RENCANA TINDAKAN KEPERAWATAN

KLIEN DENGAN GANGGUAN KONSEP DIRI : ISOLASI SOSIAL

NURSING ACTION PLAN

CLIENTS WITH DISORDERS OF SELF-CONCEPT: SOCIAL INSULATION

Nama Klien : Ny. R Dx Medis : F. 20.0

RM No. : 022315

Client Name: Ny. Medical R Dx: F. 20.0

RM No. : 022315

dat No nursing Planning

e Dx diagnoses aim Evaluation Criteria Intervensi
 sp 1 :
1) Mengidentifikasi penyebab
1. Isolasi a. Pasien isolasi sosial.
mampu Pasien : Siapa yang serumah,
Sosial membina siapa yang dekat, dan apa
hubungan sebabnya.
saling percaya 2) Mendiskusikan dengan pasien
b. Pasien tentang keuntungan punya
mampu teman dan bercakap-cakap.
mengetahuai 3) Mendiskusikan dengan pasien
keuntungan tentang kerugian tidak punya
berinteraksi teman dan tidak bercakap-
dengan orang cakap.
lain 4) Latih cara berkenalan dengan
c. Pasien pasien dan perawat atau tamu.
mampu 5) Masukkan pada jadwal
meningkatkan kegiatan untuk latihan
interaksi berkenalan.
dengan orang
lain
1) Identify the causes of
social isolation.
a. Patients are able Patients: Who is at
to foster trusting home, who is close, and
relationships why.
b. Patients are able 2) Discuss with patients
to know the about the benefits of
benefits of having friends and
interacting with conversing.
others 3) Discuss with patients
c. Patients are able about the loss of not
to increase having friends and not
interaction with conversing.
others 4) Practice how to get
to know patients and
nurses or guests.
5) Enter in the activity
schedule to get
acquainted with.
Sp 2 :
1) Evaluasi kegiatan berkenalan
(beberapa orang) dan beri
pujian.
2) Latih cara berbicara saat
melakukan kegiatan harian
(latih 2 kegiatan).
3) Masukkan pada jadwal
kegiatan untuk latihan
berkenalan 2-3 orang pasien,
perawat dan tamu, berbicara
saat melakukan kegiatan
harian.

1) Evaluate acquaintance
activities (several
people) and give praise.
2) Practice how to talk
when doing daily
activities (practice 2
 activities).
3) Enter the activity
schedule for the
practice of getting
acquainted with 2-3
patients, nurses and
guests, speaking during
daily activities

Sp 3 :
1) Evaluasi kegiatan latihan
berkenalan (beberapa orang)
dan bicara saat melakukan
dua kegiatan harian. Beri
pujian.
2) Latih cara berbicara saat
melakukan kegiatan harian ( 2
kegiatan baru).
3) Masukkan pada jadwal
kegiatan untuk latihan
berkenalan 4-5 orang,
berbicara saat melakukan 4
kegiatan harian.

1) Evaluate acquaintance
training activities (some
people) and talk when
doing two daily
activities. Praise.
2) Practice how to talk
when doing daily
activities (2 new
activities).
3) Enter in the activity
schedule to practice
getting acquainted with
4-5 people, speaking
while doing 4 daily
activities.

Sp 4 :
1) Evaluasi kegiatan latihan
berkenalan, bicara saat
melakukan empat kegiatan
harian. Beri pujian.
2) Latih bicara sosial : meminta
sesuatu, menjawab pertayaan.
3) Masukkan pada jadwal
kegiatan untuk latihan
berkenalan >5 orang, orang
baru, berbicara saat
melakukan kegiatan harian
dan sosialisasi.

1) Evaluation of
acquaintance training
activities, talking when
 doing four daily
activities. Praise.
2) Practice talking
socially: asking for
something, answering
questions.
3) Enter on the activity
schedule to practice
getting acquainted> 5
people, new people,
talking during daily
activities and
socialization

Sp 5 :
1) Evaluasi kegiatan latihan
berkenalan, bicara saat
melakukan kegiatan harian
dan sosialisasi. Beri pujian.
2) Latih kegiatan harian.
3) Nilai kemampuan yang telah
mandiri.
4) Nilai apakah isolasi sosial
teratasi.

1) Evaluation of
acquaintance
training activities,
talking during daily
activities and
socialization. Praise.
2) Practice daily
activities.
3) Value of ability
that has been
independent.
4) The value of
whether social
isolation is
overcome

SP KELUARGA

Sp 1 :
1) Diskusikan masalah yang
dirasakan keluarga dalam
merawat pasien.
2) Jelaskan pengertian isolasi
sosial, tanda dan gejala serta
proses terjadinya isolasi
sosial.
3) Jelaskan cara merawat pasien
dengan isolasi sosial.
4) Latih dua cara merawat : cara
berkenalan, berbicara saat
melakukan kegiatan harian.
5) Anjurkan membantu pasien
 sesuai jadwal dan
memberikan pujian saat
besuk.

1) Discuss the problems

the family feels in caring
for the patient.
2) Explain the definition
of social isolation, signs
and symptoms and the
process of the
occurrence of social
isolation.
3) Explain how to care
for patients with social
isolation.
4) Practice two ways of
caring: how to get
acquainted, talk while
doing daily activities.
5) Advise to help
patients on schedule
and give praise when
visiting.

Sp 2 :
1) Evaluasi kegiatan keluarga
dalam merawat/melatih
pasien berkenalan dan
berbicara saat melakukan
kegiatan harian. Beri pujian.
2) Jelaskan kegiatan rumah
tangga yang dapat melibatkan
pasien berbicara (makan,
sholat bersama) dirumah.
3) Latih cara membimbing
pasien berbicara dan memberi
pujian.
4) Anjurkan membantu pasien
sesuai jadwal saat besuk.

1) Evaluation of family
activities in caring for /
training patients to get
acquainted and talk
during daily activities.
Praise.
2) Describe household
activities that can
involve patients talking
(eating, praying
together) at home.
3) Practice how to guide
patients to speak and
give praise.
 4) Advise to help
patients on schedule
when visiting.

Sp 3 :
1) Evaluasi kegiatan keluarga
dalam merawat/melatih
berkenalan, berbicara pasien
saat melakukan kegiatan
harian. Beri pujian.
2) Jelaskan cara melatih pasien
melakukan termasuk minum
obat (discharge planning).
3) Menjelaskan follow up pasien
setelah pulang

1) Evaluation of family
activities in caring
for / practicing
acquaintance,
talking to patients
while doing daily
activities. Praise.
2) Explain how to
train patients to do,
including taking
medication
(discharge
planning).
3) Explain patient
follow-up after
returning home.

.
Sp 4 :
1) Evaluasi kegiatan keluarga
dalam merawat/melatih
pasien berkenalan, berbicara
saat melakukan kegiatan
harian / RT, berbelanja. Beri
pujian.
2) Jelaskan follow up ke
RSJ/PKM, tanda kambuh dan
rujukan.
4) Anjurkan membantu pasien
sesuai jadwal kegiatan dan
memberikan pujian.

1) Evaluate family
activities in treating
/ training patients
acquainted, talking
while doing daily
activities / RT,
shopping. Praise.
2) Explain follow-up
to RSJ / PKM,
 relapse and referral.
4) Advise to help
patients according
to the activity
schedule and give
praise

Sp 5 :
1) Evaluasi kegiatan keluarga
dalam merawat/melatih
pasien berkenalan, berbicara
saat melakukan kegiatan
harian. RT berbelanja dan
kegiatan dan follow up. Beri
pujian.
2) Nilai kemampuan keluarga
merawat pasien.
3) Nilai kemampuan keluarga
melakukan kontrol ke
RSJ/PKM.

1) Evaluation of family activities

in treating / training patients
acquainted, talking while doing
daily activities. RT shopping and
activities and follow up. Praise.
2) Value of family ability to care
for patients.
3) Value of the ability of the
family to control RSJ / PKM