Group Name and NIM:

1. Arma Rahmawati (P07120217012)

2. Milenia Ramadhani (P07120217026)

Case:

Ritni (10 years old) is taken care in pediatric unit. She has got constipation. Nindi is a nursing
student who practice at pediatric ward, will give health education to Mrs. Simi Pribindiri (Ritni’s
Mother)

Phase Part Dialogue

Greet and smile to the N: “Good morning Mrs. Simi and Ritni”
client C: “Good morning, nurse”
N: “I would like to introduce myself. My name
Introduce yourself is Nindi, I am anursing student at Poltekkes
Jogja”
Ask the client would be N: “What would you like to be called?”
like to be called C: “Mrs. Simi, please”
N: “Ok, Mom. I practice here from 7 a.m o’clock
to 2 p.m o’clock to take care of your daughter. I
Explain the responsibility
hope you could cooperate so that your daughter
of the nurse and the client
could be health again as before”
Orientation
C: “Okay, no problem. Thank you, nurse”
Explain the activity that N: “I will discuss about your daughter who has
will be conducted: health got constipation”
teaching
N: “It is important to do so that after the
Explain the purpose of treatment in the hospital, you could treat your
health teaching daughter at home, so your daughter will not
suffer from this disease again
N: “It will take about 20 minutes”
Explain about the time to
C: “No problem. This sounds good for me and
do health teaching
my daughter later ”
Working N: “Is there anything you want to ask or to do
Give a chance to your
before we start?”
client to ask
C: “Not, now”
Start the health teaching in N: “Could we start right now Mrs. Simi?”
a good way C: “Yes please”
Do the health teaching: N: “Mrs. Simi have you ever heard
constipation?”
C: “Yes I’ve ever heard, nurse”
 N: “What do you know about constipation ?”
C: “I think constipation is difficult to defecate or
bowel movements
a. Asses the client’s N: “Yes, that’s right. Do you know causes, sign
knowledge about the and how to take care that?”
disease C: “Sorry, I don’t know exactly”
N: “Constipation is abnormalities in the
digestive system where hardening of the feces is
difficult to dispose of less than three times a
week with feces that tend to dry. The causes
could be lack of fluids or dehydration, lack of
fiber in eating, lifestyle changes or routines
including lack of movement, and problems in the
large intestine and rectum such as intestinal
obstruction. The signs are defecate less than
three times a week, difficulty defecating,
pressure on a painful stomach, feeling of not
being finished after defecation, the form of small
feces and sometimes black in color.

Constipation is a digestive disorder that is often

b. Explain the necessary experienced by most people and can inhibit daily
things activities that can also affect the quality of life
and can get worse in the future, so the prevention
of constipation is very important to do.

Well Mrs. Simi. The prevention is do a high-

fiber diet with a minimum fiber amount of 20-35
grams a day can help soften feces and reduce
constipation. Then physical activity at least 30
minutes a day can help stimulate digestive tract
activity, so regular exercise can help overcome
bowel movements. After that, drink a water at
least 8 glasses a day can help smooth digestion.
The last is not to delay when you want to
defecate. Try to get used to sitting on the toilet
every morning especially after breakfast for 10-
15 minutes”
c. Give a chance to the N: “Is there anything that you still don’t
client to ask understand or anything that you want to know
more about the disease?”
 C: “No, thanks. I think it’s enough. I understand
what you said just now”
N: “Mrs. Simi could you explain what we have
already discussed, please?”
C: “Yes. Constipation is difficult to defecate less
than 3 times a week. That causes of less
drinking, less fiber, and less movement. The
d. Ask the client to exlain
signs are difficulty defecating, feeling of not
what you have already
being finished after defecation, and the form of
explained
small feces, but sometimes black in color. The
way to prevent it is eat enough fiber, drink
enough water, and physical activity at least 30
minutes a day”
N: “Yes, that’s a right answer Mom”
N: “Mrs. Simi, from the discussion I can make a
Make a conclusion from
conclusion that you have already known about
the health education’s
constipation”
result
C: “Thank you nurse for your information”
N: “You were so active and enthusiastic while
Give positive
we were discussing about this disease”
reinforcement
C: “My pleasure, nurse”
Termination N: “Mrs. Simi I will write the result of this
discussion on your daughter’s status and
according to the doctor's instructions, tonight
Make a next plan for the lavement will be done in order to defecate.
client Thank you for your attention”
C: “Okay murse, your welcome”
N: “Good by now and see you later”
C: “Thank you and see you, nurse”