UNIVERSITAS MUHAMMADIYAH SURAKARTA

FAKULTAS ILMU KESEHATAN

PROGRAM STUDI KEPERAWATAN

RENCANA PEMBELAJARAN SEMESTER

BOBOT TGL
MATA KULIAH KODE RUMPON MK SEMESTER
(SKS) Penyusunan
Konsep Kep Mata Kuliah Wajib 3 6 3 Januari 2018
Keperawatan
Kronis
OTORISASI Dosen Pengembang RPS Koordinator RMK Ka Prodi

(Enita Dewi, S.Kep.,Ns., MN) (Enita Dewi, S.Kep.,Ns., (Arum Pratiwi, S.Kp.,M.Kes.,
MN) PhD)

Capaian CPL-PRODI
Pembelajaran P3
KU1 1. Students are able to have personal and interpersonal nobility
1. Mahasiswa dapat memiliki kemuliaan pribadi dan interpersonal
KU2 2. Students are able to apply medical surgical nursing care
2. Mahasiswa mampu menerapkan perawatan keperawatan medikal bedah
KU3 3. Students are able to apply child nursing care
3. Mahasiswa mampu menerapkan asuhan keperawatan anak
KU4 4. Students are able to apply psychiatric nursing care
4. Mahasiswa mampu menerapkan asuhan keperawatan jiwa
KU5 5. Students able to apply maternity nursing care
5. Mahasiswa mampu menerapkan asuhan keperawatan maternitas
KU6 6. Students are able to apply community nursing care
6. Mahasiswa mampu menerapkan asuhan keperawatan komunitas
KU7 7. Students are able to apply emergency and critical nursing care
7. Mahasiswa mampu menerapkan asuhan keperawatan gawat darurat dan kritis
KU8 8. Students are able to apply nursing care of basic nursing cases
8. Mahasiswa mampu menerapkan asuhan keperawatan pada kasus keperawatan dasar
CP-MK Setelah menyelesaikan seluruh materi dalam mata kuliah ini, mahasiswa mampu:

M1 Menjelaskan konsep theory of chronic care

M2 Menjelaskan konsep disease trajectory
M3 Menganalisis Chronic care model (CCM) dalam kasus keperawatan kronis
M4 Menjelaskan Long term conditions (LTCs) in perspectives
M5 Menjelaskan clinical practice change based on CCM and Assessment for chronic care
M6 Menjelaskan Global action plans
M7 Menjelaskan psychological effects of LTCs
M8 Menganalisa self management for LTCs
M9 Menganalisa medicine management for LTCs
M10 Menganalisa safety management and risk management for LTCs
M11 Menganalisa discharge planning for client with LTCs
M12 Mengidentifikasi evidence based nursing for chronic care: Managing common
symptoms of long-term conditions
M13 Merencanakan Health education for chronic care

Deskripsi Singkat Fokus mata kuliah ini memberikan krontribusi untuk mengeksplore teoritis praktik keperawatan
MK kronis. Kegiatan belajar mahasiswa didorong untuk menemukan berbagai intervensi terapeutik,
dampak dari pedoman dan kebijakan klinis, dan kontribusi anggota tim professional untuk melakukan
perawatan kronis. Dalam mata kuliah ini dibahas perspektif nasional dan global dari beberapa isu
seputar kondisi klien yang kronis/ jangka panjang (Long-term Conditions/ LTC), manajemen kasus,
 perubahan pendekatan untuk pengelolahan kondisi kronis/ jangka panjang yaitu pendekatan personal
untuk mendukung hidup klien dengan LTC. Mata kuliah ini juga membahas wawasan sosiologi dan
efek psikologi jangka panjang yang dialami oleh klien dan keluarga dengan kondisi-kondisi tersebut.
Disamping itu, pendekatan umum perawatan dan pengelolaan pasien dengan LTC juga akan dijelaskan
dalam mata kuliah ini.

Materi 1. The theory of chronic care

Pembelajaran/ 2. The concept of disease trajectory
Pokok Bahasan 3. Chronic care model (CCM)
4. Long term conditions (LTCs) in perspectives
5. Clinical practice change based on CCM and Assessment for chronic care
6. Global action plans
7. Psychological effects of LTCs
8. Self management for LTCs
9. Medicine management for LTCs
10. Safety management and risk management for LTCs
11. Discharge Planning for Client with LTCs
12. Evidence based nursing for chronic care: Managing common symptoms of long-term conditions
13. Health education for chronic care

Pustaka Utama:
1. Barr, Victoria J (2003). The expanded chronic care model: an integration of concepts and
strategies from population health promotion and the chronic care model, Hospital Quarterly
Vol.7, No. 1
2. Giddens, Jean, (2009). Guided Care: A New Nurse-Physician Partnership in Chronic
Care [Kindle Edition], Springer Publishing Company; 1 edition
3. Guldemond, Nick dan Magda David (2012). Technology and Care for Patients with Chronic
Conditions: The Chronic Care Model as a Framework for the Integration of ICT, 10th IFIP
TC 9, International Conference on Human Choice and Computers, HCC10 2012, Amsterdam,
The Netherlands, September 27-28,. Proceedings
4. Meerabeau, Liz & Wright, Kerri (2011). Long-Term Conditions:Nursing Care and
Management,Dean of School of Health and Social Care, A John Wiley & Sons, Ltd., First
edition Blackwell Publishing
5. Pousti, Hamid, Urquhart, Cathy dan Linger, Henry ( 2014). Exploring the Role of Social
Media in Chronic Care Management, Springer Berlin Heidelberg

Pendukung:

Media Perangkat Lunak:

Pembelajaran Microsoft office, video

Perangkat Keras:
Laptop, Audio Visual Aids, LCD dan Proyektor, papan tulis

Team Teaching 1. Enita Dewi, S.Kep. Ns, MN

2. Sulastri, SKp, M.Kes
3. Beti Kristinawati, S.Kep.,Ns, M.Kep, Sp.KMB

Matakuliah syarat
 TIMELINE KEPERAWATAN KRONIS

Pertemua Rencana Pokok Bahasam Pengampu Metode

n Ke Pembelajaran
1 Penjelasan Silabi dan kontrak belajar Arina Maliya Ceramah
TM: 1x (2x50mnt)
2 Konsep theory of chronic care Arina Maliya Ceramah
TM: 1x (2x50mnt)
3 Konsep theory of disease trajectory Arina Maliya Ceramah
TM: 1x (2x50mnt)
4 Chronic care model (CCM) dalam kasus Arina Maliya Ceramah
keperawatan kronis TM: 1x (2x50mnt)

5 Long term conditions (LTCs) in Arina Maliya Ceramah

perspectives TM: 1x (2x50mnt)

6 Clinical practice change based on CCM Arina Maliya Ceramah

and assessent for chronic care TM: 1x (2x50mnt)

7 Psychological effects of LTCs Arina Maliya Ceramah

TM: 1x (2x50mnt)
UTS
8 Global action plans Fahrun Nur R Ceramah
TM: 1x (2x50mnt)
9 Sself management for LTCs Fahrun Nur R Ceramah
TM: 1x (2x50mnt)
10 Medicine management for LTCs Fahrun Nur R Ceramah
TM: 1x (2x50mnt)
11 Safety management and risk management Fahrun Nur R Ceramah
for LTCs TM: 1x (2x50mnt)

12 Discharge planning for client with LTCs Fahrun Nur R Ceramah

TM: 1x (2x50mnt)
13 Evidence based nursing for chronic care: Fahrun Nur R Ceramah
Managing common symptoms of long- TM: 1x (2x50mnt)
term conditions
14 Health education for chronic care Fahrun Nur R Ceramah
TM: 1x (2x50mnt)
UAS