p></span></div>
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
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<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB III<o:p></o:p></span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENUTUP<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesimpulan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Home care merupakan suatu program
yang dapat membantu masyarakat dalam meningkatkan kualitas hidup baik dari
kebutuhan boi-psiko social dan spiritual. Pelayanan kesehatan di rumah adalah
pelayanan keperawatan yang diberikan kepada pasien di rumahnya, yang merupakan
sintesa dari pelayanan keperawatan komunitas dan keterampian teknikal tertentu
yang berasal dari spesalisasi kesehatan tertentu, yang befokus pada asuhan
keperawatan individu dengan melibatkan keluarga, dengan tujuan menyembuhkan,
mempertahankan dan meningkatkan kesehatan fisik, mental/ emosi pasien. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saran <o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk meningkatkan kesehatan
masyarakat maka hendaknya mengembangkan pelayanan home care di masyarakat. Dan
kepada masyarakat diharapkan partisipasinya dan untuk perawat harus
meningkatkan kualitas, wawasan dan keterampilan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bagi perawat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">perawat yang menjalankan perawatan
home care hendaknya sudah memiliki SIP dan SIPP, harus kompeten dalam
bidangnya, bertanggung jawab terhadap tugasnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bagi pasien dan keluarga</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">,
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">hendaknya
pasien dan keluarga dapat bersifat terbuka terhadap perawat home care,
mengikuti anjuran dari perawat, membantu dalam proses tindakan keperawatan, dan
dapat bersifat kooperatif dalam menerima informasi dari perawat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Departemen Kesehatan Republik
Indonesia.2007.Kurikulum dan Modul Pelatihan Pos Kesehatan(Poskestren).Jakarta:Depkes
RI.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dinas Kesehatan Provinsi
Jatim,2007.Pokestren dan PHBS Tatanan Pesantren,Surabaya:Dinkesprop Jatim<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efendi,ferry dan makhfudli.2009.<i>Keperawatan Kesehatan Komunitas Teori Dan Praktek
Dalam Keperawatan</i>.Jakarta:Salemba Medika<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Triwibowo,Cecep,S.Kep.M.Sc. 2012.<i>Home Care Konsep Kesehatan Masa Kini</i>.Nuha
Medika.Yogyakarta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Zang, S.M. & Bailey, N.C.
Alih Bahasa Komalasari, R. (2004). <i>Manual
perawatan dirumah (Home Care Manual)
Edisi Terjemahan</i> Cetakan I. Jakarta: EGC.<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-50841937088032032222016-05-16T07:22:00.002-07:002016-05-16T07:22:55.176-07:00RENCANA ASUHAN KEPERAWATAN SEKOLAH<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">RENCANA ASUHAN KEPERAWATAN SEKOLAH<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">No.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnosa Keperawatn Komunitas<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tujuan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sasaran<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rencana Kegiatan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hari/tanggal<o:p></o:p></span></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.0pt;" width="88">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tempat<o:p></o:p></span></div>
</td>
<td colspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 164.8pt;" width="220">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Evaluasi<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.9pt;" width="111">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kriteria<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.9pt;" width="109">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Standar<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.4pt;" valign="top" width="125">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kebutuhan pihak sekolah
tentang pengelolaan UKS dan PHBS b/d tidak adanya pelatihan dan pemantauan
yang diberikan oleh ppihak puskesmas.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.65pt;" valign="top" width="105">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Setelah dilakukan
tindakana keperawatan 1 bulan diharapkan :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengelola UKS Jaya Sari mengethui program sebaiknya ada di UKS<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah yang terdiri dari guru dan murid mngethui tentang PHBS<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.55pt;" valign="top" width="91">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah yang terdiri
dari guru dan murid<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.5pt;" valign="top" width="117">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.1pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penyuuhan tentang program UKS dan PHBS bagi guru dan murid di SDN Jaya
Sari<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.1pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Supervisi oleh pihak puskesmas tentang pelaksanaan program UKS dan
PHBS <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.4pt;" valign="top" width="95">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kamis, 20 Maret 2014<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.0pt;" valign="top" width="88">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ruangan serba guna SDN
Jaya Sari <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.9pt;" valign="top" width="111">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.25pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">UKS SDN Jaya Sari memiliki program yang baik an terencana<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.25pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah (guru dan murid) memiliki kesadarn untuk berperilaku
hidup bersih dan sehat.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.9pt;" valign="top" width="109">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adanya pemeriksaan dini kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adanaya pemantauan lingkungan sekolah oleh pihak UKS<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Memelihara kebersihan kelas, WC dan lingkungan sekolah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Memperhatikan penampilan diri<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.4pt;" valign="top" width="125">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kurangnya kesadaran pihak
sekolah terhadap kesehatan lingkungan b/d rendanya pengawasan dari pihak
puskesmas<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.65pt;" valign="top" width="105">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Setelah dilakukan tindakan
keperawatan selama 1 bulan :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah (kepsek, guru, pengelola UKS dan peserta didik) mau
memodifikasi lingkungan dengan memperbaiki sarana yang ada di sekolah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekitar sekolah mau memantu pihak sekolah untuk memlihara dan
memperbaiki lingkungan sekolah<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.55pt;" valign="top" width="91">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah yang terdiri
dari kepala sekolah, guru, pengelola UKS, murid dan pihak di sekitar
lingkungan sekolah <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.5pt;" valign="top" width="117">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penyuluhan tentang
kesehatan lingkungan sekolah, meliputi :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeliharaan saran fisik dan lingkungan sekolah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Melakukan pengadaan sarana sekolah yang mendukung terciptanya
lingkungan yang bersih dan sehat<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menganjurkan pihak sekolah untuk melakukan kerja sama dengan
masyarakat sekitar sekolah untuk melakukan penataan halaman pekrangan, apotik
hiup dan pasar sekolah yang aman<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menganjurkan pihak sekolah untuk menggerakkan pemeliharaan dan
pengawasan lingkungan sekolah seperti pengelolaan sampah, saluran air limbah,
kebersihan jamban, dan kamar mandi, kebersihan kantin sekola, ruang UKS dan
runag kelas. <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.4pt;" valign="top" width="95">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kamis, 20 Maret 2014<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.0pt;" valign="top" width="88">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rung serbaguna SDN Jaya
Sari<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.9pt;" valign="top" width="111">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.25pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah melakukan penaan ulang terhdap lingkungan sekolah dan
memperbaiki saran yang sudah ada<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.25pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah dan lingkungan sekitar mau untuk memlihara kebersihan
lingkungan sekolah<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.9pt;" valign="top" width="109">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Memiliki sanitasi dan air bersih yang cukup<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terciptanyapekarangan sekolah yang aman<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terciptanya proses pembeljaran yang dapat menciptakan lingkungan
psiososila yang seat bagi seluruh masyarakat sekoalh.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">3.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.4pt;" valign="top" width="125">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kurangnya program dalam
pemlanan UKS b/d minimnya pengelolaan UKS<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.65pt;" valign="top" width="105">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Meningkatkan kesadaran
pihak sekolah terhadap pelayanan program UKS/ meningkatkan kualitas sumber
daya manusia melaui pembinaan pelayanan kesehatan anak usia sekolah.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.55pt;" valign="top" width="91">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah yang terdiri
dari guru<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 87.5pt;" valign="top" width="117">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak pimpinan sekolah
mengajak bicara atau berdialog dengan guru, komite sekolah dan tim pelaksana
atau Pembina UKS tentang :<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Maksud, tujuan dan manfaat penerapan program UKS (seperti penerpan
PHBS) di sekolah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Meminta msukan tentang penerpana program UKS di sekolah, antispasi
kendala sekaligus alternative solusi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menetapkan penanggung jawan program UKS di sekolah dan mekanisme
pengawasannya<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Membahas cara sosialisai yang efektif bagi sisw, warga, warga sekolah
dan masyarakat sekolah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pimpinan sekolah membentuk kelompok kerja penyusunan kebjakan program
UKS<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menjalin kerja sama lintas program dan lintas sektoral dengan
memperhatikan keijakan operasional yang teah ditentukan, seperti pelayanan keseatan
di sekolah kepada peserta didik dan masyarakat sekolah liannya dan bekerja
sama dengan tim Pembina UKS kecmatan dan masyarakat di sekitar sekolah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Melakukan penataran guru UKS sebagai bagian dari pendelegaisan
wewenang di setiap SD/sekolah<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.4pt;" valign="top" width="95">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kamis, 20 maret 2014 <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.0pt;" valign="top" width="88">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ruang serba guna SDN Jaya
Sari<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.9pt;" valign="top" width="111">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.25pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pihak sekolah dapat memberikan pelayanan program UKS yang telah
terstruktur dan berkesinambungan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.25pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -8.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Guru dan perawat kecil dapat memberikan pelayanan program UKS terbaik <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.9pt;" valign="top" width="109">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adanya pengkajian dan screening siswa sekolah seara periodic<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adanya penemuan kasus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adanya pelayanan konselig pada siswa sekolah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adaya kegiatan promosi kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adanya upaya pencegahan penyakit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Staf melakukan manajemen kasus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.15pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-indent: -9.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adanaya peayanan keperawatan emergensi <o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-47049873263074283912016-05-16T07:11:00.000-07:002016-05-16T07:11:16.558-07:00TRIAGE<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">TRIAGE<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kata triage berasal dari bahasa Perancis
<i>trier</i> arti harfiahnya macam
(bermacam-macam dalam memilah gangguan). Dominique Larrrey, ahli bedah Napoleon
Bonaparte yang pertama kali melakukan triage. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Triage adalah cara pemilahan penderita
berdasarkan kebutuhan terapi dan sumber daya yang tersedia, tetapi didasarkan
pada kebutuhan ABC (Airway, Breathing dan Circulation). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Triage dilakukan berdasarkan pada: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Airway,
Breathing, Circulation. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beratnya
cedera<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah
pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sarana
kesehatan yang tersedia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemungkinan
hidup pasien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawat atau penyedia layanan kesehatan
akan menemukan macam-macam cara melakukan triage yang digunakan, yaitu: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">START:
Simple Triage and Rapid Treatment<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan menggunakan tingkat keberhasilan
hidup yang tinngi dilakukan oleh personel Rumah Sakit. Pasien digolongkan
berdasarkan kemampuan mereka berjalan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Colour
Coded Disaster Triage<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hitam, Merah, Kuning dan Hijau yang
digunakan untuk menentukan tingkat keparahan kondisi. Dapat digunakan dan masih
berhubungan dengan START. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">The START plan dikembangkan oleh RS Hoag
dan Newport Beach Fire Department Amerika Serikat. START memungkinkan seseorang
melakukan Triage pada seseorang pasien tidak lebih dari 60 detik dengan
mengevaluasi: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Respirasi <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perfusi <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status mental pasien <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem ini ideal untuk incident korban
massal tetapi tidak terjadi functional collapse RS. Ini memungkinkan paramedik
untuk memilah pasien mana yang perlu dievakuasi lebih dulu ke RS. Salah satu
cara dengan berteriak : “ Siapa yang ingin segera diobati ikut saya”. Yang
mengikuti ajakan itu berarti bahwa perfusi dan oksigenisasi otak baik dan
berarti Airway, Breathing & Circulation baik. Yang tidak mengikuti ada
masalah dengan Airway, Breathing, Circulation.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">START dapat dengan cepat dan akurat
mengkalsifikasikan pasien ke dalam empat kelompok terapi: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HIJAU
/ kecil = Prioritas ketiga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mereka adalah korban dengan luka
ringan yang tidak memerlukan perawatan segera dan dapat dipindah. Atau
korban-korban ini sering disebut sebagai “<i>walking
wounded”</i>. Pasien ini dapat dapat ditransport dengan ambulance transport
atau dengan Bus/Truk ke RS Umum, gereja, Masjid, RS Kecil. Pasien tetap diawasi
oleh Paramedik/Perawat → Triage ulang. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Contoh: lecet, memar dan keseleo. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KUNING
/ Tertunda (delayed) = Prioritas kedua<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelompok ini termasuk yang
luka-luka tidak bernahaya seperti Fraktur tulang pendek dll. Dapat di Transport
ke RS yang mampu menanganinya. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Contoh: Fraktur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MERAH
/ Segera (Immediate) = Prioritas Pertama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semua pasien yang ada ganguan
Airway, Breathing & Circulation. Termasuk pasien yang bernafas setelah
Airwaynya dibebaskan, pernafasan > 30 x/mnt, capillary reffil > 2 detik,
dan pasien dengan kesadaran menurun. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Contoh: pasien dengan gangguan
Airway dan kesulitan bernafas. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HITAM
/ sekarat-mati = Prioritas terendah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Korban yang tidak bisa bernafas
spontan setelah dilakukan perubahan posisi kepala / airway dan pemasangan OPA,
dan tidak memiliki nadi spontan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Contoh: CK berat atau luka bakar
derajat ketiga lebih dari 95% dari luas permukaan tubuh. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
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<v:path gradientshapeok="t" o:connecttype="rect" o:extrusionok="f">
<o:lock aspectratio="t" v:ext="edit">
</o:lock></v:path></v:stroke></v:shapetype><v:shape id="Picture_x0020_1" o:spid="_x0000_i1025" style="height: 497.25pt; mso-wrap-style: square; visibility: visible; width: 346.5pt;" type="#_x0000_t75">
<v:imagedata o:title="scan0098" src="file:///C:\Users\AC_DIS~1\AppData\Local\Temp\msohtmlclip1\01\clip_image001.png">
</v:imagedata></v:shape></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PROSEDUR:
<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pernafasan
<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menilai setiap pergerakan nafas yang
adekuat setiap pasien. Jika pasien tidak bernafas, periksa objek atau benda
asing yang menyebabkan obstruksi didalam mulut dan pindahkan gigi palsu.
Reposisi kepala dengan menggunakan cervical collar dan pemasangan OPA. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika upaya prosedur di atas tidak
memperbaiki pernafasan: HITAM<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika pernafasan korban > 30 x/mnt =
Merah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika pernafasan < 30 x/mnt →jangan
beri kartu, nilai perfusi. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perfusi
<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai
capillary reffil pada kuku<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika > 2 detik, pasien memperlihatkan
tanda in-adekuat perfusi = MERAH<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika < 2 detik, pasien tidak
diberikan kartu sampai dinilai kesadaran pasien. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika kapillary reffil tidak dapat
dinilai, palpasi Arteri Radialis. Jika teraba Arteri Radialis tekanan darah
sistolik pasien adalah 80 MmHg. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai
arteri radialis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika tidak teraba Arteri Radialis =
MERAH<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika teraba Arteri Radialis, pasien
tidak diberi kartu sampai dinilai kesadaran pasien. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesadaran
<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gunakan perintah yang mudah dimengerti
seperti: “Buka dan tutup mata anda” atau “genggam tangan saya”. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika pasien tidak bisa mengikuti
perintah = MERAH<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika pasien dapat mengikuti perintah =
KUNING. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Skenario
kasus triage:<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar belakang triage saat ini atau
memilah pasien, dilakukan pada saat perang ketika diperlukan suatu kebutuhan
untuk mengkategorikan pasien berdasarkan prioritas menurut beratnya cidera yang
diderita dan tujuan penyelamatan pasien. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan sistem warna adalah hal yang
biasanya digunakan dalam meng-triase pasien-pasien, khususnya dalam situasi
korban masal atau bencana. Sesuai dengan tambahan lampiran bencana untuk
diskusi lebih lanjut. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kategori triase sebagai berikut: <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="color: red; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merah </span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> : Immediate </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(penanganan
yang dibutuhkan adalah segera untuk <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
mempertahankan nyawa). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="color: yellow; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kuning</span></b><span style="color: yellow; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: <b>delayed</b>
(cidera bukan merupakan hal yang mengancam nyawa; penanganan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dapat
ditunda untuk beberapa saat). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="color: #00b050; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hijau </span></b><span style="color: #00b050; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: <b>minimal</b>
atau minor (pasien memiliki cidera ringan). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hitam
</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> : <b>meninggal</b>
(kemungkinan pasien meninggal karena beratnya cidera dan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> terbatasnya
sumber daya). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan dari latihan skenario adalah
untuk mengulas kembali prinsip-prinsip dalam manajemen korban masal dan membuat
keputusan dalam melakukan triase. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Skenario kasus triase: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kecelakaan kendaraan bermotor<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Multiple shooting (korban massal karena
tembakan). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">PRIMARY
SURVEY</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penilaian keadaan penderita dan
prioritas terapi dilakukan berdasarkan jenis perlukaan, tanda-tanda vital, dan
mekanisme trauma. Pada penderita yang terluka parah, terapi diberikan
berdasarkan prioritas. Tanda vital pasien harus dinilai secara cepat dan
efisien. Pengelolaan penderita berupa primary survey yang cepat dan kemudian
resusitasi, secondary survey dan akhirnya terapi definitif. Proses ini
merupakan ABC-nya trauma, dan berusaha untuk mengenali keadaan yang mengancam
nyawa terlebih dahulu, dengan berpatokan pada urutan sebagai berikut: <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A :
Airway dengan kontrol servikal (Cervical Spine Control)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B :
Breathing dengan ventilasi dan oksigenisasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">C :
Circulation dengan kontrol perdarahan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">D :
Disability (GCS dan pemeriksaan pupil)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">E :
Exposure / kontrol lingkungan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selama primary survey, keadaan yang
mengancam nyawa harus dikenali, dan resusitasinya dilakukan pada saat itu juga.
Penyajian primary survey di atas adalah dalam bentuk berurutan (sekuensial),
sesuai dengan prioritas dan agar lebih jelas. Namun dalam praktik hal-hal di
atas sering dilakukan berbarengan (simultan). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prioritas pada anak pada dasarnya sama
dengan orang dewasa. Walaupun jumlah darah, cairan, obat, ukuran anak,
kehilangan panas, dan pola perlukaan dapat berbeda, namun prioritas penilaian
dan resusitasi adalah sama seperti pada orang dewasa. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prioritas pada orang hamil sama seperti
tidak hamil, akan tetapi perubahan anatomis dan fisiologis dalam kehamilan
dapat mengubah respon penderita hamil terhadap trauma. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma adalah penyebab kematian nomor 5
pada usia tua. Dengan meningkatnya usia dari dewasa menjadi tua, maka penyakit
kardiovaskuler dan keganasan menjadi penyebab kematian utama. Kematian pada
laki-laki usia tua adalah lebih besar
dibandingkan perempuan usia tua.
Resusitasi pada usia tua memerlukan perhatian khusus, karena cadangan
fisiologis penderita berkurang sebanding dengan perubahan umur. Kemampuan
bertahannya orang tua terhadap trauma akan berkurang karena adanya penyakit
jantung, paru-paru dan metabolik yang kronis. Penyakit penyerta seperti DM,
PPOK, penyakit koroner, koagulapati, akan memeperberat keadaan. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Walaupun fakta-fakta di atas nampaknya
merupakan faktor prognosis buruk, namun dengan pengelolaan yang baik, kerap
kali penderita usia tua akan dapat pulih dan kembali kepada keadaan pra trauma.
Resusitasi yang agresip dan pengenalan dini dari adanya penyakit penyerta serta
pemberian obat-obatan akan dapat memperbaiki survival pada kelompok ini. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Airway
dengan kontrol servikal<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penilaian:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menilai patensi jalan nafas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjaga tulang belakang dalam posisi
netral dengan immobilisasi manual in-line atau dengan menggunakan cervikal
collar atau dengan menggunakan gulungan selimut untuk stabilisasi. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Carilah cidera yang jelas terlihat
dan/atau obstruksi (sumbatan). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tindakan:
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan manuver Chin lift atau Jaw
Thrust. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bersihkan jalan nafas dengan alat
penghisap (suction). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masukkan oropharingeal airway (OPA) atau
nasopharyngeal airway (NPA) bila ada indikasi. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan intubasi endotrakeal bila ada
indikasi. Pertimbangkan penggunaan Laryngeal Mask Airway (LMA) atau Laryngeal
Tube Airway (LTA) jika intubasi endotrakeal tidak dapat dilakukan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjaga stabilisasi tulang
belakang/leher secara manual dalam melakukan prosedur intubasi. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Antisipasi krikotirodotomi bila ada indikasi.
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Breathing
dengan ventilasi dan oksigenisasi<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penilaian: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lihat dada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai tingkat dan kedalaman pernafasan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Auskultasi bunyi nafas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Auskultasi bunyi jantung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Periksa ulang gerakan dinding dada
bilateral<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi tulang dada <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tindakan:
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan oksigen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan
Oksigen aliran tinggi menggunakan Non Rebrething Mask (NRM).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gunakan
Bag Valve Mask dengan resorvoir untuk ventilasi pasien atau untuk membantu
ventilasi pasien, jika nafas tidak adekuat/cukup (20-24 x/menit). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengurangi tension pneumothorax dengan
jarum dekompresi diikuti dengan pemasangan chest tube. Tanda-tanda dan gejala
Tension pneumothorax adalah gangguan pernafasan, distensi vena leher, deviasi
trakea, suara nafas tidak terdengar pada sisi yang terkena dan biasanya diikuti
dengan takikardi dan hipotensi. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tutup <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Circulation
dengan kontrol perdarahan<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disability
<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Exposure
/ kontrol lingkungan<o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sumber
: Delvi Yanto, 2012<o:p></o:p></span></b></div>
Anonymoushttp://www.blogger.com/profile/17526556756150041294noreply@blogger.com0tag:blogger.com,1999:blog-5427576560529764121.post-69821308780874524402016-05-16T07:03:00.002-07:002016-05-16T07:03:40.828-07:00Chapter 14 { Giving Warning } and Chapter 15 { SCOLDING/REPRIMANDING }<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 42.55pt 49.65pt; text-align: justify;">
<b><span style="font-size: 12.0pt; line-height: 150%;">NAME : AAN
AJI PRAYOGI & ADITIA ANANDA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 42.55pt 49.65pt; text-align: justify;">
<b><span style="font-size: 12.0pt; line-height: 150%;">CLASS : 3A
(SEMESTER VI)<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-size: 12.0pt; line-height: 150%;">Chapter 14 { Giving Warning }<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 35.45pt; text-align: justify;">
<span style="font-size: 12.0pt; line-height: 150%;">Aan : Hi Adit, what is your plan for semester holiday
?<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 1.0cm 35.45pt; text-align: justify;">
<span style="font-size: 12.0pt; line-height: 150%;">Adit : I want to adenture to the Japan Cave at the
Purwokerto<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : Can I join with you to the adventure ?<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : yes, you can join with me<o:p></o:p></span></div>
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<i><span style="font-size: 12.0pt; line-height: 150%;">{</span></i> <i><span style="font-size: 12.0pt; line-height: 150%;">They have arrived at the cave japan }<o:p></o:p></span></i></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : <b><i>Mind your head </i></b>Aan the Japan Cave
have many stalagmit and stalagtit<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : thank you adit<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : The Japan Cave too produce many water so you
must <b><i>be</i></b>
<b><i>carefull</i></b>
about slippery floor<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : oke Adit thank about your warning<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : Usually this time the bat will be flaying
around the Japan Cave, <b><i>Look out !</i><o:p></o:p></b></span></div>
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<i><span style="font-size: 12.0pt; line-height: 150%;">{</span></i> <i><span style="font-size: 12.0pt; line-height: 150%;">Finally they came out of the cave }<o:p></o:p></span></i></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : Ok Adit, where are we going now ?<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : We will go to the restaurant for lunch<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : I see a very
cloudy sky so <b><i>I warn you it’s going to rain</i></b><o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : Ok, I will accelerate the pace of the car so we
are not exposed to rain<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : <b><i>You should not be too fast because we can get
accident</i></b><o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : ok<br />
Aan : see
you tomorrow, <b><i>be carefull</i></b> at the sreet<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;"> </span><span style="font-size: 12pt; line-height: 150%;"> </span></div>
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<b><span style="font-size: 12.0pt; line-height: 150%;">Chapter 15 { SCOLDING/REPRIMANDING }<o:p></o:p></span></b></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : Hi Adit, what is schedule tomorrow ? <o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : The schedule about task english language, did
you finish it ?<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : Not yet, I forget to working our task<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : <b><i>I was reprimand for you</i></b> about the
task of english language<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : Ok, I am sorry, next time I will not repeat
again<o:p></o:p></span></div>
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<i><span style="font-size: 12.0pt; line-height: 150%;">{ after tht they are
going to the canteen }</span></i><span style="font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : Can you take me a candy ?<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : Yes I can, The candy is very cute, I like it<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : Hi Aan, after you eat sweets <b><i>do
not throw garbage carelessly<o:p></o:p></i></b></span></div>
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<i><span style="font-size: 12.0pt; line-height: 150%;">{ they are go to the
class}<o:p></o:p></span></i></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : Aan, I say message from Irwan <b><i>you
must return his book</i></b> because you borrow his book for long time<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : OK, by the way <b><i>if you had not paid money for
food canteen keeper asked me earlier<o:p></o:p></i></b></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : Oh..thank you, do you see my key the motoecycle
Aan, I forget put it ?<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : Next time <b><i>you
must be carefull if you put the key<o:p></o:p></i></b></span></div>
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<span style="font-size: 12.0pt; line-height: 150%;">Adit : Yes I will be carefull<o:p></o:p></span></div>
<br />
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<span style="font-size: 12.0pt; line-height: 150%;">Aan : Adit<b><i>, you should politely because there had been
a lecturer in front of you do not say hello<o:p></o:p></i></b></span></div>
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