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KONSEP HOLISTIC CARE

Pendahuluan

Modul 2.3

Holistik merupakan salah satu konsep yang mendasari tindakan


keperawatan yang meliputi dimensi fisiologis, psikologis,
sosiokultural, dan spiritual. Merupakan salah satu konsep yg
mendasari tindakan kepw meliputi dimensi fisiologis, psikologis,
sosiokultural, & spiritual. Mutu pelayanan keperawatan sangat
mempengaruhi kualitas pelayanan kesehatan, bahkan menjadi
salah satu faktor penentu citra institusi pelayanan kesehatan
(rumah sakit) di mata masyarakat. Hal ini terjadi karena
keperawatan merupakan kelompok profesi dengan jumlah
terbanyak, paling depan dan terdekat dengan penderitaan orang
lain, kesakitan,yang dialami masyarakat. Salah satu indikator
mutu layanan keperawatan adalah kepuasan pasien. Perilaku
Caring perawat menjadi jaminan apakah layanan perawatan
bermutu apa tidak.
Caring dalam asuhan keperawatan merupakan bagian dari bentuk
kinerja perawat dalam merawat pasien. Untuk membangun
pribadi Caring, perawat dituntut memiliki pengetahuan tentang
manusia, aspek tumbuh kembang, respon terhadap lingkungan
yang terus berubah, keterbatasan dan kekuatan serta kebutuhankebutuhan manusia.

Setelah mengikuti pembelajaran Mata Ajar Ilmu Keperawatan


dasar I diharapkan mahasiswa mampu menjelaskan tentang :
1.

Komponen

dalam

holistic care
Tujuan
pembelajaran
khusus

2.

Konsep holisme

3.

Konsep caring

4.

Prilaku caring perawat

5.

Konsep Humanisme

6.

Keperawatan
transkultural

Strategi
pembelajaran

Kuliah pakar
Diskusi dan Penugasan

Waktu

3 x 50 menit

Pengajar

Evaluasi
pembelajaran

1. Cognitive test
2. Logbook
3. Studi kasus

Referensi

Gibson, James L et al.(1987) Organisasi dan manajemen :


perilaku, struktur dan proses, terjemahan Djarkasih Jilid 1
Penerbit Erlangga jakarta
Tomey, Marriner dan Alligood (1998) Nursing Theorists and
their Work, Philadelphia : Mosby
Watson, Jean.(2004). Theory of human caring. Diambil dari
Http://www2.uchsc.edu/son/caring tanggal 1 Nopember
2007
Anderson,J.,1996,THINKING MANAGEMENT: Focusing On
People,Victoria : Ausmed Publication Kemp,B., 1993,
Fundamentals Of Nursing : A Frame Of Practice, Boston :
Little Brown AndCo. Dochtsmar And Grace, 2001, Current
Issues In Nursing, St. Louis : Mosby Inc.
Hodges, Et. Al., 1988 : Nursing From Education to Practice,
Norwalk:Appleton An Lange
Mc. Closkes,J.,1994 : Current Issues In Nursing Joel,L.,2003,
Dimensions of Professional Nursing, 9th ed.,New York :
Mc Graw Hill
Watson,J.,1985, Nursing : Human Science and Human Care
Http://Amsn.Nurse.Com/Resource/Curricul.Htm, AMSN
Official Position Statement On Identification Of The
Register Nurse In The Work Place.
Http://Www.Nursing Power.Net/Nursing/Sps.Html: ANANursings Social Policy Statement. Http://Www.Nursing
World.Org/Ojin/Topic 15/Tpc 156.Htm Nursing And Scope
Of Practice Of Registered Nurses Performing
Complimentary Therapies.

PENGISIAN LOGBOOK SUB POKOK BAHASAN


KONSEP HOLISTIC CARE
Kegiatan ini akan membantu saudara dalam memahami konsep berubah :
1. Memahami konsep Holistic Care
a. Sebutkan komponen dalam holistic care

..

..
b. Tuliskan pengertian Holistic care

2. Memahami Konsep Caring


a. Sebutkan pengertian caring (Carruth,1999)

b. Sebutkan factor yang mempengaruhi pandangan perawat tentang caring


:

..

..
c. Sebutkan Tujuh asumsi yang mendasari konsep caring (Watson dlm Julia 1995)

d. Sebutkan 10 faktor kuratif yang mencerminkan sikap caring

e. Sebutkan contoh perilaku yang mencerminkan sikap caring seorang perawat

f. Sebutkan 3 pendekatan yang dapat digunakan untuk membangun pribadi caring

3. Memahami konsep humanism dalam holistic care


a. Sebutkan pengertian humanisme:

b. Cara yang dapat dilakukan untuk meningkatkan kesadaran diri dlm menerapkan
nilai humanis

4. Memahami Konsep Transkultural Dalam Keperawatan


a. Sebutkan pengertian keperawatan transkultural

b. Sebutkan aspek dalam keperawatan transkultural

c. Sebutkan 5 element yang perlu diketahui dan mampu diimplementasikan oleh


seorang perawat :

d. 4 Kemampuan yg hrs dimiliki ol perawat sbg provider dlm implementasi askep:

e. Langkah-langkah yang dapat dilakukan seorang perawat dalam menerima


perbedaan budaya perawat-pasien:

PENGISIAN LOGBOOK SUB POKOK BAHASAN


KONSEP HOLISTIC CARE
SKENARIO :

Tn B salah satu pasien yang divonis oleh dokter mengidap HIV/AIDS sejak 1 tahun yang lalu.
Tn B mengidap HIV/AIDS karena tertular tidak sengaja dari pengidap HIV/AIDS lain. Karena
penyakitnya tersebut Tn B banyak mengalami perubahan dalam hidupnya. Baik dalam kondisi
fisik, psikologis, social, dan spiritual. Tn B sekarang terlihat kurus, kurang merawat diri dan
kurangnya pemenuhan istirahat tidur karena selalu dibayang-bayangi oleh penyakitnya. Saat ini
Tn B juga sedang batuk, ia mengalami batuk kurag lebih sejak 1 bulan yang lalu. Kulit Tn. B
tampak kering, dan ada beberapa bagian yang berwarna kemerahan. Selain takut karena
penyakitnya, Tn B juga dikucilkan dari lingkungannya, tidaka ada satu orang pun yang mau
berinteraksi dengan Tn B. Bahkan keluarganya sendiri. Tn B sekarang tinggal di sebuah pondok
dibelakang rumahnya yang telah disediakan oleh keluarganya. Karena penyakitnya tersebut Tn B
merasa sangat tertekan, Tn B sering melamun, terlihat tidak berdaya dan terkadang menyakiti
dirinya sediri. Tn. B merasa minder dan tidak berguna lagi di masyarakat. Tidak jarang Tn B
berteriak dan marah karena merasa Tuhan tidak adil kepadanya. Tn B merasa tidak pernah
melakukan hal yang buruk. Ia juga marah karena ia dikucilkan oleh orang lain

Sebagai seorang perawat buatlah intervensi keperawatan yang dapat diterapkan kepada Tn B
dengan menggunakan pendekatan Holistic Care

Langkah 1 : Identifikasi Stressor


1. Masalah Fisik/biologis
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2. Masalah Psikologis
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3. Masalah Sosial
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4. Masalah Spiritual
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Intervensi Keperawatan
1. Aspek Fisik/biologis
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2. Aspek Psikologis
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Intervensi Keperawatan
3. Aspek Sosial
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4. Aspek Spiritual
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