Komunikasi

teraupetik
Dosen pengampu : Habi Septiawan, M.Pd
Disusun oleh:
1. Naa’ilah Dinda Putri 2128051
2. Nyoman Agus Setiawan 2128057
Roleplay actors :
1.Naa'ilah Dinda Putri : Nurse
2.Nyoman Agus Setiawan : patient

Description
Patient Name : Mr N
Age : 21
Gender = male
Address: Bandar Lampung
A. Axillary Temperature Check

1. Explain the procedure to the patient

2. Hand washing
3. Use gloves
4. Adjust the position of the patient ( human try )
5. Determine the location of the axilla and clean the
axillary region using a tissue
6. Lower the thermometer below 34° - 35°C
7. Place the thermometer on the axillary region and
arm Flexion patients above the chest
8. After 3 – 10 minutes the thermometer is lifted
and read Result
9. Record results
10. Clean the thermometer with tissue paper
11. Wash with soapy water, disinfect, rinse with
clean and dry water
12. Wash your hands after the procedure.
B. RESPIRATORY EXAMINATION

Value of Respiratory examination is one indicator to

determine the function of the respiratory system
consists of maintaining the exchange of oxygen and
carbon dioxide in the lungs and regulation of acid-
base balance.
Purpose:
1. Know the frequency, rhythm, and depth of
breathing
2. Assess the ability of respiratory function
Tools and materials:
1. Watch ( clock ) or stop-watch
2. Notebooks
3. Pen
Work Procedure :
1. Explain work procedures to clients
2. Hand washing
3. Adjust the position of the patient ( human
try )
4. Calculate breathing frequency and rhythm
5. Record Results
6. Wash hands after the procedure
C. BLOOD PRESSURE CHECK

Blood pressure values are indicator to assess

the cardiovascular system along with pulse
examination. Blood pressure examination can
be measured by two methods, namely the
method immediately.
A method that uses a cannula or needle inserted into
the in connected blood vessels with a manometer.
This method is the most appropriate way to
determine blood pressure,, , but requires special
requirements and expertise ; method indirect . The
method that using a sphygmomanometer. This
indirect measurement uses 2 ways, that is, palpation
that measures systolic pressure and auscultation
that can Measuring systolic and diastolic pressures
and this method requires a stethoscope.
Purpose:
Knowing blood pressure values
Tools and materials:
1. Sphygmomanometer (sphygmomanometer)
consisting of:
§ Mercury manometer + valve cover and opener
§ Air cuff
§ Rubber hose
§ Air pump from rubber screw opening and cover
2. Stethoscope
3. Vital signs notebook
4. Pen
Work procedure
Palpation method:
1. Explain the procedure to the client
2. Hand washing
3. Adjust the position of the patient ( manusioa try )
4. Put the arm you want to measure in position
supine
5. The sleeves are uncovered
6. Put the cuff on the right / left upper arm around
3cm above the pinch fossa ( not too tight or too loose )
7. Determine the pulse of the radial artery dekstra /
8. Balloon pump hot air cuff to arterial pulse
radialists do not palpate
9. Pump continuously until the manometer is 20mm
Hg high over The height of the radial point is not
palpable
10. Place the stetoskp diaphragm on the brachial
pulse and compress the mansetb hot air balloon slowly
and continuously by turning the coupler on the air
pump counterclockwise
11. Note mm Hg manometer when the first palpable
pulse is palpable again. This value shows systolic
pressure by palpation
12. Record results
13. Wash hands after the procedure
How to auscultation :
1. Explain the procedure to the client
2. Hand washing
3. Adjust the position of the patient ( human try )
4. Put the arm you want to measure in position
supine
5. Unarm
6. Put the cuff on the right / left upper arm around
3cm above the pinch fossa ( not too tight or too loose )
7. Determine the pulse of the radial artery dekstra /
sinistra
8. Balloon pump hot air cuff to arterial pulse
radialis is not palpable
9. pump continuously until the manometere is 20
mm Hg high from radial point is not palpable
10. Place the diaphragm of the stethoscope over
the artery Brachialis and listen
11. Deflate the hot air balloon cuff slowly and
continuous by turning the couplers on the air pump in
the opposite direction Clockwork
12. Record the mercury level of the manometer the
first time sounded pulse again
13. Record the mercury level on the manometer:
 Korotkoff I voice : indicates the magnitude of
pressure systolic auscultation
 Korotkoff IV/V sound: indicates the magnitude of
pressure diastolic auscultation
14. Record the results on the patient's record
15. Wash hands after the procedure
Pre-Interaction Phase (Preparation Phase) Before
meeting with patients, nurses should know in
advance various things including: identity, address,
occupation and illness currently being suffered by
patients, so that nurses at this stage are indirectly
acquainted with patients.
Orientation Stage (Introduction Stage) At this stage the nurse has come and
has direct contact with the patient by seeing his condition directly. This phase
is also known as the introduction phase. The example dialogue is as follows:

Nurse : Good morning sir….

Patient : Morning ………..
Nurse: Is this true with Mr. Nyoman …….?
Patient: He's right .....
Nurse: Introduce me, ma'am, nurse Naailah dinda…. I am the nurse who will
take care of you from 08.00 to 14.00 "How are you doing sir this morning...?
Patient : Oh yeah…., my condition today is a little better than yesterday…
Nurse: then thank you sir…. it means that the father will recover soon.

At this stage, even though we already know the patient's name, to get closer,
we should ask the patient's name again, this is the starting point for
cooperation between nurses and patients.
Work Stage This work stage is the core stage of therapeutic communication. At this stage, we have entered
into a plan for what we will provide as nurses.

Nurse: Can I start examining you, sir?'……

Patient: yes, you can have a naila
Nurse: I'll start by checking your blood pressure, sir. Can you hold out your hand, sir?
Patient: Oh yes, you can, please...
Nurse: your current blood pressure is 120/80 MmH. better than yesterday, what I saw on your father's blood
record was 140/90 MmHg..
Patient : oohh yeah..? however, I am a little scared because my head still feels dizzy like it is spinning. is
that okay
Nurse: oh it's okay, sir, that's a natural thing, but over time, the dizziness that you feel will slowly disappear.
Patient: Is it better if the doctor doesn't just give medicine? ?
Nurse: Oohh, you don't need to give the medicine, sir, because you're afraid that if you take a lot of
medicine, your illness will not get better.
Patient: Ohh yes kid...? OK, then thanks for the advice...
Nurse: You're welcome sir...
Termination Stage This stage is the end of the meeting, where a
nurse must part with a patient.

Nurse : Is there anything you want to ask sir….

Patient : No...
Nurse: okay, if you don't ask anything else, then I'm allowed to
return to my room, if you need me, you can ask your family to call
me in the nursing room or press the bell that is above your bed.
patient : Ok, thank you..
Nurse: yes sir you're welcome then I'll excuse you, have a good rest
and hope you get well soon….
Patient : Yes, thank you
THANK YOU