THE ASSEMENT SHEET

HEALTH EDUCATION OF ELIMINATION IN POST PARTUM

A ATTITUDE
N ITEM ASSESED SCORE
O
1. Welcoming and introducing yourself to client with friendly and polite
manner
0. Not done
1. Done not perfect
2. Doing perfect
2. Welcoming clients to sit down and be communicative
0. Not done
1. Done not perfect
2. Doing perfect
3. Confidence (calm, clear voice, fluent)
0. Not done
1. Done not perfect
2. Doing perfect
4. Doing effective communication during examination and take action
With : (Indonesian language / according to culure, eye contact, clear verbal,
intonation)
0. Not done
1. Done not perfect
2. Doing perfect
5. Giving empathy to clients
0. Not done
1. Done not perfect
2. Doing perfect
Total score attitude ( max 10 )
B CONTENT
HEATH EDUCATION OF ELIMINATION IN POST PARTUM
6. Explain the intent and purpose
0. Not done
1. Explain the intent or purpose only
2. Explain the intent and purpose of health education
7. Aperseption of client’s knowledge about urinate and defecate at postpartum
0. Not done
1. Inquire client based on her knowledge about postpartum mother when
urinate and defecate then blame client if the answer is false
2. Inquire client based on her knowledge about postpartum mother when
urinate and defecate then not blame client if the answer is false
8. Explain that normal time postpartum mother have to urinate and defecate
( urinate min 6 hours after maternity, defecate min 3x24 hours after
maternity)
0. Not done
 1. Just explain one of postpartum mother have to urinate or defecate only
2. Explain normal time postpartum mother have to urinate and defecate
completely
9. Explain urinate and defecate technique in postpartum mother (according to
clients condition)
0. Not done
1. Explain urinate and defecate technique not according to clients condition
2. Explain urinate and defecate technique according to clients condition
10. Explain elimination problems that often exist (diarrhea, constipation,
inkontensia urine and pain stitching)
0. Not done
1. Explain problems < 3
2. Explain problems ≥ 3
11. Explain cause of the problem of urinate and defecate
- intestinal motility decreases during labor
- anestehetic medicine
- feeling scared of damaging the perineal stitching
- feeling scared of urinate and defecate
- excessive discharge during labor
0. Not done
1. Explain the cause < 5
2. Explain the cause ≥ 5
12. Explain how to resolve problems of urinate and defecate
- Increase drinking
- Increase fibrous food
- Defecate on time