KELOMPOK 5

1. Nadya Miftah Karima

2. Nur Ariyanti Suryana
6. Wikeu Nopianti
3. Teja Sulaksana
7. Rt. Zulfa Nur Azzah
4. Lilis Jubaedah
8. Yuyun Melinda
PENGKAJIAN
 Data Umum
 Usia -> 75 tahun / 25-34 tahun
Riwayat Kesehatan
 Laki-laki lebih beresiko
 Lingkungan tempat tinggal klien Keluhan utama: dispneu, (sampai bisa berhari-hari atau
berbulan-bulan), batuk dan mengi (pada beberapa kasus
lebih banyak paroksimal)
Riwayat Kesehatan Keluarga Kesehatan dahulu: batuk berulang terutama pada malam
hari menjelang dini hari, riwayat batuk setelah terpajan
 Riwayat penyakit asma yang sama atau alergi
alergi atau polutan, adanya mengi dan sesak, riwayat asma
Pada keluarga klien, terdapat ayah klien yang
berulang
mengalami
asma.
 LINGKUNGAN
Karakteristik Rumah

Apakah di
Apakah
Ventilasi udara Apakah ada dalam rumah Berapa sering Apakah banyak Apakah ada
keluarga
dirumah bagian rumah menggunakan mengganti tirai, barang didalam keluarga yang
memelihara
memadai atau yang lembab? karpet berbulu sprei? kamar (debu)? merokok
hewan
tidak? atau sofa kain? didalam rumah?
peliharaan?

Klien mengatakan sesak saat lingkungan banyak debu

 LINGKUNGAN
Tempat Kerja

Apakah klien Apakah klien

batuk, mengi, mengalami Apakah Bahan –bahan Apakah anda
sesak nafas lakrimasi pada
pekerja lainnya apa yang bekerja di
selama mata dan Anda bekerja
bekerja, tetapi hidung mengalami digunakan pada lingkungan
keluhan sebagai iritasi sebagai apa?
keluhan yang pabrik/ dekat dengan
menghilang segera setelah
bila libur kerja tiba di tempat sama? pekerjaan anda? jalan raya?
(hari minggu)? kerja?
 Polutan dan Iritan dalam Ruangan
Apakah kontak dengan bau-bauan merangsang seperti
parfum, bahan pembersih spray, dll?
 Apakah anda menggunakan kompor berasap atau bahkan
kayu bakar di dalam rumah?
Apakah sering memasak makanan yang menghasilkan bau
merangsang (tumisan)?
Apakah klien sering terpajan dengan debu jalan?
Apakah Anda Merokok?
Sensitif dengan Obat-obatan
Obat apakah yang digunakan klien?
Apakah ada obat penghambat/beta blocker?
Apakah klien sering menggunakan aspirin atau anti
inflamasi non stereoid?
Apakah klien sering eksaserbasi setelah minum obat
tersebut
Sistem Pendukung Keluarga
Jaminan kesehatan yang dimiliki klien?
Apakah keluarga mendukung klien sehingga klien tidak
mengalami stress?
 Pemeriksaan Fisik
> 24x/menit (dewasa),
>60x/menit (<2 bulan),
Ringan : >95%,
> 50x/menit ( 2-12
Sedang : 91-95%,
bulan),
Berat: <95%
>40x/menit (1-5 tahun),
> 30x/menit (6-8 tahun). Inspeksi :
• Klien tampak gelisah
• Terdapat cuping
hidung
>100x/menit (dewasa)
• Nafas cepat
>160x/menit (2-12
• Retraksi intercosta
bulan)
• Restraksi epigatrium,
>120x/menit (1-2
• Restraksi
tahun)
supersternal)
>110x/menit (6-8 tahun)
• Sianosis
 Pemeriksaan Fisik
> 24x/menit (dewasa),
>60x/menit (<2 bulan),
Ringan : >95%,
> 50x/menit ( 2-12 bulan),
Sedang : 91-95%,
>40x/menit (1-5 tahun),
Berat: <95%
> 30x/menit (6-8 tahun).
Palpasi :
• Pada serangan berat
dapat terjadi pulpus
>100x/menit (dewasa) parakosus.
>160x/menit (2-12
bulan)
>120x/menit (1-2
tahun)
>110x/menit (6-8 tahun)
 Pemeriksaan Fisik
> 24x/menit (dewasa),
>60x/menit (<2 bulan),
Ringan : >95%,
> 50x/menit ( 2-12 bulan),
Sedang : 91-95%,
>40x/menit (1-5 tahun),
Berat: <95%
> 30x/menit (6-8 tahun).
Auskultasi :
• Ekspirasi memanjang,
• Wheezing,
>100x/menit (dewasa) • Suara ronkhi.
>160x/menit (2-12
bulan)
>120x/menit (1-2
tahun)
>110x/menit (6-8 tahun)
Tanyakan terkait gaya hidup klien

01 Merokok

02 Konsumsi alkohol

03 Aktivitas fisik

04 Kurang Olahraga

05 Diet tinggi lemak

 Fungsi Keluarga
Fungsi Perawatan Kesehatan : Mengenal Masalah

Apakah keluarga mengetahui

Tanyakan pada keluarga
tanda dan gejala masalah
riwayat kemampuan
kesehatan yang dialami
komunikasi sebelum sakit?
anggota dalam keluarganya?

Apakah keluarga Apakah keluarga mengetahui

mengetahui masalah akibat masalah kesehatan yang
kesehatan yang dialami dialami anggota dalam
anggota dalam keluarganya? keluarganya bila tidak diobati?

Apakah keluarga mengetahui Pada siapa keluarga biasa

penyebab masalah kesehatan menggali informasi tentang
yang dialami anggota dalam masalah kesehatan yang
keluarganya? dialami anggota keluarganya?
 Fungsi Keluarga
Fungsi Perawatan Kesehatan

Mengambil Keputusan

Apakah keluarga dapat mengambil keputusan yang tepat

untuk anggota keluarga yang sakit?

Merawat Keluarga yang Sakit

Apakah keluarga merawat anggota keluarga yang sakit?

Memanfaatkan Pelayanan Kesehatan

Apakah keluarga dapat memanfaatkan pelayanan

kesehatan?
 Fungsi Keluarga
Fungsi Perawatan Kesehatan

Keluarga tetap memperhatikan klien ketika sakit, tetapi

Adakah perhatian keluarga kepada klien
keluarga belum mengerti apa yang harus dilakukan bila
yang sedang sakit?
klien mengalami serangan asma

Keyakinan keluarga tentang masalah kesehatan -Tidak perlu ditangani karena akan sembuh sendiri
yang dialami anggota keluarganya? -Perlu berobat ke fasilitas pelayanan kesehatan

Apakah keluarga melakukan upaya

peningkatan kesehatan yang dialami anggota Klien tidak pernah memakai masker saat membersihkan
keluarganya secara aktif? rumah

Apakah keluarga mengetahui kebutuhan

Klien
pengobatan masalah kesehatan yang dialami
anggota keluarganya?
 Apakah keluarga dapat melakukan cara merawat
anggota keluarga dengan masalah kesehatan yang
dialaminya?

Tatalaksana pasien asma adalah meningkatkan dan

mempertahankan kualtas hidup agar klien asma dapat hidup
normal tanpa hambatan dalam melakukan aktivitas sehari –hari
dengan asma terkontrol.

Mengenali dan menghindari faktor pencetus

Menghilangkan dan mengendalikan gejala asma

Saat asma klien kambuh klien hanya tergantung pada obat
Konsumsi obat –obat pelega dan pengontrol

Kontrol teratur

Ketika serangan berat segera rujuk ke pelayanan kesehatan

terdekat
 Fungsi Keluarga
Fungsi Perawatan Kesehatan

Apakah keluarga
Apakah keluarga
Apakah keluarga mampu memelihara
mampu menggali
dapat melakukan atau memodifikasi
dan memanfaatkan
pencegahan lingkungan yang
sumber di
masalah mendukung
masyarakat untuk
kesehatan yang kesehatan anggota
mengatasi masalah
dialami anggota keluarga yang
kesehatan anggota
keluarganya? mengalami masalah
keluarganya?
kesehatan?

Suami klien merokok,

Suami klien merokok, klien tidak pernah Suami klien merokok,
klien tidak pernah memakai masker saat klien tidak pernah
memakai masker saat membersihkan rumah memakai masker saat
membersihkan rumah membersihkan rumah
ANALISA DATA
INTERVENSI
 Fungsi Keluarga
Fungsi Perawatan Kesehatan

Apakah keluarga dapat melakukan pencegahan masalah

kesehatan yang dialami anggota keluarganya?

Apakah keluarga dapat mengambil keputusan yang tepat

untuk anggota keluarga yang sakit?

Apakah keluarga mampu memelihara atau memodifikasi

lingkungan yang mendukung kesehatan anggota keluarga
yang mengalami masalah kesehatan?

Suami klien merokok, klien tidak pernah memakai masker

saat membersihkan rumah

Apakah keluarga mampu menggali dan

memanfaatkan sumber di masyarakat untuk
mengatasi
Apakah masalah
keluarga kesehatan pelayanan
dapat memanfaatkan anggota
keluarganya?
kesehatan?
 Our Team Style

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Presentation that is beautifully designed. Easy to change colors, photos and
Text. I hope and I believe that this Template will your Time, Money and
Reputation. You can simply impress your audience and add a unique zing and
appeal to your Presentations.

Get a modern PowerPoint Presentation that is beautifully designed.

Two Columns Text
01 PowerPoint Presentation

You can simply impress your audience and add a unique zing and appeal to
your Presentations. I hope and I believe that this Template will your Time,
Money and Reputation. Get a modern PowerPoint Presentation that is
beautifully designed. You can simply impress your audience and add a unique
zing and appeal to your Presentations.

Get a modern PowerPoint Presentation that is beautifully designed. Easy to

change colors, photos and Text.

02 PowerPoint Presentation

You can simply impress your audience and add a unique zing and appeal to
your Presentations. I hope and I believe that this Template will your Time,
Money and Reputation. Get a modern PowerPoint Presentation that is
beautifully designed. You can simply impress your audience and add a unique
zing and appeal to your Presentations.

Get a modern PowerPoint Presentation that is beautifully designed. Easy to

change colors, photos and Text.
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You can Change Fill
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