KATA PENGANTAR ...................................................................................................... ii
DAFTAR ISI................................................................................................................... iii Bab I. PENDAHULUAN ................................................................................................. 1 A. Pendahuluan ...................................................................................................... 1 B. Latar Belakang ................................................................................................... 1 C. Tujuan................................................................................................................. 1 D. Ruang Lingkup ................................................................................................... 1 Bab II. MANAJEMEN NYERI......................................................................................... 2 I. Definisi ................................................................................................................ 2 II. Ruang Lingkup ................................................................................................... 3 III. Tatalaksana ........................................................................................................ 4 A. Jenis jenis Asesmen .................................................................................. 4 1. Asesmen Tempat Kejadian ...................................................................... 4 2. Asesmen Awal ......................................................................................... 6 3. Asesmen Segera dan Terfokus................................................................ 8 4. Asesmen Secara Menyeluruh ................................................................. 10 5. Asesmen Berkelanjutan ........................................................................... 12 6. Asesmen Pediatrik ................................................................................... 12 7. Asesmen Neurologis ................................................................................ 16 8. Asesmen Nutrisi ....................................................................................... 19 9. Asesmen Nyeri......................................................................................... 21 10. Asesmen Resiko Jatuh ............................................................................ 26 11. Asesmen Fungsional ............................................................................... 30 12. Asesmen Psikologis,Sosial dan Ekonomis Awal ...................................... 33 13. Asesmen Populasi Tertentu ..................................................................... 34 14. Asesmen Keperawatan ............................................................................ 34 15. Asesmen Ulang........................................................................................ 34 16. Asesmen Khusus ..................................................................................... 36 B. Asesmen Pasien Gawat Darurat ................................................................... 36 C. Asesmen Pasien Rawat Jalan ...................................................................... 37 D. Asesmen Pasien Rawat Inap ......................................................................... 40 E. Dokumentasi Hasil Asesmen ......................................................................... 43 F. Kualifikasi Pelaksana Asesmen ...................................................................... 43 G. Kerangka Waktu Pelaksanaan Asesmen ....................................................... 44 IV. Dokumentasi ....................................................................................................... 44 PENUTUP ..................................................................................................................... iv