ROLE PLAY

communication teraupiutik

Arranged by

Ambar Nurhudayani ( S16146)

Eldha Ayu kumalasari (S16144)

PROGRAM STUDI SARJANA KEPERAWATAN

STIKES KUSUMA HUSADA

SURAKARTA
 2019

“PEMERIKSAAN FISIK PADA PASIEN DENGAN

GANGGUAN ASMA”

Prolog

Ambar adalah gadis berusia 21 tahun. Saat ini dia sedang dirawat di salah satu
ruangan di RS. Kusuma bangsa karena pagi tadi dia merasakan sesak napas dan
sakit pada dadanya disertai batuk kering dan badanya terlihat lemas

Fase Orientasi

(Salam)

Suster: “ assalamu’alaikum mbak

Pasien : “ wa’alaikumsalam ”

(perkenalan)

Suster: “ mbak permisi perkenalkan saya suster eldha yang bertugas di

ruangan ini. Saya dinas dari jam 07.00 pagi sampai jam 14.00 siang
 nanti. mbak kalau ada apa-apa bisa panggil saya di ruang perawat.
Sebelumnya apa benar saya dengan mbak ambar ?

pasien: “ iya benar sus. Sekarang saya mau di apakan suster.”

Suster: “ saya sekarang mau memeriksa kondisi mbak ambar. Bagaimana

mbak ?”

pasien: “ oh iya, silahkan suster.

Suster: “ iya baik mbak”

pasien: “ entar sakit ga suster? Kalo sakit saya ga mau.”

Suster: “ . saya cuma mau memeriksa keadaan anda dulu. l

pasien : “ iya suste, silahkan”

( Evaluasi Validasi )

Suster: “ mbak ambar gimana perasaanya sekarang?”

pasiennl: “ masih ga enak suster.”

Suster: “ tidurnya gimana tadi malemnya, mbak?”

pasien : “ saya tadi malem ga bisa tidur, tidurnya bangun-bangun terus suster ga
nyenyak.”

Suster: “ kenapa mbak ambar tidurnya kebangun terus?”

pasien : “ di bagian ini (sambil menunjuk bagian dada) sakit terus napasnya juga
sesak sus. Kepala saya juga sakit udah gitu saya batuk terus, sus”

Suster: “ iya, maka dari itu nanti saya periksa mbak ambar ya biar ga sesak napas
trus kepalanya ga sakit lagi.”

pasien: “ iya suster .”

Tujuan

Suster: " sekarang saya mau mulai pemeriksaannya ya. Dengan saya memeriksa
anda nanti saya bisa tau penyakit mbak ambar. Dengan begitu nanti saya
bisa ngasih obat yang tepat dan bisa merawat mbak dengan baik. Nanti
mbak ikuti petunjuk yang saya kasih ya ?”

pasien: “ iya suster.”

Suster: “ sekarang mbak ambar tidur berbaring dulu ya.’’

Fase Kerja

(membaringkan pasien tidur telentang dan mengatur posisi yang nyaman bagi
pasien. Dan mulai melakukan prosedur pemeriksaan fisik yang meliputi inspeksi,
palpasi, perkusi dan auskultasi)

Suster: “ maaf mbak sekarang buka bajunya ya, saya mau mulai pemeriksaannya.”

pasien: “ iya suster.”

(mempersiapkan alat-alat dan mulai melakukan pemeriksaan)

Inspeksi: (melihat bentuk dan pergerakan thorak)

Palpasi:

Suster: “ sekarang coba tarik napas ya mbak.”

pasien : (tarik napas)

Suster: “ sekarang coba mbak ambar bilang tujuh-tujuh (7).”

pasien : “tujuh-tujuh.”

Perkusi: ( melakukan tahap perkusi)

Auskultasi: ( melakukan tahap auskultasi )

Fase Terminasi

( Data Subjektif )

Suster: “ nah saya udah selesai memeriksa mbak. Sekarang gimana perasaan mbak
setelah diperiksa?”

pasien: “ Udah ga sakit lagi bagian sininya sus (sambil menunjuk daerah dada).
Napasnya juga ga bunyi terus ga sesak lagi. Tapi saya masih batuk, sus”

Suster: “ Alhamdulillah . Iya kalo batuknya nanti saya kasih obat biar nanti
batuknya sembuh”

pasien: “ iya suster. ”

( Data Objektif )

Setelah komunikasi dan bertanya secara langsung kepada klien, suster mengamati
keadaan klien. Klien terlihat tenang, nyaman, tidak cemas, nafasnya kembali
normal tidak berbunyi lagi dan klien tampak bisa istirahat dengan tenang dan
nyaman.

( Rencana Tindak lanjut)

Suster: “ mbak ambar setelah pemeriksaan ini, nanti siang jam 13.00 saya kesini
lagi buat ngasih obat.”

Pasien: “ Iya suster.”

( kontrak yang akan datang )

Suster: “ besok saya kesini lagi buat ngecek keadaan mbak ambar ya. Sekarang
saya tinggal dulu ya soalnya pemeriksaanya udah selesai.”

pasien: “ Iya suster .”

Suster: “ Kalo ada sesuatu mbak ambar bisa panggil saya di ruang perawat ya
mbak.”

pasien: “ baik suster terimakasih .”

Suster: “ iya sama-sama . saya tinggal dulu ya mbak.assalamualaikum"

pasien :" iya mbak waalaikumsalam"

"PHYSICAL EXAMINATION IN PATIENTS WITH ASTHMA DISORDERS"

Prologue

Ambar is a 21 year old girl. Currently he is being treated in one of the rooms in
the hospital. Kusuma Bangsa because this morning he felt shortness of breath and
pain in his chest accompanied by a dry cough and his body looked limp

Orientation Phase

(Regards)

Nurser: "assalamu 'alaikum miss

Patient: "wa'alaikumsalam"

(introduction)

Nurse : "Mrs, excuse me, may I introduce Nurse Eldha who is in charge of this
room. I was on duty from 07.00 am to 14.00 noon later. miss if there is anything
can call me in the nurse's room. Previously was it true that I was with Ms. Amber?

patient: "yes correct nurse. Now I want to do with the nurse. "

nurse: "I now want to check the condition of Ms. Amber. How are you? "
Patient: "Oh yes, please nurse.

nurse: "Yes, fine, nurse"

patient: "will it hurt or not?" If it hurts, I don't want to. "

nurse: " . I just want to check your situation first. l

patient: "yes nurse, please"

(Validation Evaluation)

nurse: "Ms. Amber, how do you feel now?"

patient: "It's still uncomfortable, nurse."

nurse: "How did you sleep that night, miss?"

Patient: "I was unable to sleep last night, I woke up awake and the nurse didn't
sleep well."

nurse: "Why does Ms. Amber keep awake and sleep?"

patient: "in this part (pointing at the chest) pain continues breathing also tightness
nurse. My head also hurts already so I cough, nurse

nurse: "Yes, then I'll check it later, Ms. Amber, so that she won't get short of
breath, and her head won't hurt anymore."

patient: "yes nurse."

Purpose

nurse: "Now I want to start the examination. With me checking you later I can
know your amber disease. That way I can give you the right medicine and treat
you well. Later, will you follow the instructions I gave you?"

patient: "yes nurse."

nurse: "Now, Ms. Amber, sleep and lie down, okay?"

Work Phase

(Lay the patient to sleep on his back and arrange a comfortable position for the
patient. And start performing physical examination procedures which include
inspection, palpation, percussion and auscultation)

nurse: "I'm sorry, now open your clothes, I want to start the examination."

patient: "yes nurse."

(prepare tools and start checking)

Inspection: (see thorak shape and movement)

Palpation:

nurse: "Now try to catch your breath, miss."

patient: (inhale)

nurse: "Now try Ms. Amber to say seven-seven (7)."

patient: "seven-seven."

Percussion: (performing the percussion stage)

Auscultation: (performing auscultation stage)

Termination Phase

( Subjective data )

nurse: "Well, I've finished checking Miss. Now how do you feel after being
examined? "
patient: "It doesn't hurt anymore where it is nurse (pointing to the chest area). His
breath also does not sound continuously tight. But I still cough, nurse "

nurse: "Thank God. Yeah, if I cough later I'll give the medicine so the cough will
recover ”

patient: "yes nurse. "

(Objective Data)

After communication and asking the client directly, the nurse observes the client's
situation. Clients look calm, comfortable, not worried, breathing back to normal
does not sound anymore and the client seems to be able to rest in peace and
comfort.

( Follow up plan)

nurse: "Miss Amber after this examination, at noon I will come here again to give
medicine."

Patient: "Yes, nurse."

(upcoming contract)

nurse: "tomorrow I will come again to check on the condition of Ms. Amber. Now
I just need to stay, because the check is over. "

patient: "Yes, nurse."

nurse: "If there is something you can call me amber in the nurse's office yes ."

Patient: "Good nurse, thank you."

nurse: "Yes, you're welcome. I live first ya, miss.assalamualaikum "

patient: "yes nurse waalaikumsalam"