MK.

KEPERAWATAN MENJELANG AJAL &

PALIATIF

POLA INTERAKSI-
KOMUNIKASI

Oleh:
Sarah K. Wulandari
 Content:
 Komunikasi dengan pasien, keluarga, orang
terdekat dan tokoh masyarakat
 Penyampaian berita (Breaking Bad)
 Persiapan kehilangan
 Self help & support; User
involvement

Social support
Rehabilitation;
Supportive Care Psychological
Symptom Spiritual
control
support
support
& EOL – bereavement care

Information giving
 Komunikasi pada Paliatif

Pengirim Pesan Penerima

 PRAKTIK
 WITHDRAW CARE & TREATMENT
 SHARE PATIENT INFORMATION
 WITHHOLD INFORMATION FROM PATIENT
 SEDATE
 DO NOT RESUSCITATE
 ADMINISTER BLOOD TRANSFUSION
 Breaking Bad
(Rabow & McPhee, 1999)
• A : Advance preparation
• B : Build a therapeutic relationship
• C : Communication well
• D : Deal with patient and family reactions
• E : Encourage & validate emotion (reflect back
emotions)
 Delivering Bad News (Baile et al, 2000):

 Step 1: S: Setting up the interview

 Step 2: P: Persepsi pasien terkaji dengan baik
 Step 3: I: Invitation (undang pasien)
 Step 4: K: Knowledge (berikan pengetahuan dan
informasi pada pasien)
 Step 5: E: Emotion (pahami emosi pasien dengan empati)
 Step 6: S: Strategy & Summary
 References
 Payne, S. Seymour, J. & Ingleton. 2008. Palliative Care
Nursing: Priciple and evidence for practice. Second Edition.
USA: McGraw-Hill.
 Rosser, M. dan Walsh, H. 2014. Fundamental of Palliative
care for Student Nurses. UK: John Wiley & Sons Ltd.
 Undang- Undang Keperawatan Nomor ……
 WHO. 2019. Palliative. Available at https
://www.who.int/cancer/palliative/definition/en/ accessed on
March 2019.