POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MATARAM JURUSAN KEPERAWATAN PROGRAM STUDI DIII KEPERAWATAN TAHUN AKADEMIK 2018-2019 Tugas 1
P: Patient (RISKY AMALIA) N: Nurse (YUNI LESTARI)
P:Excuse me, good morning?
N: Good morning, please sit down P: Thank you N: My name is Yuni Lestari, can be called yuni P: Ok N: What is your name? P: My name is Risky Amalia N: Risky is your first name? and Amalia is your last name? P: Yes Nurse N:Ok..can you spell that plaase? P: R-I-S-K-Y (Risky) A-M-A-L-I-A (Amalia) N: Can I just check, R-I-S-K-Y-A-M-A-L-I-A P: Yes N: And what would you like us to call you P: Lia is fine N: Where are you from Lia? P: I’m from Lombok N: Where do you live? P: I live in Tembelok N: What is your of birth? P: 2-April-1999 N: 2-April-1999,right? P: That’s right N: What is your job? P: I am a university student N: Ok, what’s your marital status? P: I’m still single unmariied N:Oke, and who is your next of kin of contact in emergency? P: You can call the number 085338711244 N: Thank you, do you have any allergies? P: No N: Thank you, what do you fell now P: I fell dizzy in my head and feel pain and nausea : P: Patient ( Yuni Lestari ) N: Nurse ( Risky Amalia)
P:Excuse me, good morning?
N: Good morning, please sit down P: Thank you N: My name is risky Amalia, can be called Lia P: Ok N: What is your name? P: My name is Yuni Lestari N: Yuni is your first name? and Lestari is your last name? P: Yes Nurse N:Ok..can you spell that plaase? P Y-U-N-I (YUNI) L-E-S-T-A-R-I (LESTARI) N: Can I just check, Y-U-N-I-L-E-S-T-A-R-I P: Yes N: And what would you like us to call you P: Yuni is fine N: Where are you from Yuni? P: I’m from Lombok N: Where do you live? P: I live in monjok baru N: What is your of birth? P: 2-Januari-1999 N: 2-Januari-1999,right? P: That’s right N: What is your job? P: I am a university student N: Ok, what’s your marital status? P: I’m still single unmariied N:Oke, and who is your next of kin of contact in emergency? P: You can call the number 085338772998 N: Thank you, do you have any allergies? P: No N: Thank you, what do you fell now P: I fell dizzy in my head and feel pain and nausea : Tugas 2
P:Excuse me, good morning? N: Good morning, please sit down P: Thank you N: how are you doing now, what do you feel yuni? P: a feeling of pain in my body N: where is the pain? P: I feel pain in the shoulder N: What type of pain? P: I feel pain in the shoulder, because yesterday I did a heavy activity N: And discribe the pain? P: I feel pain when moving my shoulders, so painful N: excuse me, I'll do a check first P: Ok N: I advise you not to do heavy activities first P: OK, I will avoid heavy activity at the momentn N: to avoid more severe pain P:Ok N: I will give a medicine that can relieve pain ( ibuprofen) P: Thank you N: IF you still feel pain, please come to control again P: Oke,t thank you Patient Details
Title :Mrs First name(s) :Risky Surname : Amalia
Gender: []F []M Marital Status :Sigle DOB :2-April-1999 Country of origin: Lombok Occupation : Student . Address : Tembelok. Tel : (Home)085337867555 (Mobile) 081912778922 Next of kin :Putri Relationship to patient : father Tel : (Home) 085337867555 (Mobile) 08191277922 Allergies:No :
P:Excuse me, good morning? N: Good morning, please sit down P: Thank you N: how are you doing now, what do you feel Lia? P: I feel pain in my stomach N: where is the pain? P: I feel pain in the left side of the abdomen N: What type of pain? P: I feel pain and nausea N: And discribe the pain? P: I feel pain when moving, because I often do too late when eating N: excuse me, I'll do a check first P: ok N: I suggest you have to eat regularly, to avoid pain in the stomach or stomach part of your left side P: ok, N: I will give you medicine P: ok, thank you N: IF you still feel pain, please come to control again P: Oke,t thank you Tugas 3 P: patient ( Yuni Lestari) Nurse : ( Risky Amalia)
P:Excuse me, good morning?
N: Good morning, please sit down P: Thank you N: What do you feel P: I feel dizzy, please check my blood pressure N: alright, please wait a minute i will prepare the tool first P: ok N: excuse me, I will calculate the temperature first by stretching the thermometer in your armpit and waiting for it for about 3-5 minutes P: oke N: while waiting for your temperature. excuse me, please extend your hand and raise your sleeves because I will tighten the tension on your arm. for maximum results, I hope you don't move first. P: oke N: here I see your blood pressure 140/110 mmhg. and your temperature 37. I think your temperature is normal but your blood pressure rises slightly P: thank you, what should I do so that my blood pressure returns to normal N: You can do regular exercise and maintain your diet to stay healthy. P: ok, thank you N: You are welcome P: patient (Risky Amalia) Nurse : (Yuni Lestari) P:Excuse me, good morning? N: Good morning, please sit down P: Thank you N: What do you feel P: I feel a fever, please check my blood pressure N: alright, please wait a minute i will prepare the tool first P: ok N: excuse me, I will calculate the temperature first by stretching the thermometer in your armpit and waiting for it for about 3-5 minutes P: oke N: while waiting for your temperature. excuse me, please extend your hand and raise your sleeves because I will tighten the tension on your arm. for maximum results, I hope you don't move first. P: oke N: here I see your blood pressure 120/100 mmhg. and your temperature 38. your blood pressure is normal, but your body temperature increases slightly. but it doesn't matter I will give you paracetamol so that your body temperature returns to normal. P: ok thank you.