PANDUAN ASESMEN PASIEN RS. BAPTIS BATU TAHUN 2014 RS BAPTIS BATU JL RAYA TLEKUNG NO 1 JUNREJO - BATU
DAFTAR ISI Halaman Juul....................................... Juul............................................................................................. ...................................................... Da!"a# I$%............................................................................................ I$%...................................................................................................... .......... L&m'a# P&n(&$a)an .................................................................................... .................................................................................... 1. Tu*uan ............................................................................................. ............................................................................................. 2. P&n(&#"%an................................................................. P&n(&#"%an........................................................................................ ....................... +. I$% M%n%mal A$$&$m&n ..................................................................... +.1.I$% M%n%mal A$&$$m&n Ra,a" Jalan .......................................... +.2. I$% M%n%mal A$&$$m&n Ra,a" Ina .......................................... 4. Maam A$&$m&n ............................................................................. ............................................................................. 4.1. M&nu#u" J&n%$n/a ..................................................................... ..................................................................... 4.1.1. A$&$m&n N/&#% .............................................................. 4.1.2. A$&$m&n R&$% Ja"u)................................. Ja"u)................................................... .................. 4.1.+. A$&$m&n S"a"u$ G%% ....................................... ..................................................... .............. 4.2. M&nu#u" T&ma" P&la/anan ..................................................... 4.+. A$&$m&n Un"u Pula$% K)u$u$ ............................................ 4.4. U#u"an A$&$m&n Pa$%&n............................................................ Pa$%&n............................................................ 4.3. A$&$m&n T&ma" K&*a%an ...................................................... ...................................................... 3. A$&$m&n A,al ................................................................................ ................................................................................ . S&(&#a Dan T&#!u$ ....................................................................... ....................................................................... 5. A$&$m&n S&a#a M&n&"a%l ............................................................. 6. A$&$m&n B&#&lan*u"an 7 Ulan( ................................................ ...................................................... ...... 8. A$&$m&n K&&#a,a"an D% Ruma) Sa%" ......................................... Lam%#an 1 ............................................. .................................................................................................. ..................................................... R&!&#&n$% .............................................. ..................................................................................................... ....................................................... % %% %%% 1 1 + + + + + + 6 13 21 21 23 23 2 25 28 +1 +1 ++ +3 %%
LEMBAR PENGESAHAN PENGESAHAN DOKUMEN RS. BAPTIS BATU NAMA D#. 9an( Ell/ana
KETERANGAN P&m'ua" Dum&n
TANDA TANGAN TANGGAL D#. Imanu&l Ea Tan"au"#a Au")#%& P&#$n D#. A#),%na PA:S.K;R.:MARS. PA:S.K;R.:MARS. D%#&"u# RS. Ba"%$ Ba"u %%%
1. TUJUAN. a. P&n(umulan a"a /an( m#&)&n$%! un"u m&n%la% n%$% an ma$ala) a$%&n. '. %&n"%!%a$% n%$% /an( m&n(anam n/a,a . %n"&#<&n$% $&(&#a . "a"ala$ana &&#a /an( "%a m&n(anam n/a,a an mana*&m&n "#an$!&#.
2. PENGERTIAN. 1) A$&$m&n a$%&n= aala) $&#an(a%an #$&$ /an( '&#lan($un( $&*a a#% !a$& #&-#uma) $a%" )%n((a mana*&m&n a$%&n % #uma) $a%". 2) A$&$m&n "&ma" &*a%an= $ua"u "%naan /an( %lauan l&) a#am&%$ $aa" "%'a % "&ma" &*a%an. 3) A$&$m&n a,al= $ua"u #$&$ un"u m&n(%&n"%!%a$% an m&nan(an% n%$% /an( m&n(anam n/a,a: '&#!u$ aa "%n(a" &$aa#an a$%&n: $"a'%l%$a$% l&)&# an "ulan( '&laan(: m&n*a(a a"&n$% *alan naa$: &#naa$an: an $%#ula$%. 4) A$&$m&n $&(&#a-a$u$ "#auma= %lauan "&#)aa a$%&n /an( m&n(alam% &&#a $%(n%!%an un"u m&n(%&n"%!%a$% &&#a /an( '&#"&n$% m&n(anam n/a,a. P&#%#aan *u(a &#a*a" &a#a)an &&#a: "&n"uan m&"& "#an$!&#: an &#"%m'an(an Ban"uan H%u Lan*u". 5) Yan( %ma$u &n(an &&#a $%(n%!%an aala) "a'#aan m"#> "a'#aan m'%l-&*alan a%> &n&"#a$% aa &ala: aa: a"au &#u"> "&#*a"u) m&l&'%)% *a#a m&"&# ?&,a$a@ an + m&"&# ?ana@. $&(&#a-a$u$ m&%$= %lauan "&#)aa a$%&n /an( "%a 6) A$&$&m&n $&(&#a-a$u$ $aa#: &l%#%um: a"au %$#%&n"a$%> '&#ua %&n"%!%a$% $&(&#a n%$% /an( '&#"&n$% m&n(anam n/a,a. 7) A$&$m&n "&#!u$-a$u$ "#auma= %lauan "&#)aa a$%&n /an( "%a m&n(alam% &&#a $%(n%!%an: an "&la) %a$"%an "%a m&m%l%% &&#a /an( aa" m&n(anam n/a,a. B&#!u$ aa &lu)an u"ama a$%&n. 8) A$&$m&n "&#!u$-a$u$ m&%$= %lauan aa a$%&n /an( $aa#: 1
m&m%l%% #%&n"a$% 'a%: an "%a m&mun/a% n%$% /an( m &n(anam n/a,a. B&#!u$ aa &lu)an u"ama a$%&n. 9) A$&$m&n $&a#a m&n&"a%l= )an/a %lauan *%a "&#aa" *&a ,a"u % "&ma" &*a%an $aa" m&nun((u am'ulan$ "%'a a"au aa $aa" "#an$!&# & #uma) $a%". P&m&#%$aan %lauan a#% &ala-a% un"u m&n(%&n"%!%a$% ma$ala) /an( "%a m&n(anam n/a,a /an( %m%l%% l&) a$%&n. 1) A$&$m&n $&mua '&#&lan*u"an= a$%&n: %lauan $&lama aan/a "#an$!&# "&#)aa aa un"u m&n(%&n"%!%a$% &#u'a)an n%$% a$%&n: '&#ua &#'u#uan7&#'a%an &#'u#uan7&#'a%an n%$%. 11) A$&$m&n ulan( %lauan *u(a "&#)aa a$%&n /an( $ua) % a$&$m&n $&'&lumn/a %lua# #uma) $a%" un"u m&m&#'a#u% a"au m&n(ulan( 'a(%an-'a(%an a#% a$&$m&n m&%$ /an( $ua) l&'%) a#% +0 )a#% 12) P&la$ana a$&$m&n aala) $"a! m&%$: &&#a,a"an $&#"a $"a! la%n /an( '&#"an((un( *a,a' a"a$ &la/anan a$%&n: $&#"a '&&#*a $ama alam m&n(anal%$%$ an m&n(%n"&(#a$%an a$&$m&n a$%&n $&$ua% &,&nan(an m&%$ ma$%n(-ma$%n( /an( "&la) %'&#%an l&) %m%nan #uma) $a%". 13) A$&$m&n al%a"%! aala) &(%a"an a$&$m&n: 'a% a$&$m&n a,al mauun a$&$m&n ulan(: /an( %lauan "&#)aa a$%&n-a$%&n $&'a(a% '&#%u" = a. Pa$%&n an&# "a)a a)%# /an( "%a m&n*alan% &m"&#a% mauun #a%"&#a% '. Pa$%&n (a(al (%n*al #n% /an( "%a m&n*alan% )&m%al%$a . Pa$%&n &n/a%" #n%$ /an( "%a aa" m&n*alan% "&#a% &!%n%"%<& un"u m&n/&m'u)an &n/a%"n/a namun )an/a un"u m&n(u#an(% &lu)an an (&*ala l%n%$ /an( m&n%m'ulan &"%an/amanan a$%&n $a*a. 14@ P&la$ana a$&$m&n aala) $"a! m&%$: &&#a,a"an $&#"a $"a! la%n /an( '&#"an((un( *a,a' a"a$ &la/anan a$%&n: $&#"a '&&#*a $ama alam m&n(anal%$%$ an m&n(%n"&(#a$%an a$&$m&n a$%&n $&$ua% &,&nan(an m&%$ ma$%n(-ma$%n( /an( "&la) %'&#%an l&) %m%nan #uma) $a%". 2
+. ISI MINIMAL ASESSMEN. +.1.I$% M!"!#$% A&'&#'" R$($ J$%$" a. K&lu)an u"ama '. R%,a/a" P&n/a%" . R%,a/a" &n((unaan 'a" . R%,a/a" &n/a%" &lua#(a &. P&m&#%$aan ;%$% !. D%a(n$a
3.2. I&! M!"!#$% A&'&#'" R$($ I"$* a. K&lu)an u"ama '. R%,a/a" P&n/a%" . R%,a/a" &n((unaan 'a" . R%,a/a" &n/a%" &lua#(a &. P&m&#%$aan ;%$% !. D%a(n$a (. R&nana &mulan(an
4. MA+AM ASESMEN 4.1.MENURUT JENISN,A4.1.1. A&'&#'" "'/! P&#a,a" a"au "&# m&lauan a$&$m&n a,al m&n(&na% n/&#% "&#)aa $&mua a$%&n /an( a"an( & 'a(%an IGD: l%l%n%: a"auun a$%&n #a,a" %na. a. Paa a$%&n &,a$a A$&$m&n n/&#% aa" m&n((unaan N0#'/! R$!" S$%' In$"#u$%= a$%&n aan %"an/a m&n(&na% %n"&n$%"a$ n/&#% 10. %. %%. 0 1-+ )a#%@. %%%. 4- n/&#% $&an( ?(an((uan n/a"a "&#)aa a"%<%"a$ "%a n/&#%. n/&#% #%n(an ?$&%%" m&n((an((u a"%<%"a$ $&)a#%/an( %#a$aan an %lam'an(an &n(an an(a an"a#a 0 +
$&)a#%-)a#%@. %<. 5-10 n/&#% '&#a" ?"%a aa" m&lauan a"%<%"a$ $&)a#%-)a#%@. '. Paa a$%&n + "a)un : (unaan a$&$m&n " B$'/ FA+ES P$!" S$%' ?(am'a# ,a*a) "&#$&n/um - &m'&#u" - m&nan(%$@ . Paa a$%&n 'a/%:anaC &,a$a /an( "%a aa" %n%la% m&n((unaan num&#% #a"%n( $al& C 9n( Ba&# ;a& a%n $al& aa" %(unaan a$&$m&n n/&#% &n(an +OMFORT S+ALE
PARAMETER STATUSKEADAAN T%u# ula$7n/&n/a T%u# u#an( n/&n/a G&l%$a) Saa# $&&nu)n/a an ,a$aa H%&# al&#" T&nan( A(a &ma$ &ma$ San(a" &ma$ Pan% T%a aa:#&$%#a$% $n"an C "%a aa 'a"u R&$%#a$% $n"an &n(an $&%%"7"%a aa #&$n "&#)aa <&n"%la$% R&$%#a$% $n"an &n(an $&%%"7"%a aa #&$n "&#)aa <&n"%la$% Kaan( aan( 'a"u a"au "&#aa" "a)anan "&#)aa <&n"%la$% S&#%n( 'a"u:"&#aa" "a)anan 7&#la,anan "&#)aa <&n"%la"# M&la,an $&a#a a"%! "&#)aa <&n"%la"#:'a"u "&#u$ m&n&#u$7"&#$&a B&#na!a$ &n(an "&nan(:"%a m&nan(%$ T&#%$a-%$a M&#aun( M&nan(%$ B&#"&#%a T%a aa &#(&#aan Kaan(-aan( '&#(&#a &#la)an S&#%n( '&#(&#a &#la)an P&#(&#aan a"%!7(&l%$a) P&#(&#aan a"%! "&#ma$u 'aan C &ala O"" #&la$ $&&nu)n/a:"%a aa "nu$ ""
SKORE 1 2 + 4 3 1 2 + 4 3 1 2 2 + 4 3 1 2 + 4 3 1 2
+ 4 3 1 K&,a$aaan K&"&nan(an D%$"#&$ &#na!a$an M&nan(%$ P&#(&#aan Tnu$ "" 4
P&nu#unan "nu$ "" Tnu$ "" n#mal P&n%n(a"an "nu$ "" C !l&$% *a#% "an(an an a% K&auan "" &$"#%m an !l&$% *a#% "an(an an a% Tnu$ #&la$ $&&nu)n/a:"%a aa "nu$ "" Tnu$ "" ,a*a) n#mal:"%a "&#l%)a" "&(an(an "" T&(an(an ,a*a) 9a*a) /an( n/a"a T&(an(an '&'&#aa "" ,a*a) "&#l%)a" n/a"a S&lu#u) "" ,a*a) "&(an(:m&#%n(%$ T&anan a#a) %'a,a) 'a"a$ n#mal T&anan a#a) '&#aa %'a"a$ n#mal $&a#a n$%$"&n P&n%n(a"an "&anan a#a) $&$&al% 13F %a"a$ 'a"a$ n#mal?1-+ al% alam '$&#
KATEGORI PARAMETER 1 S&$&al% m&#%n(%$7m&n(&#u"an &n%n( 0 T%a aa &$#&$% N#mal $%$% a"au $an"a% 9a*a) 2 S&#%n( un"u &m'&#u" n$"an:#a)an( %"a#%:"%a "&#"a#% '&#(&"a# a(u Ka% T%a M&n&nan( a"au a% n/aman:(&l%$a):"&(an(
3
A"%<%"a$ B&#'a#%n( &n(an M&n((&l%a":m&n((&$&# "&nan(:$%$%M&l&n(un(:au ma*u munu#:"&(an( n#mal:'&#(&#a &n(an mua) T%a aaE#an(an a"au "&#%aan ?"&#*a(a #&n(&an:&lu)an #&n(&an:&lu)an a"au "&n"#am@$&$&al% "&n"#am@$&$&al% D%/a%nan un"u m&n/&n"u) $&$&al%:m&m&lu M&nan(%$ "&#u$:"&#%aan7%$a "an(%$:$&#%n( &lu)an Sul%" un"u n$ul7&n/amanan7$&an( '&#'%a#a:%$"#a"a'l& M&nan(%$ n$la'%l%"a$ Kn"&n:$an"a% S#& 0 =T%a n/&#% 1-+ =n/&#% #%n(an 4- =N/&#% $&an( 5-10 =N/&#% )&'a" &. Un"u u$%a 1 "a)un aa" %(unaan a$&$m&n n/&#% &n(an m&n((unaan NIPPS ?N&na"al In!an"$ Pa%n Sal&@. Pa#am&"&#;%n%n(P%n" San"a%0 E$#&$% ,a*a) M&#%n(%$1 T%a m&nan(%$0 M&nan(%$M&#&n(&1 M&nan(%$ ua"2 San"a%0 Pla '&#na!a$ P&#u'a)an la na!a$1 San"a%0 L&n(an ;l&$%7&"&n$%1 San"a%0 Ka% ;l&$% 7&$"&n$%1 T&#"%u# 7'an(un0K&aaan 7'an(un0K&aaan #an($an(anR&,&l1 Paa 'a/% #&ma"u#& :%"am'a)an 2 a#am&"&# la(%:/a%"u= Pa#am&"&# H&a#" #a"& Sa"u#a$% $%(&n ;%n%n( 10F a#% 'a$&l%n& 11-20F a#% 'a$&l%n& 20F a#% 'a$&l%n& T%a %&#luan $%(&n "am'a)an P%n" 0 1 2 0
P&nam'a)an $%(&n %&#luan S#& = 0 1-2 +-4 4
P&#a,a" = T%a n/&#% = N/&#% #%n(an = N/&#% $&an( =N/&#% )&'a" m&nan/aan m&n(&na% !a"# /an( 1 m&m&#'&#a" an m&m&#%n(an n/&#% &aa a$%&n . Tan/aan *u(a m&n(&na% &$#%$% n/&#%= a@ la$% n/&#% '@ ual%"a$ an a"au la &n*ala#an 7 &n/&'a#an @ n$&": u#a$%: an !a"# &m%u @ #%,a/a" &nan(anan n/&#% $&'&lumn/a an &!&"%!%"a$n/a &@ &!& n/&#% "&#)aa a"%<%"a$ $&)a#%-)a#% !@ 'a"-'a"an /an( %n$um$% a$%&n
Paa a$%&n alam &n(a#u) 'a" an&$"&$% a"au alam n%$% $&a$% $&an(:
a$&$m&n an &nan(anan n/&#% %lauan $aa" a$%&n m&nun*uan #&$n '&#ua &$#&$% "u'u) a"au <&#'al aan #a$a n/&#%. A$&$m&n ulan( n/&#%= %lauan aa a$%&n /an( %#a,a" l&'%) a#% '&'&#aa *am an m&nun*uan aan/a #a$a n/&#%: $&'a(a% '&#%u"= a@ Lauan a$&$m&n n/&#% /an( m#&n$%! $&"%a al% m&lauan &m&#%$aan !%$% aa a$%&n '@ D%lauan aa= a$%&n /an( m&n(&lu) n/&#%: 1 *am $&"&la) "a"ala$ana n/&#%: $&"%a &ma" *am ?aa a$%&n /an( $aa#7 'an(un@: a$%&n /an( m&n*alan% #$&u# m&n/a%"an: $&'&lum "#an$!&# a$%&n: an $&'&lum a$%&n ulan( a#% #uma) $a%". @ Paa a$%&n /an( m&n(alam% n/&#% a#%a ?*an"un(@: lauan a$&$m&n ulan( $&"%a 3 m&n%" $&"&la) &m'&#%an n%"#a" a"au 'a"-'a" %n"#a<&na @ Paa n/&#% au" 7 #n%: lauan a$&$m&n ulan( "%a +0 m&n%" 1 *am $&"&la) &m'&#%an 'a" n/&#%. 5
Ta"ala$ana n/&#%= a@ B&#%an anal(&$% $&$ua% &n(an an*u#an "&# '@ P&#a,a" $&a#a #u"%n ?$&"%a 4 *am@ m&n(&
B&#%an &ua$% &aa a$%&n an &lua#(a m&n(&na%= a@ ;a"# $%l(%$ /an( aa" m&n*a% &n/&'a' n/&#% '@ M&n&nan(an &"au"an a$%&n @ Ta"ala$ana n/&#% @ An*u#an un"u $&(&#a m&la#an &aa &"u(a$ *%a m&#a$a n/&#% $&'&lum #a$a n/&#% "&#$&'u" '&#"am'a) a#a). A$&$m&n a,al n/&#% )a#u$ %$&l&$a%an alam ,a"u 3 m&n%" $&*a am%$$%n A$&$m&n ulan( n/&#% )a#u$ %lauan "%a 6 *am
4.1.2. A&'&#'" R'&! J$0 ;a"# #&%$$%$% un"u #&$% *a"u) = In$"#%n$%E$"#%n$% ?B&#)u'un(an &n(an?B&#)u'un(an &n(an?B&#)u'un(an &n(an n%$% Pa$%&n@l%n(un(an@ Pa$%&n@l%n(un(an@ R%,a/a"*a"u) Lan"a%'a$a)7$%lau: Daa" 6
D%&#%#aan
$&'&lumn/a. Inn"%n&$%a. Gan((uan (n%"%!7$%l(%$. Gan((uan &$&%m'an(an7m'%l%" a$. U$%a 3 "a)un. O$"&#$%$. S"a"u$ &$&)a"an /( 'u#u.
T%a aa" K&*an( %&#%#aan A#%"m%a *an"un( S"#& a"au S&#an(an I$&m% S&m&n"a#a ?T#an$%&n" I$)a&m% A""a-TIA@ P%n($an. S&#an(an *a"u) ?D# A""a@.
E"%l(% *a"u) = a@ K&"%a$&n(a*aaan= K&"%a$&n(a*aaan= +1F #uan('&#an"aan: &na)a/aan u#an(: a'&l ln((a#7l&a$. Ala$ a% "%a a$. Duuan "%l&" /an( #&na). Ku#$% a"au "&ma" "%u# '&#a. Ra,a"%na '&#&an*an(an. P&#ala"an /an( "%a aman. P&#ala"an #u$a. T&ma""%u# %"%n((alanalam $%$% "%n((%. R&a$%%n%<%u "&#)aa 'a"-'a"an '@ Gan((uan (a/a '&#*alan 7 &$&%m'an(an= 15F @ &#"%(= 1+F @ S&#an(an *a"u) ?# $$)- 10F &@ Gan((uan (n%"%!= 4F !@
H%"&n$% $"u#al= +F (@ Gan((uan <%$u$= +F )@ T%a %&"a)u%= 16F
A$&$$m&n #&$% *a"u) aa a$%&n &,a$a m&n((unaan M#$& ;all Sal& ?Sala Ja"u) M#$&@ $&'a(a% '&#%u" =
SKOR PASIEN FAKTOR RESIKO
R%,a/a" Ja"u) D%a(n$%$ $&un&# ? 2 %a(n$%$ m&%$@ Ya T%a Ya T%a
SKALA POINT 23 0 13 0 8
Ala" 'an"u T&#a$an( %n!u$ Ga/a '&#*alan S"a"u$ M&n"al B&#&(an(an aa &#a'" Tn(a" 7 ala" &nan( T%aaa7u#$% #a7&#a,a"7"%#a) #a7&#a,a"7"%#a) 'a#%n( Ya T%a T&#(an((u L&ma) N#mal7T%#a) Ba#%n(7Im'%l%$a$% S&#%n(luaaan &"&#'a"a$an /an( %m%l%% Saa# aan &mamuan %#% $&n%#% +0 13 0 20 0 20 10 0 13 0 Ka"&(#% = R&$% "%n((% R&$% $&an( R&$% #&na)
43 23 44 0 24 S&"%a a$%&n aan %n%la% ulan( an %a"a" a"&(#% #%$% *a"u) "%(a al% $&)a#%: $aa" "#an$!&# & un%" la%n: an $aa" "&#aa" &#u'a)an n%$% a$%&n.
Un"u m&n(u'a) a"&(#% a#% #%$% "%n((% & #%$% #&na): %&#luan $# 23 alam 2 al% &m&#%$aan '&#"u#u"-"u#u". '&#"u#u"-"u#u". P&n&(a)an #%$% *a"u)= a@ T%naan &n&(a)an umum ?un"u $&mua a"&(#%@ = %. Lauan #%&n"a$% ama# %na &aa a$%&n. %%. P$%$% "&ma" "%u# #&na): #a "&#un%: &ua $%$% &(an(an "&ma" "%u# "&a$an( &n(an 'a%. %%%. Ruan(an #a%. %<. B&na-'&na #%'a% '&#aa alam *an(auan ?"&l&n (&n((am: "m'l an((%lan: a%# m%num: aama"a@ <. P&na)a/aan /an( a&ua" ?%$&$ua%an &n(an &'u"u)an a$%&n@ <%. Ala" 'an"u '&#aa alam *an(auan ?"n(a": ala" &nan(@ 10
<%%. O"%mal%$a$% &n((unaan aama"a an ala" 'an"u &n(a# ?a$"%an '&#$%) an '&#!un($%@ <%%%. Pan"au &!& 'a"-'a"an %. S&%aan uun(an &m$%nal an $%l(%$ . B&#% &ua$% m &n(&na% &n&(a)an *a"u) aa a$%&n an &ua#(a. '@ Ka"&(#% #&$% "%n((% = lauan "%naan &n&(a)an umum an )al-)al '&#%u" %n%. %. B&#% "ul%$an % &an ama# a$%&n P&n&(a)an Ja"u) %%. B&#% &nana '&#ua (&lan( '&#,a#na un%n( /an( %aa%an % &#(&lan(an "an(an a$%&n %%%. Sanal an"%-l%%n %<. Ta,a#an 'an"uan & ama# man% 7 &n((unaan %$" <. Kun*un(% an ama"% a$%&n $&"%a 2 *am l&) &"u(a$ m&%$
<%. N%la% &'u"u)an aan= ;%$%"&#a% an "&#a% ua$% Ala#m "&ma" "%u# La$% ama# "%u# '&#&a"an &n(an $ &#a,a" ?nu#$& &$!") A$&$$m&n #&$% *a"u) aa a$%&n (&#%a"#% m&n((unaan On"a#% M%!%& S"#a"%!/-S%n&/ $#%n( $&'a(a% '&#%u" =
FAKTOR RESIKO R%,a/a" Ja"u) S"a"u$ m&n"al
SKOR PASIEN SKALA Ya T%a D&l%#%um D%$#%&n"a$% A(%"a$% M&maa% aa ma"a P&n(l%)a"an 'u#am M&n&#%"a(lauma:a"a#a a"au &(&n&#a$% maula T&#aa" &#u'a)an &#%lau
POINT 14 14 14 1 1 1 2 P&n(l%)a"an K&'%a$aan 11
B&#&m%) '&#&m%)?!#&,&n$%:u#(&n$%:%n n"%n&n$%a:n"u#%@ Man%#% ?'l&) m&maa% ala" 'an"u *alan@ P&#lu $&%%" 'an"uan7alam &n(a,a$an P&#lu 'an"uan 1 #an( T%aaa"uu $&%m'an(:&#lu 'an"uan ""al Man%#% B&#*alan &n(an 'an"uan 1 #an( M&n((unaan u#$% #a 0 1 2 + 0 1 2 T#an$!&# ?a#% "&ma" "%u# & u#$% an &m'al% & "&ma" "%u# M'%l%"a$ Ka"&(#% #&$% *a"u)= 0-3 -1 15-+0 = R&$% R&na) = R&$% S&an( = R&$% T%n((% S&"%a a$%&n aan %n%la% ulan( an %a"a" aa #&am m&%$ "%(a al% $&)a#%:$aa" "#an$!&# & un%" la%n:an $aa" "&#aa" &#u'a)an n%$% a$%&n. P&n&(a)an #&$% *a"u) aa (&#%a"#%
$. K$'/! R'&! R'"$ %. %%. Lauan #%&n"a$% ama# %na &aa a$%&n. Pa$"%an #a "&ma" "%u# "&#un%:&ua $%$% a(a# TT "&#a$an( 'a% %%%. %<. <. <%. <%%. <%%%. %. Ruan(an #a%. B&na-'&na #%'a% '&#aa alam *an(auan P&na)a/aan P&na)a/aan /an( a&ua" ?%$&$ua%an &n(an &'u"u)an a$%&n@. Ala" 'an"u '&#aa alam *an(auan ?"n(a":ala" &nan(@. O"%mal%$a$% &n((unaan aama"a an ala" 'an"u &n(a#. Pan"au &!& 'a"-'a"an. Pan"au $"a"u$ m&n"al a$%&n. 12
. B&#% &ua$% m&n(&na% &n&(a)an *a"u) aa a$%&n an &lua#(a.
:. K$'/! /'&! &'$" %. %%. %%%. Lauan $&mua &man &n&(a)an un"u #&$% #&na). Pa$an(la) (&lan( )u$u$ ?%n un%n(@ "ana #&$% *a"u). T&ma"an "ana #&$% *a"u) aa "&ma" "%u# a$%&n?,a#na un%n(@ %<. <. Sanal an"% l%%n Ta,a#an 'an"uan & ama# man%7&n((unaan man%7&n((unaan %$"
. K$'/! /'&! T!"!. %. %%. %%%. %<. Lauan $&mua &man &n&(a)an #&$% #&na) an $&an(. L%'a"an &lua#(a. un*un(% an mn%"#%n( a$%&n $&"%a *am. T&ma"an a$%&n %ama# /an( al%n( &a" &n(an nu#$& $"a"%n '%la m&mun(%nan <. N%la% &'u"u)an aan=!%$%"&#a% an "&#a% ua$% A$&$m&n #&$% *a"u) aa ana m &n((unaan HUMPTY DUMPTY SORE =
FAKTOR RESIKO U$%a + "a)un +-5 "a)un 5-1+ "a)un La%-la% P&#&muan Aa %a(n$%$ n&u#l(% Gan((uan $%(&na$%?#&$%#a"#%:&)%#a$%:an&m%a:an#&$%a :$%n@ Gan((uan #%lau7$%%a"#% D%a(n$%$ la%nn/a T%a m&n/aa#% &"&#'a"a$an &"&#'a"a$an Lua aan aan/a &"&#'a"a$an O#%&n"a$% 'a% "&#)aa %#% $&n%#% R%,a/a" *a"u)7'a/% %l&"aan %"&ma" "%u#
SKALA POINT 4 + 2 2 1 4 + J&n%$ &lam%n D%a(n$%$ Gan((uan K(n%"%! ;a"# 2 1 + 2 1 4 1+
&,a$a Pa$%&n m&n((unaan ala" 'an"u7'a/% %l&"aan alam "&ma" "%u# 'a/%7&#a'" #uma) Pa$%&n %l&"aan %"&ma" "%u# A#&a %lua# #uma) $a%" Dalam 24 *amR&$n "&#)aaDalam 46 *am 1.P&m'&a)an46*ama"au"%am&n*alan% $&a$%7An&$"&$% &m'&a)an7$&a$%7an&$"&$% &m'&a)an7$&a$%7an&$"&$% P&n((unaanmul"%l&=$&a"%!:'a" H%n$%$:Ba#'%"u#a":an"% 2.P&n((unaan &na)a#:D%u#&"%:Na#$& M&%$a7M&n"$a P&n((unaan $ala) $a"u 'a" %a"a$ P&n((unaan m&%a$% la%nn/a7"%a aa m&%a$% Ka"&(#% #&$% *a"u) aa ana S#& 5-11 S#& 12 =R&$% #&na) =R&$% "%n((%. L%n(un(an + 2 1 + 2 1 + 2 1 S&"%a a$%&n aan %n%la% ulan( an %a"a" aa #&am m&%$ "%(a al% $&)a#%:$aa" "#an$!&# & un%" la%n:an $aa" "&#aa" &#u'a)an n%$% a$%&n. P&n&(a)an #&$% *a"u) aa ana. a. R&$% R&na) %. lauan #%&n"a$% ama# %na &aa a$%&n. %%. Pa$"%an #a "&ma" "%u# "&#un%:&ua $%$% a(a# "&ma" "%u# "&#a$an( 'a%. %%%. Ruan(an #a%. %<. B&na-'&na #%'a% '&#aa alam *an(auan. <. P&na)a/aan /an( a&ua" <%. Ala" 'an"u '&#aa alam *an(auan <%%. O"%mal%$a$% &n((unaan aama"a an ala" 'an"u &n(a# <%%%. Pan"au &!& 'a"-'a"an %. Pan"au $"a"u$ m&n"al a$%&n . B&#% &ua$% m &n(&na% &n&(a)an *a"u) aa a$%&n an &lua#(a 14
'. R&$% S&an( %. Lauan $&mua &man &n&(a)an un"u #&$% #&na) %%. Pa$an(la) (&lan( )u$u$ ?%n un%n(@"ana #&$% *a"u). %%%. T&ma"an "ana #&$% *a"u) aa "&ma" "%u# a$%&n?,a#na un%n(@ %<. Sanal an"% l%%n <. Ta,a#an 'an"uan & ama# man% 7 &n((unaan %$" . R&$% T%n((% %. Lauan $&mua &man &n&(a)an #&$% #&na) an $&an( %%. L%'a"an &lua#(a %%%. Kun*un(% an mn%"#%n( a$%&n $&"%a *am. %<. T&ma"an a$%&n %ama# /an( al%n( &a" &n(an nu#$& $"a"%n '%la m&mun(%nan <. N%la% &'u"u)an aan =!%$%"&#a% an "&#a% ua$%. <%. A$&$m&n a,al #&$% *a"u) )a#u$ %$&l&$a%an alam ,a"u 3 m&n%" $&*a am%$$%n $&#"a a$&$m&n ulan( #&$% *a"u))a#u$ %lauan "%a 6 *am.
4.1.3. A&'&#'" S$0& G!;! 1. S"a"u$ (%% a$%&n %lauan &n(an m&lauan $#%n%n( (%%: /an( %(unaan un"u m&lauan &m&#%$aan $&a#a &a" an $&&#)ana aa a$%&n /an( 'a#u ma$u Ruma) Sa%" &n(an "u*uan un"u m&n(%&n"%!%a$% aaa) a$%&n '&#%$% ma$ala) (%% a"au "%a un"u $&lan*u"n/a $&(&#a %'&#%an %n"&#<&n$%. B%la %n%la% a$%&n "&#$&'u" '&#%$% ma$ala) (%%: maa %lauan &n(a*%an (%% l&'%) lan*u". 2. Lan(a)-lan(a) $#%n%n( (%% aala)= %. %%. M&na"a nama-nama a$%&n /an( 'a#u ma$u #uma) $a%" M&l&n(a% %&n"%"a$: %a(n$a m&%$ a$%&n an m&nul%$ "an((al m&lauan &(%a"an $#%n%n( un"u $&"%a a$%&n 'a#u %%%. M&lauan &n(uu#an an"#m&"#%= 13
M&n(uu# '&#a" 'aan a$%&n '%la m&mun(%nan. B%la "%a: "an/aan '&#a" 'aann/a an aan %lauan &n%m'an(an. B%la a$%&n "%a "a)u: #a(u: a"au m&n%m'an( '&#a" 'aan $ua) lama: lauan &n(uu#an LILA. B%la a$%&n "&#a)%# "%m'an( '&#a" 'aan alam &aaan )am%l: aa &&ma: aa ma$$a: mauun amu"a$%: lauan &n(uu#an LILA. P#$&u# &n(uu#an LILA= a@ R&$n&n %m%n"a '&#%#% &n(an "&(a a"au "%u#an "&"a% #%l&$: "%a m&m&(an( aaun $&#"a "" l&n(an "%a "&(an( '@ Ba*u aa l&n(an %#% %$%n($%n(an &a"a$ $ama% an(al 'a)u "&#l%)a" a"au l&n(an 'a(%an a"a$ "%a "&#"u"u @ M&n&n"uan $%$% an(al 'a)u ?$ l&#ann @ @ M&n&n"uan $%$% u*un( $%u ?$ a#m%n@ &n(an a#a $%u %l%a" &n(an "&laa "an(an & a#a) &#u" &@ M&n"uan "%"% "&n(a) an"a#a an(al 'a)u an u*un( $%u &n(an m&n((unaan %"a LLA 7 m&"&#an an '&#% "ana. B%la m&n((unaan %"a LLA &#)a"%an "%"% nl-n/a 1
!@ L%n(a#an %"a LLA7m&"&#an $&$ua% "ana %$&&l%l%n( l&n(an #&$n&n $&$ua% "ana. (@ Ma$uan u*un( %"a % lu'an( /an( aa aa %"a LLA )@ P%"a %"a#% &n(an &#la)an: *an(an "&#lalu &"a" a"au ln((a# %@ Baa an(a /an( %"un*uan l&) "ana ana) aa %"a LLA a"au m&"&#an *@ M&n(uu# "%n((% 'aan a$%&n '%la m&mun(%nan. B%la "%a: "an/aan "%n((% 'aann/a an aan %lauan &n(uu#an "%n((% 'aan. B%la a$%&n "%a "a)u: #a(u: a"au m&n(uu# "%n((% 'aan $ua) lama: lauan &n(uu#an "%n((% lu"u". B%la a$%&n "&#a)%# m&n(uu# "%n((% 'aan alam &aaan "%a '%$a '&#%#% "&(a: lauan &n(uu#an "%n((% lu"u". P#$&u# &n(uu#an "%n((% lu"u" aala) $&'a(a% '&#%u"= a. Pa$%&n %"&l&n"an(an '. S&n% lu"u" %"&u $ama% m&m'&n"u $uu" 80 . Uu# an*an( lu"u" &n(an m&l&"aan u*un( m&"l%n $&*a*a# &n(an u*un( lu"u" a"a$ an u*un( "&laa a% &n(an m&l&,a"ann/a aa ma"a a% a$%&n . L%)a" )a$%l &n(uu#an. &. M&n/%mulan $"a"u$ (%% a$%&n m&n((unaan IMT un"u a$%&n &n(an u$%a 20 "a)un: -$#& un"u a$%&n &n(an u$%a 20 "a)un: a"au m&n((unaan F LILA7umu#: &n(an m&n((unaan u" !!= Ta'&l IMT un"u O#an( A$%a u$%a 20 "a)un Ka"&(#% Un&#,&%()" N#mal #an(& O<&#,&%()" a" #%$ IMT 16:3 16:3-22:8 2+-24:8 15
O'&$& 1 O'&$& 2 23-28:8 < +0 ?Sum'&#= Anu#a :E#&m'%l&( &" al.200+@ Ta'&l -$#& '&#a" 'aan '&#a$a#an '&#a$a#an umu# un"u u$%a 20 "a)un "a'&l -+ SD - + $7 -2 SD - 2 $7 2 SD + $7 2 SD 2 SD S"a"u$ (%% San(a" u#u$ Ku#u$ N#mal O<&#,&%()" O'&$%"a$ ?D&&$ RI 2004@ Ta'&l -$#& "%n((% 'aan '&#a$a#an umu# un"u u$%a 20 "a)un "a'&l -+ SD - + $7 -2 SD - 2 $7 2 SD 2 SD S"a"u$ (%% San(a" P&n& P&n& N#mal T%n((% ?D&&$ RI 2004@ Ta'l& -$#& '&#a" 'aan '&#a$a#an "%n((% 'aan -$#& -+SD -+SD $7 -2SD -2SD $7 2SD 2SD S"a"u$ (%% San(a" u#u$ ?un&#,&%()"@ Ku#u$ N#mal O<&#,&%()" ?D&&$ RI 2004@ In&$ /an( %(unaan un"u m&n&n"uan $"a"u$ (%% &n(an m&n((unaan Bau Ha#
Ta'&l Bau Ha#
!. M&nan/aan aaa) aa &nu#unan '&#a" 'aan a"au &na%an '&#a" 'aan: '&#aa %l(#am alam ,a"u '&#aa lama. (. M&n(anamn&$a &#u'a)an (a$"#%n"&$"%nal a$%&n. ). M&n/%mulan aaa) a$%&n '&#%$% ma$ala) (%% a"au "%a. K#%"&#%a a$%&n /an( '&#%$% ma$ala) (%% aala)= a@ P&n/%man(an '&#a" 'aan = &l&'%)an 20F a#% '&#a" 'aan %&al: &u#an(an 10F a#% '&#a" 'aa' %&al: &#u'a)an '&#a" 'aan 10F alam 'ulan "&#a)%#: &"%a$&%m'an(an ##$% BB7TB aa ana: &n/%man(an &#"am'a)an '&#a" 'aan aa %'u )am%l. '@ P&n%n(a"an &'u"u)an m&"a'l%$m& = &mam: %n!&$%: )%&#"%#%%$m: lua 'aa#: a$a &#a$% a"au "#auma *a#%n(an luna: "#auma aa "ulan(: ma$a &#"um'u)an: "&#a% #"%$"&#%. @ P&n%n(a"an &)%lan(an a" (%% = !%$"ula: lua "&#'ua: a'$&$: &!u$%: &)%lan(an a#a) #n%$: &n/a%" (%n*al #n%$: '=0$!>' '"'/*$? lua 'aa#. @ P&n/a%" #n%$ = %a'&"&$ m&ll%"u$: )%&#"&n$%: )%&#l%%&m%a: &n/a%" a#"&#% #n&#: &n/a%" a#u #n%$: &n/a%" (%n*al #n%$: &n/a%" )a"% #n%$: (a(al *an"un(: a#$%nma: &munu#an m&n"al: $%$%$: &%l&$%: /'0#$! /'0#$! $//!!&? *'*! 0%'/?
*/%"' #$&' &$'. &@ P&n/a%" a"au &#a$% $alu#an &n&#naan = mal!#ma$% n(&n%"al: &"%amamuan an#&a$: mala'$#$%: $%n#m& 'l%n l: %a#& a#a): !%$"ula $alu#an &n&#naan: #&$&$% 'a(%an lam'un( a"au u$u$ )alu$: &m"n(an u$u$. 20
!@ Ma$a &n('a"an = %n$ul%n an a(&n )%(l%&m% la%n: $ul&m&n <%"am%n-m%n&#al: #"%$"&#%: an"%a(ulan: MAO %n)%'%"#: %u#&$%$: an"a$%: &"anl: 'a" n"#a$&$% #al: "#%$%l% an"%&#&$an: !&n%l)%an"%n. +. M&lauan n$ul"a$% (%% aa a$%&n /an( m&m&#luan. 4. A)l% (%% m&nana"an(an% !#m $#%n%n( a$u)an (%% a$%&n
4.2. MENURUT TEMPAT PELA,ANAN 1. A$&$m&n a,al % IGD 2. A$&$m&n a,al % Ra,a" Jalan +. A$&$m&n a,al % Ra,a" Ina 4. A$&$m&n ulan( % Ra,a" Ina
4.3. ASESMEN UNTUK POPULASI KHUSUS. 1. A&'&#'" P'!$/!. a. P&n"%n( ana <&#'al. '. Ama"% aan/a &#(&#aan $n"an a$%&n "&#)aa a#&a "&#"&n"u /an( %l%nun(%. . Ta)aan a$&$m&n '&#ua= a@ K&aaan umum= %. T%n(a" &$aa#an: n"a ma"a: &#)a"%an "&#)aa l%n(un(an $&%"a# %%. Tnu$ ""= n#mal: m&n%n(a": m&nu#un 7 !la$% %%%. R&$n$ &aa #an( "ua 7 &n(a$u)= (&l%$a): m&n/&nan(an '@ K&ala %. Tana "#auma. un"u m&lauan "%a &m&#%$aan $%$"&ma"%$ a#&na $&#%n( aa" m&n(un(aan &lu)ann/a $&a#a %%. U'un-u'un '&$a# ?*%a ma$%) "&#'ua@ &un( a"au 21
m&nn*l. @ 9a*a) %. Pu%l > uu#an: &$%m&"#%$an: #&!l& a)a/a. %%. H%#a$% = a%# ma"a: &l&m'a'an mu$a mulu". @ L&)&# > au uu &@ Daa %. S#%#: #&"#a$% $&la %(a: &n%n(a"an u$a)a naa$ %%. au$ul"a$%= $ua#a naa$ m&n%n(a"7m&nu#un: $%m&"#%$ %#% an anan: #n%: m&n(% ?,)&&%n(@> 'un/% *an"un(= #&(ula#: &&a"an: mu#mu# !@ A'm&n= %$"&n$%: au: n/&#%: )&ma"ma (@ An(("a (&#a= %. %%. %%%. %<. <. Na% '#a%al%$ "ana "#auma "nu$ "": &#(&#aan $%m&"#%$ $u)u an ,a#na ul%": $*!%%$/ /'@%% n/&#%: (&#aan "&#'a"a$ a%'a" n/&#% )@ P&m&#%$aan n&u#l(%$.
2. A&'&#'" G'/!$/!. Paa ula$% a$%&n &n(an u$%a %a"a$ 3 "a)un &#lu %lauan /an( m&l%u"% R%,a/a" M&%= %. K&lu)an U"ama %%. R%,a/a" P&m'&aan %%%. R%,a/a" Onam& Ruma) Sa%" %<. R%,a/a" K&$&)a"an la%n <. P&m&#%$aan (%(% 7(%(% al$u <%. R%,a/a" Al&#(% <%%. K&'%a$aan <%%%. M&# 22
%. M%num Al)l . Ola) Ra(a %. M%num K% %%. O'a"-'a" /an( %n$um$% $aa" %n% %%%. P&na%$an D&#&$% %<. S"a"u$ ;un($%nal P&n%la%an S"a"u$ ;un($%nal %lauan &n(an &n%la%an ADL a$a# a$%&n $&#"a &"&#'a"a$an !un($%nal a$%&n $&'a(a% '&#%u" = a. ADL Da$a# an In$"#um&n"al '. K&"&#'a"a$an ;un($%nal . P&m&#%$aan ;%$% . Tana %"al &. B&#a" 'aan: an aan/a &#u'a)an '&#a" 'aan $&*a 2 'ulan /an( lalu /an( %a"a" &#u'a)ann/a "%a 'ulann/a. !. K&aaan Kul%" = B&#a K&m&#a)an L&$% ul%" la%n D&u'%"u$ (. P&n&n(a#an ). P&n(l%)a"an %. D%lauan &n%la%an n%$% mulu" a$%&n *. L&)&# . Daa l. Pa#u-a#u m. Ka#% a$ul&# n. A'm&n . R&"um 7anu$ . G&n%"al7&l<%$ 2+
. Mu$ul S&l&"al
. A&'&#'" A&'& #'" P$&!'" T'/#!"$%. A$&$m&n %lauan aa a$%&n /an( m&n&a"% &ma"%an an %la$anaan $&a#a %n%<%ual un"u m&m&nu)% &'u"u)an a$%&n an &lua#(a. A$&$m&n an a$&$m&n ulan( $&$ua% &n(an n%$% a$%&n /an( m&n(&
'. A&'&#'" *$%!$! A$&$m&n al%a"%! %lauan aa $&mua a$%&n al%a"%! 'a% #a,a" *alan mauun #a,a" %na:m&l%u"% = a. I&n"%"a$ a$%&n '. K&lu)an u"ama a$%&n . Anamn&$a m&n(&na% #%,a/a" a$%&n $&a#an(:"&#a)ulu :!a"# &"u#unan:#%,a/a" n/&#% . P&m&#%$aan m&l%u"% &m&#%$aan !%$%:$%%a"#%:$"a"u$ $$%al:la#an &&#*a $%al m&n(&na% a"a &lua#(a:&aaan &lua#(a:&aaan an a"%!%"a$ a$%&n.. &. A$&$m&n al%a"%! m&n((unaan $ala $"a"u$ &nam%lan
KARNOFSK,. 24
PARAMETER Mamu m&la$anaan a"%!%"a$ n#mal:"%a &#lu &n(a,a$an )u$u$ T%a mamu '&&#*a:"&"a% aa" "%n((al %#uma):m&m&#luan '&#'a(a% "%n(a" 'an"uan T%a mamu m&#a,a" %#% $&n%#%:'a% % %n$"%"u$% mauun % #uma) $a%":&n/a%" aa" &n(an &a" m&n*a% #(#&$%! KEADAAN N#mal "ana &lu)an:"%a aa &la%nan Mamu m&la$anaan &(%a"an n#mal:&lu)an an (&*ala m%n%mal M&la$anaan &(%a"an n#mal &n(an 'an"uan:%*uma% '&'&#aa (&*ala an "ana"ana &n/a%" Mamu m&#a,a" %#% $&n%#%:"a mamu m&la$anaan &(%a"an n#mal7'&&#*a M&m&#luan 'an"uan )u$u$:"a% ma$%) $an((u m&m&nu)% &'u"u)an un"u %#%n/a $&n%#% M&m&#luan 'an"uan an &n('a"an m&%$ M&m&#luan 'an"uan $$%al an m&%$ M&m&#luan &#a,a"an %#uma) $a%":m&$%un &ma"%an '&lum m&n(anam Ha#u$ %#a,a" %#uma) $a%":%&#luan &n('a"an $u#"%! &#*alanan &n/a%" m&n*a% #(#&$%! &n(an &a" an !a"al: M&n%n((al un%a SORE 100 80 60 50 0 30 40 +0 20 10 0
4.4. URUTANASESMEN PASIEN. U#u"an a$&$m&n %n% %"&#aan aa $&lu#u) a$%&n "ana &ual%. A$&$m&n %n% "&#'a(% m&n*a% 3 'a(%an: /a%"u= a. A$&$m&n "&ma" &*a%an '. A$&$m&n a,al . A$&$m&n $&(&#a an "&#!u$ . A$&$m&n $&a#a m&n&"a%l &. A$&$m&n '&#&lan*u"an
4.5. ASESMEN TEMPAT TEMPAT KEJADIAN. a. Amanan a#&a '. Gunaan ala" &l%nun( %#% . K&nal% 'a)a/a an )%na#% &&#a l&'%) lan*u" . Pan((%l 'an"uan ?am'ulan$: l%$%: &maam &'aa#an@ 23
&. O'$&#
5. ASESMEN ASESM EN AAL. AAL. $) K'$$$" 0#0#%. I&n"%!%a$% &lu)an u"ama 7 m&an%$m& &&#a %%. T&n"uan $"a"u$ &$aa#an ?&n(an Gla$(, ma Sal&-GS@ an #%&n"a$% %%%. T&muan an a"a$% n%$% /an( m&n(anam n/a,a
:) J$%$" "$*$&%. a$"%an a"&n$% *alan naa$ ?)&a !% an !"%! aa a$%&n a$u$ a$u$ m&%: an C$( /0& aa a$%&n "#auma@. "#auma@. %%. !%$a$% l&)&# an "ulan( '&laan( aa a$%&n &n(an #%$% &&#a $%nal %%%. %&n"%!%a$% aan/a "ana $um'a"an *alan naa$ ?mun"a): &#a#a)an: (%(% a"a)7)%lan(: "#auma ,a*a)@ %<. (unaan /*$/"'$% /*$/"'$% $!/($ ?OPA@ 7 "$&*$/"'$% "$&*$/"'$% $!/($ ?NPA@ *%a &#lu. @ P'/"$*$&$"%. L%)a" ?l@: &n(a# ?l%$"&n@: #a$aan ?!&&l@> n%la% <&n"%la$% an $%(&na$% %%. Bua 'a*u an '$&# n%la% &&a"an an &alaman naa$ %%%. N%la% ulan( $"a"u$ &$aa#an %<. B&#%an %n"&#<&n$% *%a <&n"%la$% an a"au $%(&na$% "%a a&ua" ?&#naa$an 127m&n%"@: '&#ua= $%(&n "am'a)an: an"un( &#naa$an ?'a(-
n/a,a @ S!/0%$&!%. N%la% na% an mula% R&$u$%"a$% R &$u$%"a$% Jan"un(-Pa#u ?RJP@ *%a %&#luan J%a a$%&n "%a $aa#: n%la% a#"&#% a#"%$ J%a a$%&n $aa#: n%la% a#"&#% #a%al%$ an 'an%n(an &n(an a#"&#% a#"%$ Un"u a$%&n u$%a 1 "a)un: n%la% a#"&#% '#a%al%$ %%. A"a$% &#a#a)an /an( m&n(anam n/a,a &n(an m&m'&#% "&anan lan($un( ?%#&" */'&&0/') &n(an a$$a '&#$%). %%%. Pala$% a#"&#% #a%al%$= n%la% n %la% ual%"a$ ?l&ma)7ua"@: &&a"an &n/u" ?lam'a": n#mal: &a"@: "&#a"u# a"au "%a. %<. I&n"%!%a$% "ana )%&#!u$% 7 )%$%a ?a%lla#/ /'@%%? ,a#na ul%": n%la% ulan( $"a"u$ &$aa#an@. A"a$% )%&#!u$% /an( "&#*a%. I'"!@$&! */!/!$& *$&!'"- #%"%$: "%a $"a'%l: '&#"&n$% "%a $"a'%l: &@ I'"!@$&! $"a'%l. %. Paa a$%&n "#auma /an( m&mun/a% m&an%$m& &&#a $%(n%!%an: lauan a$&$m&n $&(&#a-a$u$ "#auma an %m'%l%$a$% $%nal. %%. Paa a$%&n m&%$ /an( "%a $aa#: lauan a$&$m&n $&(&#a-a$u$ m&%$
6. SEGERA DAN TERFOKUS. $. A&'&#'" &''/$%lauan aa a$%&n /an( m&n(alam% m&an%$m& &&#a $%(n%!%an a"au a$%&n m&%$ /an( "%a $aa# % "&ma" &*a%an $am'%l m&m&#$%aan "#an$!&# a$%&n.
:. K$&0& M'!& T!$ S$$/ 1. P&#"a)anan a"&n$% *alan naa$ 2. P&#%$a &ala: l&)&#: aa: a'm&n: &l<%$: an(("a (&#a: an "u'u) 'a(%an '&laan( "&anan a#a): na%: &#naa$an: &#naa$an: $u)u: ,a#na 3. N%la% "ana <%"al= "&anan 4. N%la% SAMPLE= a. S &!" &#*#& "ana an (&*ala: &lu)an u"ama 25
'. A al&#(% . M m&%a$% 7 'a"-'a"an . P &n&lu$u#an #%,a/a" &n/a%" "&#a%" &. L %$& /$% !"$' #'"&/0$% *'/! - a$uan maanan "&#%n% 7 &#%& m&$"#ua$% "&#a)%# !. E &"%l(% &n/a%" 5. In%$%a$% %n"&#<&n$% /an( $&$ua% 6. T#an$!&# $&$&(&#a mun(%n 7. Lauan &m&#%$aan !%$% m&n/&lu#u) 8. Lauan a$&$m&n '&#&lan*u"an
. T/$0#$ 1. D%lauan aa a$%&n: 'a% $aa# mauun "%a $aa#: /an(
m&n(alam% m&an%$m& &&#a $%(n%!%an un"u m&n(%&n"%!%a$% &&#a /an( m&n(anam n/a,a. 2. Im'%l%$a$% $%nal &n(an %%$/"' +. N%la% $"a"u$ &$aa#an &$aa#an &n(an GS 4. P&#%$a &ala: l&)&#: aa: a'm&n: &l<%$: an(("a (&#a: an un((un( '&laan(> m&n((unaan DAP-BTLS= a. D &!#m%"a$ '. "0&!"& - n"u$% 7 #&%"a$% . A a'#a$% . P &n&"#a$% 7 (&#aan a#a$ &. B :0/"& - lua 'aa# !. T '"'/"'&& - n/&#% (. L la$&#a$% ). S &('%%!" - '&n(a 3. N%la% "ana <%"al= "&anan "&anan a#a): na%: &#naa$an: &#naa$an: $u)u: ,a#na. ,a#na. . N%la% SAMPLE 5. In%$%a$% %n"&#<&n$% /an( $&$ua% 6. T#an$!&# $&$&(&#a mun(%n 8. Lauan a$&$m&n '&#&lan*u"an 26
. A&'&#'" '/0&- %lauan aa a$%&n m&%$ /an( $aa# a"au a$%&n /an( "%a m&n(alam% m&an%$m& &&#a $%(n%!%an: &n(an !u$ aa &lu)an u"ama a$%&n an &m&#%$aan !%$% "&#a%". &. K$&0& M'!& 1. A$&$m&n '&#!u$ aa &lu)an u"ama. 2. T&lu$u#% #%,a/a" &n/a%" $&a#an( ?n$&": &m%u: ual%"a$: &n*ala#an n/&#%: &#a*a" &a#a)an: u#a$%@ +. N%la% SAMPLE 4. N%la% "ana <%"al= "&anan a#a): na%: &#naa$an: $u)u: ,a#na. 3. In%$%a$% %n"&#<&n$% /an( $&$ua% . T#an$!&# $&$&(&#a mun(%n 5. Lauan &m&#%$aan !%$% m&n/&lu#u) 6. Lauan a$&$m&n '&#&lan*u"an
. T/$0#$ 1. P&m&#%$aan
'&#!u$ aa a#&a7 'a(%an "u'u) /an( m&n(alam% &&#a &n(an m&n((unaan DAP-BTLS 2. n%la% "ana <%"al= "&anan a#a): na%: &#naa$an: $u)u: ,a#na. +. n%la% SAMPLE 4. In%$%a$% %n"&#<&n$% /an( $&$ua% 3. T#an$!&# $&$&(&#a mun(%n . Lauan &m&#%$aan !%$% m&n/&lu#u) 5. Lauan a$&$m&n '&#&lan*u"an
7. ASESMEN SE+ARA MENDETAIL. P&m&#%$aan %lauan $&a#a m&n/&lu#u) an $%$"&ma"%$ un"u m&n(%&n"%!%a$% ma$ala) /an( "%a m&n(anam n/a,a aa a$%&n "&"a% aa" m&n%n(a"an m#'%%"a$ an m#"al%"a$. a@ N%la% "ana <%"al '@ K&ala an ,a*a)= %. In$&$%= &!#m%"a$: a$%m&"#%$: &#a#a)an %%. Pala$%= &!#m%"a$: n/&#%: #&%"a$% 28
%%%. N%la% ulan( "&n$% $um'a"an *alan naa$= (%(% al$u: &#a#a)an: (%(% a"a): mun"a): "%a aan/a #&!l&$ 'a"u %<. Ma"a= %$#%"a$ an #&!l&$ a)a/a u%l: '&na a$%n(: l&n$a n"a <. H%un(= &!#m%"a$: &#a#a)an: $&#&" <%. T&l%n(a= &#a#a)an: $&#&": )&ma"ma % '&laan( "&l%n(a ?Ba""l&$
&!") '@ L&)&#= %. N%la% ulan( &!#m%"a$ an n/&#%: *%a a$%&n "%a %%m'%l%$a$% %%. In$&$% aan/a lua: %$"&n$% <&na *u(ula#%$: &n((unaan "" 'an"u naa$: &#u'a)an $ua#a. %%%. Pala$% aan/a #&%"a$%: &#(&$&#an $%$% "#a&a @ Daa= %. In$&$% aan/a lua: &#(&#aan &#(&#aan %n%n( aa: &n((unaaan "" 'an"u naa$ %%. Pala$% aan/a n/&#%: lua: !#a"u#: #&%"a$%: &$an$% a#u %%%. P&#%n"a)an a$%&n un"u m&na#% naa$ alam> %n$&$% aan/a n/&#%: &$%m&"#%$an: &lua#n/a ua#a a#% lua. %<. Au$ul"a$%= #n%: m&n(% ?,)&&%n(@: &nu#unan $ua#a naa$ . @ A'm&n= %. In$&$%= lua: )&ma"ma: %$"&n$% %%. Pala$% $&mua ua#an= n/&#%: &!an$ mu$ula# &@ P&l<%$ Dan G&n%"u#%na#%u$= %. Pala$% ?SIAS@ an "&an &ua $%na %l%aa an"&#%# $u&#%# $&a#a '&#$amaan un"u m&n%la% aan/a n/&#%: %n$"a'%l%"a$: a"au #&%"a$% %%. In$&$% an ala$%= %nn"%n&n$%a: #%a%$mu$: a#a) % m&a"u$ u#&"#a %%%. Pala$% &n/u" a#"&#% !&m#al%$ +0
!@ An(("a G&#a= %. In$&$%= an(ula$%: &nn*lan "ulan( a'n#mal ?#"#u$%n@: $%m&"#%$ %%. Pala$%= n/&#%: #&%"a$% %%%. N%la% na% %$"al= %n"&n$%"a$ ?ua"7l&ma)@: "&#a"u#: &&a"an ?lam'a": n#mal: &a"@ %<. N%la% $&n$a$% ?$a#a! $&n$#%@ <. N%la% aan/a &l&ma)an 7 a#&$& ?*%a "%a aa &u#%(aan !#a"u#@= &#%n"a)an a$%&n un"u m&#&ma$ "an(an &m&#%$a <%. N%la% &#(&#aan an(("a (&#a ?*%a "%a aa &u#%(aan !#a"u#@ (@ Pun((un(= %. Im'%l%$a$% *%a aa &u#%(aan &&#a "ulan( '&laan(. %%. Pala$%= lua: !#a"u#: n/&#% %%%. N%la% ulan( !un($% m"#% an $&n$#% a$%&n
8. ASESMEN BERKELANJUTAN ULANG. a@ D%lauan aa $&mua a$%&n $aa" #a,a" %na '@ Tu*uan= %. m&n%la% aan/a &#u'a)an aa n%$% a$%&n /an( mun(%n m&m'u"u)an %n"&#<&n$% "am'a)an %%. m&n(&
9. ASESMEN KEPERAATAN DI RUMAH SAKIT. a@ M&#uaan a$&$m&n /an( m&na$a# an &n"%n( alam lan(a) &#a,a"an a$%&n. '@ P&#a,a" m&m&#%$a a$%&n a#% &ala )%n((a a% an m&m'ua" a$&$m&n a,al. @ A$&$m&n a,al m&#uaan &(an(an 'a(% &#a,a" la%n alam /an( m&man"au &#&m'an(an a$%&n: m&n/#" ma$ala)-ma$ala) +1
%m%l%% a$%&n an m&#&nanaan $"#a"&(% &&#a,a"an. @ n") !#mul%# #&am m&% $aa" a$%&n ma$u #uma) $a%" "&#aa" % lam%#an. +2
L$#*!/$" 1 DAFTAR NAMA DOKTER DAN PERAAT ,ANG BOLEH MELAKUKAN ASESMEN MEDIS DAN KEPERAA KEPERAATAN DOKTER D#. H&#n, A#%$:S.PD. D#. R(a"u$ T:S.An. D#. 9%*ana# A:S.OG. D#. a#l%na K:S.B. D#. An% M: S.A. D#. ;#&/: S.B-KBD. D#. Ya)/a A#% P:S.BS. D#. N<% K:S.JP. D#. H&%na S:S.KJ. D#. N%#a M:S.M. D#. L%na PH:S.M. D#. Pan*% Sanan"a:S.OT. Sanan"a:S.OT. D#. Yun%"a :S.PD. D#. H&#u PH:S.Ra. D#. Lu%a P:S.S. D#. In#a S:S.THT-KL. D#. Su)a#/n:S.THT. Su)a#/n:S.THT. D#. N(aan Pu"u: S.P. D#. A#),%na:S.K;R:MARS. A#),%na:S.K;R:MARS. D#(. Ha#% Pu*:MH.K&$. D#(. S%l<%a D%nna 9 D#. E
PERAAT POLIKLINIKIRJ T#%anan( M:A.M.K&. D%a) Ku$uma:A.M.K&. ;&#a%&$/ %na:A.M.K&. T%"a) Ra)a/u:A.M.K&. Yun%$a P:A.M.K&. D#u$%la '&ll:A.M.K&. R%#%n P:A.M.K&. H&#n%:A.M.K&. Y$%"a:A.M.K&. Ma#%a Ya$&:A.M.K&. Pu*% L&$"a#%:A.M.K&.
MEDIS LAIN REHABILITASI MEDIK A#%anu$ Ta#%(an:A.M.;%$. L%na Am%#%a:A.M.;%$
GII
T%"%n Nalu#% D%'/an%:A.MG. D&$an" L&ll$%ma:S.G.
REKAM MEDIK P#%lla K#%$"n%:A.M.RMIK. S%$%l%a Al%":A.M.PK. E)a:A.M.PK.
I+U E
Sua"m%n%n($%):A.M.K&.
L1 Ma#%a A#um:A.M.K&'. S#% Ka#/an%:A.M.K&'. An((a#a"#%:A.M.K&'. &#n%a:A.M.K&'. Ka#%na:A.M.K&'. Y&m%ma:A.M.K&'.' Tan"% Ol%<%a:A.M.K&'. N<%"a:A.M.K&'. In"an:A.M.K&'. D%an%n( N<%"a:A.M.K&'. D,% A(u$"%na:A.M.K&. ++
Ba"% 9:A.M.K&. T#%$)a:A.M.K&. El% K:A.M.K&. Y)an%"a D%na:A.M.K&.
L3 INOLIA E
L32K/!&$" Su%/a#m%:A.M.K&. Pu*%a"%:A.M.K&. B#%(%"a D/a):A.M.K&. Y)ana M:A.M.K&. L%na A:A.M.K&. A#%la A:A.M.K&. An#&a M:A.M.K&. B&"a A:A.M.K&. Yul%ana:A.M.K&. Anna Ma#%a:A.M.K&. E#%&:A.M.K&. T%na:A.M.K&. D/a) ;:A.M.K&. S%$%l%a A:A.M.K&.
IGD D%'a Yu$an":S.K&.N$. Yu$an":S.K&.N$. P#a/( Su$&n:A.M.K&. Su$&n:A.M.K&. D&% A#")a:A.M.K&. Pu* K#%$"an":A.M.K&. A#%$ P#amu/:A.M.K&. P#amu/:A.M.K&. Sa#% D,%an(/:A.M.K&. D,%an(/:A.M.K&. R%na N%an"% S:K&.N$. Y"m%:A.M.K&. +4
REFERENSI 1. Lua$ un"/ Em&#(&n/ M&%al S&#<%&$. Ta' 00= #&-)$%"al a"%&n" a$$&$$m&n". O)%= Tl&> 2010. 2. Mn"ana S"a"& H$%"al Pl%/ an P#&u#&. Pa"%&n" a$$&$$m&n" l%/> 2008. +. Pa"%&n" a$$&$$m&n" &!%n%"%n$. 4. San Ma"& un"/ EMS A(&n/. Pa"%&n" a$$&$$m&n": #u"%n& m&%al a#&: #%ma#/ an $&na#/ $u#<&/> 2008. 3. D&n<&# Pa#am&% D%<%$%n. P#&-)$%"al #"l$> 2012. . Maln%"#%"%n A<%$#/ G#u= a S"an%n( mm%"&&$ ! BAPEN. Malnu"#%"%n Un%<&#$al S#&&n%n( Tl ?MUST@> 2010. 5. S%&,%$&. Un&#$"an%n( !all #%$: #&<&n"%n: an #"&"%n. USA= Kan$a$. 6. S&n"a#a 9%ll%am$'u#( mmun%"/ H$%"al. Pa%n a$$&$$m&n" an mana(&m&n" l%/> 200. 8. Na"%nal In$"%"u"& ! H&al") 9a##&n G#an" Ma(nu$n l%n%al &n"&#. Pa%n %n"&n$%"/ %n$"#um&n"$= num&#% #a"%n( $al&> 200+. 10. Pa%n mana(&m&n". %a$&$ "an((al 2+ ;&'#ua#% 2012Q. D%unu) a#%=,,,.)$%"al$u.m 11. #a%( P: Dlan P: D#&, K: P&*a<%) P. Nu#$%n( a$$&$$m&n": lan ! a#&: an a"%&n" &ua"%n= ")& !una"%n ! a"%&n" a#&. USA= HP#: In> 200. +3
