DAFTAR ISI

DAFTAR ISI

A. NANDA, NOC, NIC

1. Definisi Diagnosa Keperawatan........................................................................... 1
2. Definisi Kriteria Hasil yang Diharapkan (NOC)....................................................1
3. Definisi Intervensi Keperawatan (NIC).................................................................3
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B. DIAGNOSA KEPERAWATAN (NANDA)
1. Batasan Karakteristik ............................................................................................6
2. Faktor yang Berhubungan.................................................................................... 6

C. NURSING OUTCOMES CLASSIFICATION (NOC)

1. Outcome untuk mengukur penyelesaian dari diagnosis
a. Ambulasi .................................................................................................8
b. Ambulasi : kursi roda ..............................................................................9
c. Pergerakan .............................................................................................10
2. Outcome tambhan untuk mengukur batasan karakteristik
a. Adaptasi terhadap disabilitas fisik .........................................................11
b. Keseimbangan .......................................................................................13
c. Penampilan mekanik tubuh ....................................................................14
d. Posisi tubuh : berinisiatif sendiri............................................................ 15
e. Koordinasi pergerakan........................................................................... 16
f. Cara berjalan ..........................................................................................17
g. Pergerakan sendi.................................................................................... 18
h. Pergerakan sendi : pasif......................................................................... 19
i. Status pernafasan ...................................................................................20
j. Kemampuan berpindah.......................................................................... 22

3. Outcome yang berkaitan dengan faktor yang berhubungan atau aoutcome

menengah
a. Toleransi terhadap aktifitas.................................................................... 23
b. Tingkat kecemasan................................................................................ 24
c. Status jantung paru................................................................................ 26
d. Kognisi ..................................................................................................28
e. Tingkat depresi ......................................................................................29
f. Tingkat ketidaknyamanan ......................................................................31
g. Daya tahan .............................................................................................33
h. Konservasi energi ..................................................................................34
i. Partisipasi latihan ...................................................................................35
j. Orientasi kesehatan ................................................................................37
k. Reaksi terhadap sisi yang terkena dampak .............................................38
l. Konsekuensi imobilitas : fisiologi .........................................................39
m. Konsekuensi imobilitas : psiko-kognitif................................................ 40
n. Pergerakan sendi : pergelangan kaki...................................................... 41

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 o. Pergerakan sendi : siku......................................................................... 42
p. Pergerakan sendi : pinggul....................................................................
q. Pergerakan sendi : lutut .........................................................................43
r. Pergerakan sendi : bahu......................................................................... 44
s. Pergerakan sendi : punggung ................................................................45
t. Pengetahuan : promosi kesehatan .........................................................46
u. Pengetahuan : aktifitas yang disarankan............................................... 48
v. Respon pengobatan................................................................................ 50
w. Motivasi................................................................................................. 51
x. Status neurologi : pusat kontrol motorik ................................................53
y. Status neorologi : sensori tulang punggung/fungsi motorik................... 54
z. Status nutrisi : energi .............................................................................55
aa. Status nutrisi : asupan nutrisi................................................................ 56
ab. Tingkat nyeri .........................................................................................57
ac. Kebugaran fisik..................................................................................... 59
ad. Manajemen diri : oesteoporosis............................................................ 60
ae. Fungsi sensori : propriosepsi................................................................. 62
af. Fungsi rangka ........................................................................................64
ag. Berat badan : masa tubuh....................................................................... 65

D. NURSING INTERVENTION CLASSIFICATION (NIC)

1. Intervensi Keperawatan yang Disarankan untuk Menyelesaikan Masalah
1) Perawatan Tirah Baring ................................................................................67
2) Peningkatan Mekanika Tubuh...................................................................... 68
3) Manajemen Energi .......................................................................................69
4) Manajemen Lingkungan ...............................................................................71
5) Peningkatan Latihan .....................................................................................73
6) Peningkatan Latihan: Latihan Kekuatan....................................................... 74
7) Peningkatan Latihan: Peregangan................................................................ 76
8) Terapi Latihan: Ambulasi .............................................................................77
9) Terapi Latihan: Keseimbangan.................................................................... 78
10) Terapi Latihan: Mobilisasi (pergerakan) Sendi............................................. 79
11) Terapi Latihan: Kontrol otot .........................................................................80
12) Manajemen Alam Perasaan ..........................................................................82
13) Manajemen Nyeri .........................................................................................85
14) Pengaturan Posisi......................................................................................... 87
15) Pengaturan Posisi: Neurologi .......................................................................88
16) Pengaturan Posisi: Kursi Roda..................................................................... 89
17) Bantuan Perawatan Diri ...............................................................................90
18) Bantuan Perawatan Diri: IADL ...................................................................91
19) Perawatan Diri: Transfer
20) Pengajaran: Peresepan Latihan ....................................................................93
21) Perawatan Traksi/Imobilisasi .......................................................................94
22) Pilihan Interfensi Tambahan
23) Terapi Aktivitas............................................................................................ 95
24) Latihan Autogenetik..................................................................................... 97
25) Perawatan Gips: Pemeliharaan.................................................................... 98
26) Perawatan Gips: Basah .................................................................................99
27) Perawatan Sirkulasi: Insufisiensi Arteri .....................................................100
28) Perawatan Sirkulasi: : Insufisiensi Vena..................................................... 101

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29) Perawatan Sirkumsisi................................................................................. 102
30) Pencegahan Jatuh....................................................................................... 103
31) Perawatan Kaki.......................................................................................... 105
32) Pemijatan................................................................................................... 106
33) Manajemen Pengobatan .............................................................................107
34) Monitor Neurologi..................................................................................... 109
35) Terapi Nutrisi .............................................................................................110
36) Manajemen Sensasi Perifer ........................................................................111
37) Pengekangan Fisik .....................................................................................112
38) Manajemen Tekanan................................................................................... 114
39) Relaksasi Otot Progresif .............................................................................115
40) Pengecekan Kulit....................................................................................... 116
41) Pembidaian................................................................................................. 117
42) Manajemen Berat Badan........................................................................... 118

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