ROLEPLAY CEREMONY: FAMILY HEALTH TASK WITH MENTAL

RETARDATION
 
 Assessment        
 
Nurse   : Assalamualaikum. . . is this really the family home of Mr. X             
Mrs. B : (Stand in front of the door). Waalaikum greetings. Yes, true. What do you need?
Please, sit.             
Nurse : I am nurse X, from the Sumberwaras puskesmas. Dipuskesmas where I work I get
the task to identify the health status of the family of the mother and father. I will
ask a few questions. Are you willing?             
Mr. X : What is the importance for our family? (looks curt).             
Nurse : The purpose of this identification is so that the father's family can get better health.
As well as detecting the possibility that will occur / threaten the health of the
family of the father.             
Mr. X : Is my family sick?             
Nurse : Not so sir.             
Mr. X : (cutting nurse's speaking). Okay. .but don't stay long.             
Nurse : May I know the age of the men and women and how many people live in this
house?             
Mr. X : I am 50 years old (while leaving the room).             
Mrs. B : I am 45 years old, we have a fifteen year old boy named An. H.             
Nurse : Can your child be called here?             
Mrs. B : Sorry the child is sick, he is resting (Bowing his head).             
Nurse : How are your activities? H go to school, mom? Does he often get sick?             
Mrs. B : An. H dropped out of fifth grade in elementary school. The state of a nak sa at
friends his age could walk, he could not. When I was in second grade, the
neighbors always called my child an idiot.             
Nurse : (listening).             
Mrs. B : I am sad. . the neighbors always underestimate my child.             
Nurse : Have you ever checked your child's illness at the hospital?             
Mrs. B : Once. The doctor said my child has a mental disability.             
Nurse : Have you ever asked and known the cause of your child's existence like that?             
Mrs. B : Never, just one time check. I am just suspicious why my child is experiencing
growth obstacles. I'm afraid that my child is an idiot like the neighbors are
talking about. When I checked my child's doctor said so because of lack of
nutritional intake during pregnancy. After that I never checked again because I
didn't have money. My husband and I only graduated from elementary school
with the job of being a farm laborer.             
Nurse : Are there any other conditions that might be causes that you know about?             
Mrs. B : Before I became pregnant, I had checked, my doctor said I had Rubella. I don't
know whether the disease is dangerous or not, I don't know either.             
Nurse : when the mother gave birth what was the status of the illness that the mother suffered
according to the doctor?             
Mrs. B : I gave birth to a TBA near here sus. At that time my husband forbade me to give
birth at a midwife or hospital because I did not have money. According to him,
my neighbor's shaman was more skilled in childbirth and the cost was
cheap .             
 
 
Nurse : When do you realize that your child has the disease?             
Mrs. B : Yes . . when my child was 9 years old. At that time I was suspicious because my
child could not respond to someone who interacted with him with the appropriate
action. He tends to act hard to say the words. He also can not speak loudly like a
child his age. If the will is not given he tends to be angry, passive about the
conditions around him.             
Nurse : Does your neighbor respond well to your child's situation?             
Mrs. B : Of course not, most of my neighbors are Madurese. Character is hard, my son's
situation becomes strange for them. They often excommunicate my
child.             
Nurse : Have you ever discussed therapy or a healing effort for your child's child with your
husband?             
Mrs. B : I have. But my husband refused. He was reluctant to acknowledge my child. He
considers An. H is a burden in this family. Since An's condition. I never met my
husband's family, because it was forbidden.             
Nurse : But, is Mr. X still good and meet the needs of your family?             
Mrs. B : Still. But he refused if I talked about An's situation. H. When he is angry he will
beat An. H. After that he will return well.             
Nurse : Does your family often spend time together for recreation or vacation?             
Mrs. B : Yes, where ever sus. Most of my children only watch TV at home with me and
occasionally with my husband.             
Nurse : Em, what effort have you put into healing your mother's child?             
Mrs. B : Yes Just yes sa ya ce r itakan before it sus, plus I pray every finished the prayer
congregation.             
Nurse : Alright mom, may I do a physical examination on An. H and family to ensure clearer
health status of mother's family.             
Mrs. B : Yes. (to An. H's room).             
Nurse : Good mom, I will do a physical examination on An. H. The purpose of this physical
examination is to obtain physical data to determine family health status.             
Mrs. B : Yes sus.             
Nurse : Good afternoon sister, I am nurse X. Today I will do a physical examination on
sister. Are you willing?             
An A : (smile)             
Nurse : Fine sister, if you agree we will start for a physical examination huh?             
Physical examination
 

Physical
Mr. X Mrs. B An H
examination
Head Clean hair, no wound Clean hair, no cuts or Baldness occurs, thin hair, no
bumps cuts or bumps,

Vital Signs N: 75 N: 78 Not reviewed

RR: 20 RR: 20

S: 37 S: 37

TD: 130/90 TD: 110/80

BB and TB BB: 63 kg BB: 49 kg Not reviewed

TB: 165 cm TB: 155 cm

Eye Not anemic Not anemic Not anemic

Nose Not secretive Not secretive Not secretive

Mouth Moist mucosa, Moist mucosa, Moist mucosa, swallowing is

swallowing is not swallowing is not not difficult, speaking is not
difficult difficult clear, difficulty speaking.

Neck There are no lumps, There are no lumps, and There are no lumps, and the
and the lymph glands the lymph glands do not lymph glands do not enlarge,
do not enlarge enlarge there are surgical removal of
the gland

Chest Heart and lung sounds Heart and lung sounds Heart and lung sounds are
are normal are normal normal

Abdomen There is no bloating There is no bloating There is no bloating

 Genital There are no There are no complaints There are no complaints
complaints

Hand There are no The skin on both hands There are no complaints
complaints peels off due to
allergies to hand
washing soap

Legs There are no There are no complaints There are no complaints

complaints

 
 
Nurse : Good sister, physical examination is complete, younger sister blows smart sister. Sister
can work well together. For the following exercises or actions we will do
tomorrow morning at eight, are you willing?             
An H : Hahahah (smile).             
 
Nurse : Here goes from the physical examination of the mother child. The nursing diagnoses
can be drawn namely: . (A diagnostic image appears).             
 
Nurse : Well, the mother from the diagnosis I got will make some treatment plans for you. H,
Next action will be carried out tomorrow at eight o'clock ma'am, are you
willing ?             
Mrs. B : Good sus             
 
The next day
Nurse : Good morning ma'am, in accordance with the contract yesterday, today I will provide
measures of the plan of care that yesterday.             
Mrs. B : Good sus.             
Nurse : Yes ma'am, this time we will discuss about mendaledasi mendal. M ccording mother
mentally retarded is what?             
Mrs. B : Yes, mental retardation is an idiotic disease.             
Nurse : Mental retardation is a decrease in intelligence so typically RM children have abilities
below normal children. This RM can occur from birth or childhood.             
Mrs. B : Oh so sus?             
Nurse : What do you think is the cause of mental retardation?             
Mrs. B : Like the doctor said before, maybe because of lack of nutrition?             
Nurse : Yes, nutritional intake during pregnancy is one cause, another cause is genetic. A
history of the mother's illness during pregnancy can affect the health of the fetus
she is carrying.             
Mrs. B : Oh, rubella is probably sus.             
Nurse : Yes, correct mother. How are we going to continue this discussion or do you have
something to ask me?             
Mrs. B : Yes Sus , what is the prevention so that mental retardation does not occur?             
Nurse : Detect as early as possible the existence of mental retardation, to find out and prevent
further damage. In addition, efforts to pay attention to children's nutritional intake,
ensure adequate nutrition of children during childbirth and during growth, provide
protection to children such as early immunization.             
Mrs. B : Then what about my child sus, my family relations become not like before. I want to
be like other families.             
Nurse : Metal retarded children have deficiencies in intelligence or ability, so businesses such as
courses, training, courses are a useful support for optimal development.             
Mrs. B : I see, then what about my husband?             
Nurse : Mother must motivate him, in order to accept the present condition. So that together can
monitor the growth of An. H.             
Mrs. B : Are there other businesses that can be done?             
Nurses : Ladies and gentlemen can take counseling. Furthermore, the development and growth
of H children must be monitored and considered.             
Mrs. B : Fine sus, I'll do that. I want my child to recover or my husband can accept the
condition of my child.             
Nurse : good mother, I will continue to monitor the development of your child, thank you for
your cooperation, you are my great mother. K Alau so I excused yes
ma'am.             
Mrs. B : Yes Sus, thank you.