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KASUS

Tn. V,70 tahun, saat ini mengeluh kaki kanan sulit di gerakan saat berjalan,
jalan tertatih tatih dan selalu berpegangan . ini terjadi sudah 7 bulan.
NOC :
Setelah dilakukan tindakan keperawatan selama 30x24 jam pasien dapat
melakukan AMBULASI: BERJALAN, dengan kriterian :
a. Berjalan dengan kecepatan sedang (4)
Berdasarkan kasus tersebut kode NOC untuk kriteria dan seluruh kriteria
NOC ambulasi berjalan dengan skala
Jawaban : Dari kasus diatas Kode NOC untuk kriteria dan seluruh kriteria
NOC AMBULASI BERJALAN adalah : I C 020004 [ ket; - Domain : Fuctional
Health (I) ; - Class : Mobility (C) ; - Outcome : 020004 ]
Kode NOC

I C 020004

Skala

1. Severely
Compromised
2. Substantially
Compromised
3. Moderately
Compromised
4. Mildly
Compromised
5. Not
Compromised

Kriteria
Bears weight
Walks with effective gait
Walks at slow pace
Walks at moderate pace
Walks at fast pace
Walks up steps
Walks down steps
Walks up inclines
Walks down inclines
Walks short distance (< 1 block )
Walks moderate distance
(>1 block< 5 blocks)
walks long distance ( 5blocks
or>)
walks around room
walks around dwelling
adjusts to different surface
textures
walks around obstacles

NIC
TERAPI AKTIVITAS : AMBULASI

Definisi : membantu pasien memulai aktifitas fisik untuk memperkuat


fungsi tubuh selama perawatan dan melindungi dari sakit atau cidera
Bantu klien untuk menggunakan tongkat saat berjalan dan cegah
terhadap cedera

Berdasarkan kasus diatas,TULISKAN kode NIC untuk aktifitas tersebut dan


seluruh komponen NIC terapi aktifitas: ambulasi
Jawaban : Dari kasus di atas Kode NIC adalah : 3O-4310.

KOMPONEN NIC
Determine patient ability participate
in specific actifities
Collaborate with occupational
,physical,or recreational therapists in
planning and monitoring an
activitypogram,as appropiate
Determine patients commitment to
increasing frequency and range of
activty
Assist patient to explore the personal
meaning of usual activity (e.g., work )
and favorite leisure activities
Assist patient to choose activities and
achievement goals for activities
consistent with physical
,psychological,and social capabilities
Assist patien to focus on abilities
,rather than on deficits
Assist patient to identify and obtain
resources required for the desired
activity
Encourage creative activities ,as
appropriate
Assist patient to obtain
transportation :o activities as
appropriate

KODE NIC
3O-4310.

Assist patient to identy prefernces for


activities
Assist patient to identy meaningful
activities
Assist patient to schedule specific
periods for activities into daily routine
Assist patient and family to identify
deficits in activity level
Identify strategis to promote patient
participation in desired activities
Instruct patient and family regarding
the role of physical ,social,spiritual and
cognitive activity in maintaining
function and health
Instruct patient and family how to
perfom desired or prescribed activity
Coordinate patient selection of age
appropriate activities
Assist patient and fmily to adapt
environment to accommodate desired
activity
Provide activities to increase attention
span inconsultation with occupational
therapist
Facilitate activity substitution when
patient has limitions in time,energy,or
movement ,in consultation with
occupational physical,or recreational
therapists
Encourage invloment in group
activities or therapies as appropriate
Refer to community centers or activity
programs, as appropriate
Assist with regular phsycal activities
(e.g., ambulation, transfers, turning,
and personal care), as needed
Provide gross motor activities for
hyperactive patient
Promote a physically active lifestyle to
avoid unneeded wight gain, as
appropiate
Suggest methods of increasing daily
physical activity, as appropriate
Make environtment safe for continuous

large muscle movement, as indicated


Provide motor activity to relieve
muscle tension
Provide activities with implicit
emotional memory components (e.g.,
specially selected religious activities)
for dementia patients,as appropriate
Provide noncompetitive,structured,and
active group games
Promote engagement in recreational
and diversional activities aimed at
reducing anxiety(e.g.,group
singing;volley ball;table
tenis;walking;swimming;simple,concret
e tasks;simple games;routine
tasks;house keeping
chores;grooming;and puzzles and
cards)
Employ animal-assisted activity
programs,as appropriate
Provide positive reinforcement for
participation in activities
Instruct family to provide positive
reinforcement for participation in
activities
Allow for family participation in
activities appropriate
Assist patient to develop selfmotivation and reinforcement
Monitor emotional,physical,and
spiritual response the activity
Assist patient and family to monitor
own progress toward go achievement