Setho Hadisuyatmana, Ns.

Transitional period of childhood to adulthood According to WHO adolescence is ranging between 12 to 24 y.o., married is not included. Stage of life which is identified by its change in: 1. Physical anatomy 2. Behavior 3. Cognitive 4. Biological needs 5. Emotional

Early adolescence (11-14 y.o)  Change of primary puberty & its responses Middle adolescence (15-17 y.o)  Transition of orientation where those are more dominant than others Late adolescence (18-20 y.o)  Transition of adult, where they starting to look for suitable jobs (Crockett and Peterson, 1993)

Weight Height female, approx. at y.o male, approx. at y.o Body Proportion Internal Organs Sexual Organs maximum size reached, but still yet mature up ‘till late adolescence.

FemaleMale Breast develops Pubic hair grows Body gowth Menarche Axillar hair Growth of testical Pubic hair Body growth Transitional of penis, prostatic glands First ejaculation Beard, mustache, hairy face Axilla hair

1. Abstract Using ideas and critical thinking in solving problems 2. Idealistic Ideally think of their selves, others also their social everyday 3. Logic analyzing method taken after their critical thinking trial

Video tawuran pelajar SMA Bunda Kandung

The main differences between this community and the younger identified in its type of stimulus and its level of quality. Findings: anger, fear, jealousy, curiosity, sadness & happiness expression, passion and compassion expression.

Identity vs Role developmental task: to be independent with his/her own identity Problems: Moody Decision making Identity taking

1. A dapting changes physically & psychologically. 2. L earning in socializing as men or women 3. H aving their emotional independency 4. T o be good and responsible citizen 5. H aving their independency and certainty in economic status

1. C lose friends : 2-3, same sex, same in interest 2. S mall group : consist of 2 groups, possibly heterosex 3. L arge group : some groups, low intersocial interaction 4. O rganized group : made by formal consideration 5. G ang : rejection by antisocial attempt group

1. First impression 2. Reputation 3. Performance suitability 4. Social behavior, which identified by cooperation, responsibility, mindful, wisdom, 5. Emotional maturity

Social interest Educational interest Religion and worship interest Sexual interest

Vacation Party Curiosity to new items (drugs, sexual activity, alcoholism) Problem sharing Helping others Critics Surrounding consideration

Educational interest Affected by means of workfields Religion interest Exploring religion as an emotional and intellectual impulse Sexual interest As an improvement in sexual needs they start to gather more information from sources elsewhere

Because of their interest improvement, somehow it may brings problems, especially their wellbeing Developmental Nutritional Reproduction STD & HIV/AIDS Drugs and alcoholism Sexual harassment, adultery, pornography, etc.

Assessing Diagnosing Planning Implementing Evaluating

Age Education status Social/extra campus activity Health problem finding (past and present illness) Spare time activity Local habit

1. Health Promotion 2. Health Prevention 3. Curative level 4. Rehabilitative level

1. Not to be in formal terms 2. Not in teaching performance 3. Give them the real evidence

Cognitive Affective Psychomotor through… Structure Process Output/outcome

Pencegahan Penanggulangan Penyalahgunaan dan Peredaran Gelap Narkoba Tujuan : Membentuk masyarakat/organisasi yg kompeten dalam berpartisipasi mengenali keberadaan dan dampak napza Komponen : Komponen : Tokoh masyarakat, pemuda (kartar), PKK, Tenaga kesehatan (perawat komunitas), LSM-LSM dan BNP. Kegiatan : Kegiatan : 1. Demand Reduction (Preventif, Kuratif, Rehabilitatif) 2. Supply Control (Pengawasan, Pemberantasan, Harm Reduction)

1. Meningkatkan pengetahuan masyarakat tentang napza dan bahayanya. 2. Meningkatkan komitmen dan kerja sama lintas sektor. 3. Meningkatkan keamanan lingkungan, pengawasan untuk tidak memberi ruang gerak bagi para pengedar napza. 4. Membangun sistem pelaporan, informasi, tentang masalah napza di lingkungan masing-masing dengan tenaga kesehatan dan aparat penegak hukum. 5. Meningkatkan kegiatan agama dan kegiatan yang positif di lingkungan masing-masing.

PERAN PERAWAT PERAN KLIEN

KOMPONEN SUMBER DATA INDIVIDUKOMUNITAS Observasi/ Inspeksi Semua indra Otoskop Optalmoskop Windshield survey Auskultasi StetoskopWindshield survey Tanda-tanda Vital Termometer Tensimeter Status kesehatan, data demografi, angka kelahiran, angka kematian Review Sistem Sistem kardiovaskuler, respirasi dll Head to toe Observasi sistem sosial pendidikan, ekonomi, komunikasi, transportasi Laboratorium Tes darah, sinar X, CT scanData sensus, data survei, kepustakaan, pusat penelitian kesehatan dan masyarakat

PES Tingkat Individu NANDA Karakteristik Individu Tanda / Gejala / Data Tingkat Keluarga 5 tugas keluarga di bidang kesehatan Tingkat Komunitas Deskripsi masalah, respon/keadaan Karakteristik masyarakat (Ketidakmampuan masy…)

Menentukan prioritas Menentukan prioritas Menentukan kriteria hasil Menentukan kriteria hasil Menentukan rencana tindakan Menentukan rencana tindakan Implementasi Implementasi Dokumentasi Dokumentasi Perencanaan pada askep klien di komunitas : empowerment, negotiation dan networking PERENCANAAN

28 Aktualisasi diri Harga diri Kasih sayang dan rasa memiliki Aman Fisiologis Aktivitas yang mendukung kehidupan Keamanan, perlindungan Aktualisasi komunitas Kebanggaan komunitas Pendidikan Partisipasi Perbandingan kebutuhan dasar individu dengan komunitas sebagai klien (Higgs&Gustafson, 1995) HIRARKI KOMUNITAS

Proses evaluasi : KOGNITIF AFEKTIF PSIKOMOTOR PERUBAHAN FUNGSI KEMANDIRIAN EMPOWERING, NETWORKING, NEGOTIATION DATA YANG TERKUMPUL : TUJUAN DAN PENCAPAIAN TUJUAN

Ancaman kehidupan & kesehatan Ancaman kehidupan & kesehatan Sumber daya dan dana yang tersedia Sumber daya dan dana yang tersedia Peran serta klien Peran serta klien Prinsip ilmiah dalam praktik keperawatan Prinsip ilmiah dalam praktik keperawatan Hirarkhi “Maslow’s” dan “Komunitas” Hirarkhi “Maslow’s” dan “Komunitas”

PENGKAJIAN KEPERAWATAN PASIEN  DETEKSI DINI (SASARAN PRIORITAS) PASIEN  DETEKSI DINI (SASARAN PRIORITAS) POLIKLINIK PUSKESMAS,POLIKLINIK PUSKESMAS, PUSTU,PUSTU, PUSLING, POSYANDU,PUSLING, POSYANDU, POS KES DESAPOS KES DESA PENYULUHAN KESEHATAN TINDAKAN KEPERAWATAN (DIRECT CARE) KONSELING KEPERAWATAN PENGOBATAN (SESUAI KEWENANGAN ) DOKUMENTASI KEPERAWATAN RUJUKAN PASIEN/MASALAH KES ASUHAN KEPERAWATAN PASIEN (PRIORITAS) KONTAK PUSKESMAS

KUNJUNGAN RUMAH OLEH PERAWAT (HOME VISIT /HOME CARE) TERENCANA  PEMBINAAN KELUARGA PENGKAJIAN KEPERAWATAN ANGGOTA KELUARGA LAIN  DETEKSI DINI KASUS/MASALAH KONTAK SERUMAH PENDIDIKAN/ PENYULUHAN KESEHATAN/ KEPERAWATAN TERENCANA DI KELUARGA TINDAKAN KEPERAWATAN (DIRECT CARE) PENDERITA PEMANTAUAN KETERATURAN PENGOBATAN PENGENDALIAN INFEKSI DI KELUARGA DOKUMENTASI KEPERAWATAN KELUARGA RAWAN KES PRIORITAS KONSELING KEPERAWATAN/KESEHATAN KELUARGA D/ KASUS TLP