BAHASA

INGGRIS III
Lectured by:
Mrs. Nita Yuanita, S.Pd., M.Si.
Mrs. Lusiana Lesari, S.S., M.M.

1. THE NURSING
PROCESS
Prodi S1 Keperawatan, Tk. 3/ Sem. VI
STIKes Karsa Husada Garut, Tahun Akademik 2020/ 2021
STEPS ON THE NURSING PROCESS
To achieve the goal of Nursing Care, a nurse has to follow a
standardized Nursing Process that consists of steps:

ASSESSING

DIAGNOSING

PLANNING
IMPLEMENTATIO
N
EVALUATION
1. ASSESSING
Assessing/ Assessment is the first step in the nursing process
and involves systematic and deliberate (disengaja) collection of
information to determine the person’s current and past
functional and health status.

In addition, during the nursing assessment the nurse evaluates

the person’s present and past coping patterns.
Information for the nursing assessment is obtained through
interview with the person or appropriate family or staff
member; physical examination (vital signs/ TPR-BP, high,
weight, etc.); observation; review of records; and collaboration
with other health professionals.
2. DIAGNOSING:
Diagnosing/ Diagnostic reasoning is the second step in the
nursing process and involves the analysis of information
obtained during the assessment step and the evaluation of the
person's health status based on that information.

Formula to write Nursing Diagnosis: P (related to)+E+S

P = Problem of Human responses (bio-psycho-socio-
spiritual)
E = Etiology (P: Pathophysiology, S: Situation,
M: Medication, M: Maturation)
S = Signs & Symptoms (Result of interview, Observation,
Physical Examination and Diagnostic Test)
3. PLANNING:
Planning is the third step in the nursing process and involves
setting priorities, developing desired outcomes to problems/ needs,
and designing nursing interventions.

Principles of Planning (NOC: Nursing Outcomes Classification)

should be SMART: Specific, Measurable, Achievable, Reasonable
and Time Type of Nursing Intervention (DET)
D = Diagnostic (observation) – observe, assess, explore,
report, etc.
E = Education – educate, explain, tell, teach, assist,
demonstrate, etc.
T = Treatment – Independent, Interdependent and Dependent-
position, change, insert, administer, irrigate, etc.
4. IMPLEMENTING:
Implementing/ Implementation is the fourth step in the nursing
process and involves preparation, intervention, and
documentation.

The client record contains daily documentation of the nursing

measures used to
(1) assist the client to meet basic human needs,
(2) resolve health problems, and
(3) implement select aspect of the medical plan of care.
The plan of care is implemented:
 Competently,
 Caringly (peduli), and
 Creatively.
5. EVALUATING:
Evaluating/ Evaluation is the fifth step in the nursing process. In
this step the nurse determines the person’s progress toward
meeting health goals, the value of the nursing plan of care in
achieving those goals, and the overall quality of care received
by the person. Ongoing evaluations of the client’s responses to
the plan of care are used to make decisions about terminating,
continuing, or modifying nursing care.

The conclusions of evaluation are: 1. Goal met; 2. Goal not met;

3. Goal partially met; 4. New problem.
The commonest written in evaluation uses SOAP form
(Subjective, Objective, Assessment, Planning)
 SHARING OBSERVATION
Sharing observation, help patient identify and express their
health problems. Communication techniques on sharing
observation could promote patients awareness of nonverbal
behavior and feelings, underlying their behavior and helping
them to clarify the meaning of their behavior.

VOCABULARY
Pale : (adj..v.n) pucat Tired : (adj.) lelah Bouncy : (adj.) bersemangat
Tense : (adj..v.n) tegang Rigid : (adj.) kaku Daydream : (v.n) melamun
Painful : (adj.) menyakitkan Stiff : (adj..v) kaku Afraid of : (adj.) ketakutan/ takut…
Sigh : (v.n) mendesah Bruise : (v.n) memar Confuse : (v) membingungkan
Swollen : (adj.) bengkak Tender : (adj..v.n) perih Papery : (adj.) kelihatan tipis dan kering
Sallow : (adj..n) muka yang pucat kekuningan Suffocate: (v) nafas sesak seperti tercekik (suffocating)
Moan/ Groan : (v.n) mengerang, merintih Gasp : (v.n) terengah-engah terutama karena sakit
USEFUL EXPRESSIONS
 You look… + when (v-ing)
 You seem … + with your (part of the body)
 Your (part of the body) looks… + uncomfortable
 You seem to have + (a problem with + a part of the body)
+ (a health problem: such as stomachache, headache,
fever, a chest pain, etc)
Let’s Practice. Practice the substitution drills below!
1. You look ……… 3. You look uncomfortable with your ………
tense leg
stiff position
happy stomach
sad, etc. chest, etc.
2. Your ……… looks ……… 4. You seem uncomfortable when ………
skin sallow walking
eyes reddish moving your (hand)
nail yellowish, etc. changing your clothes, etc.
… to have a problem with + (part of the body)
EXERCISE 1.
Translate this sentences into communicative English!

1. Maaf pak, sepertinya perut anda sakit

……………………………………………………………………………
………
2. Anda sepertinya kelelahan

…………………………………………………………………………………
…
3. Sepertinya bapak merasa tidak nyaman ketika berjalan

…………………………………………………………………………………
…
4. Maaf pak, kelihatannya bapak mengalami gangguan pada dada bapak

…………………………………………………………………………………
…
EXERCISE 2.
Arrange these jumbles words into a good sentence!
1. (look- scars- reddish- your)

………………………………………………………………………………
……
2 (seem- respiration- to have- you- with- problem- your)

…………………………………………………………………………………
…
3. (your- look- uncomfortable- turning- head- when- you)

…………………………………………………………………………………
…
4. (skin- dry- your- looks)

…………………………………………………………………………………
…
 END SECTIO
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