PSCYHIATRIC NURSING CARE AT NY.

A WITH A
DIAGNOSIS OF VIOLENT BEHAVIOR IN THE
TRANSIT ROOM OF A WOMAN AT THE SAMBANG
LIHUM MENTAL HOSPITAL

Arranged by group 4:
1. SHINTYA
2. NORMASITAH
3. SITI NAJRAH
4. ALFI BARIROH
5. DESSY S
6. KHAIRUNNISA

THE HIGH SCHOOL OF HEALTH SCIENCE INTAN

MARTAPURA
Hospital entry date : july 21 2016

Date of assessment : 21 Augustus 2019

RM Number : 02 13 XX
 NURSING ASSESSMENT
 PATIENT IDENTITY
 Initial: Mrs A
 Age : 36 years old
 Educations : Middle School
 Occupation : Housewife
 Ethnic group : Banjar
 Marital Status : Married
 Informent : Patients & Medical Records
 Address : Pelaihari, tanah laut
THE REASON OF ENTRY

On July 21, 2016 patients

escorted by family to the RSJ
Honeycomb Lihum
approximately the last 2 months
the patient is often on the road
and often lingering in the
rampage, fighting with people
and speak ill of Social Service
when asked.
The Main Complaint

Patients say irritability with perkataaan people,

quick tempers and often grumpy, always
annoyed with nurses and other patients.
Patients also often says munyak, emotional
labile patients intonation while talking loudly,
the look on the face of the tense. Patients
fighting and hitting his diruangan friends with
another patient reason feel upset because
patients often grumble-grumble continued
making other angry patients. Patients also
often looks pinched her friend, feeling upset,
and was about to slap a nurse when told to
gymnastics.
PREDISPOSING FACTORS

Never experienced psychiatric Patient in the

last ever treated in Lihum year 2014
Honeycomb RSJ and may return in the year
2015, re-entered Honeycomb Lihum since
given up drugs. Previous treatment before
treatment is less successful entry RSJ
Honeycomb Lihum again on July 21, 2016. A
history of Trauma/violent Patients have
experienced the trauma of domestic violence
at the age of 33 years as a victim by her
husband. Problems of Nursing: therapeutic
Regimens are not effective, not effective
individual koping, the risk of violent behavior.
PHYSICAL EXAMINATION

1. Vital Signs :

Blood pressure: 110/90 mmHg
 Nadi : 88 x/menit
The temperature of the : 36,5ºC
RR : 22x/menit
 Height148 cm, Weight 49 kg.
3. Physical complaints
When done the study patients say there is
no physical complaints and told him fine
Problems of nursing nursing: no problem.
PSYCHOSOCIAL
The concept of self

The patient said that he felt less

pretty and patients say want to buy
clothes and gold to make it look
more beautiful and that the husband
was blown away again.
The patient did not feel confident
when meeting with others because it
felt he was not pretty.
 Nursing issues: low self esteem
Social relations
Obstacles in dealing with others
Patients sometimes labile mood
often fickle, and when talking with
others can not with a long duration
can only be approximately 10-15
minutes with bulging eyes.
Patients also can not begin talks.
Nursing problems: violent
behavior.
 XI. ASPEK MEDIK
Medical diagnosis: f. 20.3
(Schizophrenia is not detailed)
Drug name and dosage

Risperidone 2 mg
3x1
Haloperidol 5 mg
3x1
Trihexyphenidyl 2 mg
3x1
Amitrptyline 25 mg
3x1