PENGANTAR DIAGNOSA

KEPERAWATAN SISTEM
GASTROINTESTINAL
Ikhda Ulya
Sitem Gastrointestinal?
Sistem pencernaan meliputi anatomi, fisiologi, dan
patofisiologi
Diagnosa Keperawatan Sistem GI?
• Respon manusia yang meliputi
biopsikososiospiritual akibat gangguan pada
sistem GI
Diagnosa Keperawatan Sistem GI?
• Domain 2
• Domain 3
• Domain 11
• Domain 12
• Domain 13
Domain 2: Nutrition
Class 1. Ingestion
• Imbalanced nutrition: less than body requirements
• Readiness for enhanced nutrition
• obesity

Class 5. Hydration
• Risk for electrolyte imbalance
• Risk for deficient fluid volume
• Excess fluid volume
• Risk for imbalanced fluid volume
Domain 3: Elimination and Exchange
Class 2. Gastrointestinal Function
• Constipation
• Risk for constipation
• Diarrhea
• Dysfunctional gastrointestinal motility
Domain 4: Activity/Rest
• Class 3. Energy balance
Fatigue
• Class 4. Cardiovascular/Pulmonary Responses
Risk for ineffective gastrointestinal perfusion
Domain 11: Safety/Protection
• Class 1. Infection
Risk for infection
• Class 6. Thermoregulation
Hyperthermia
Domain 12: Comfort
Class 1. Physical Comfort
• Impaired comfort
• Nausea
• Acute pain
• Chronic pain
Domain 13: Growth/Development
Khususnya untuk klien dalam masa tumbuh
kembang yang mengalami gangguan sistem GI,
meliputi :
• Class 1. Growth
Risk for disproportionale growth
• Class 2. Development
Risk for delayed development
Prioritas?
• Kegawatan
• Keluhan utama
• Kebutuhan dasar manusia