KATA PENGANTAR

Puji syukur kepada Tuhan Yang Maha Esa berkat kasih dan karunia-Nya

Tim dapat menyelesaikan Penyusunan Pedoman Peningkatan Mutu dan Kinerja

UPTD Puskesmas Buntok. Pedoman ini disusun sebagai salah satu persyaratan

untuk Pencapaian mutu dan kinerja Puskesmas yang lebih baik.

Tim memperoleh pengarahan, bimbingan, bantuan serta dukungan dari berbagai

pihak dalam penyusunan pedoman ini, oleh sebab itu pada kesempatan ini Tim

mengucapkan terima kasih kepada:

1. Dr.Djulita K.Palar selaku Kepala Dinas Kesehatan Barito Selatan.

2. Tim pendamping Akreditasi Dinas Kesehatan Kabupaten Barito Selatan.

3. Seluruh Staf dan Petugas UPTD Puskesmas buntok.

4. Pihak-pihak lain yang tidak dapat disebutkan satu per satu.

Demikian Pedoman Peningkatan Mutu dan Kinerja ini dibuat dengan

sebaik-baiknya, Tim menyadari bahwa masih ada kekurangan. Pada kesempatan

ini, penulis mengharapkan kritik dan saran yang membangun dari semua pihak.

Buntok, Januari 2019

Tim Penyusun

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 DAFTAR ISI

Halaman
COVER DEPAN ............................................................................................ i
COVER DALAM .......................................................................................... ii
LEMBAR PERSETUJUAN........................................................................... iii
LEMBAR PENGESAHAN ........................................................................... iv
KATA PENGANTAR ................................................................................... v
DAFTAR ISI .................................................................................................. vi
DAFTAR GAMBAR ..................................................................................... vii
DAFTAR TABEL .......................................................................................... viii

BAB I PENDAHULUAN
A. LATAR BELAKANG................................................................... 1
B. MANFAAT PENULISAN ............................................................ 2
1. Bagi Pasien Dan Keluarga ....................................................... 2
2. Bagi Mahasiswa ....................................................................... 2
3. Bagi Perawat Profesional yang bertugas di Pelayanan
Keperawatan ............................................................................ 3
4. Bagi Profesi-profesi Terkait ..................................................... 3
C. BATASAN MASALAH ............................................................... 3
D. TUJUAN ....................................................................................... 4
1. Tujuan Umum .......................................................................... 4
2. Tujuan Khusus ......................................................................... 4
E. METODE PENGUMPULAN DATA ........................................... 4
1. Wawancara ............................................................................... 4
2. Observasi .................................................................................. 5

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 3. Pemeriksaan Fisik .................................................................... 5
4. Tinjauan Tes Diagnostik ........................................................ . 5
5. Studi Kepustakaan .................................................................. . 5
6. Catatan Medis......................................................................... 6

BAB II. TINJAUAN PUSTAKA

A. Anatomi Dan Fisiologi ................................................................ 7
B. Definisi ........................................................................................ 11
C. Etiologi ........................................................................................ 13
D. Epidemiologi ............................................................................... 13
E. Patofisiologi ................................................................................ 14
F. Komplikasi .................................................................................14
G. Collaborative Care Management ................................................. 17
1.Pemeriksaan Diagnostik...........................................................17
2. Medikasi .................................................................................. 18
3. Diet ........................................................................................ 18
4. Aktivitas ................................................................................. 19
5. PendidikanKesehatan ............................................................. 19
H. NURSING CARE MANAGEMENT ......................................... .19
1. Pengkajian ............................................................................. .19
2. Diagnosa Keperawatan .......................................................... .20
3. Intervensi ............................................................................... .21
4. Evaluasi ................................................................................. .31

BAB III STUDI KASUS

A. Assessment .................................................................................. 33
1. Pengkajian Riwayat Keperawatan.......................................... 33
2. Hasil Pemeriksaan Diagnostik ............................................... 43
3. Medikasi/ Studi Drugs ........................................................... 45
4. Pathway Kasus ....................................................................... 49
5. Analisa Data ........................................................................... 50

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 B. Prioritas Diagnosa Keperawatan ................................................. 58
C. Nursing Care Plan ...................................................................... 60
D. Catatan Perkembangan..............................................................85

BAB IV PEMBAHASAN
A. Assessment .................................................................................... 87
B. Diagnosa Keperawatan .................................................................. 88
C. Intervensi ....................................................................................... 91
D. Implementasi ................................................................................. 93
E. Evaluasi ......................................................................................... 94

BAB V KESIMPULAN DAN SARAN

A. KESIMPULAN ............................................................................. 96
B. SARAN.......................................................................................... 97
1. Bagi Klien Dan Keluarga .......................................................... 97
2. Bagi Pihak RSUD Tamiang Layang ....................................... 97
3. Bagi Pihak Institusi STIKES Suaka Insan ................................ 97
4. Bagi Mahasiswa ........................................................................ 97

DAFTAR PUSTAKA
LAMPIRAN

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DAFTAR GAMBAR

GAMBAR 2.1 Anatomi Organ Reproduksi Wanita ........................................ 7

GAMBAR 2.2 Antomi Ovarium Normal Dan Ovarium Dengan Kista ........... 7
GAMBAR 2.3 Patofisiologi Kista Ovarium....................................................16
GAMBAR 3.1 Genogram PasienNy. B.......................................................... 35
GAMBAR 3.2 Pathway Kasus Ny.B...............................................................49

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 DAFTAR TABEL

Tabel 3.1 Hasil Pemeriksaan Laboratorium Darah .......................................... 43

Tabel 3.2 Studi Drugs ...................................................................................... 45
Tabel 3.3 Analisa Data ..................................................................................... 50
Tabel 3.4 Nursing Care Plans........................................................................... 60

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