askep anak gizi kurang

8/9/2019 Askep Anak Gizi Kurang

1/20

ASUHAN KEPERAWATAN KELUARGA Tn. S

DENGAN ANAK GIZI KURANG(BGM)

DI DUSUN GAMPING TENGAH RT 03 RW 14

AMBARKETAWANG SLEMAN JOGJAKARTA

Disusun untuk memenuhi salah satu tugas praktek profesi Ners

Mata Kuliah Keperawatan Keluarga

Oleh:

ABDUL AZIS

!"!##$%$"&IK" ! %


2/20

'(O)(AM S*UDI ILMU K&'&(A+A*AN,AKUL*AS K&DOK*&(AN U)M

-O)-AKA(*A. /

ASU0AN K&'&(A+A*AN K&LUA()A *n1 S

D&N)AN ANAK )IZI KU(AN)

I1 '&N)KA2IAN K&'&(A+A*AN

Har !"an##a$ % Ka& ' M *003

O$ + % A,- $ A/ '

M " - % Wa an2ara ,' r a' -an 5 & r 6'an 7 ' 6

A; DA*A K&LUA()A

1; I- n" "a' K $ ar#a

a. Na&a KK % Tn. S ,. J n ' K $a& n % La6 8$a6

2. U& r % 3* "a+ n

-. P n- - 6an % SD

. A#a&a % I'$a&

7. P 6 r9aan % P n9a+ "

#. A$a&a" % D ' n Ga&5 n# T n#a+RT 03!RW 14

A&,ar6 "a an# Ga&5 n# S$ &anS 6 !6 ,an#'aan % Ja a!In- n ' a

J &$a+ an## "a 6 $ ar#a % : ran# (T r&a' 6 KK)2; S ' nan An## "a 6 $ ar#a

N Na&a U& r S ; H , -# KK P n-- P 6 r9aan K "

*


3/20

1

*

3

4

<

N=.S

An.ATAn.

BP

Tn.MT

N=.MT

34 "+

3 ,$n

11 ,$n

>< "+

:< "+

Pr

Pr

Pr

L6

Pr

I'" r

Ana6 II

Ana6 III

M r" a

M r" a

SMEA

8

8

8

8

8

8

8

8

8

S +a"

S +a"

BGMS

+a"

S +a"

3; T 5 6 $ ar#a

J n ' 6 $ ar#a n a-a$a+ 6 $ ar#a $ a' /extende - family - &ana

-a$a& 6 $ ar#a " r- r a=a+ , -an ana68ana6 -an & r" a.4; G n #ra&

K " ran#an %

% P r &5 an % An.BP

% La6 8$a6 % M n n##a$

% Gar ' P r6a nan

% Gar ' K " r nan

% T n##a$ -a$a& 'a" r &a+

5; S 6 Ban#'a -an A#a&a

K $ ar#a Tn. S ' & an=a ' 6 9a a a'$ . S & a an## "a 6 $ ar#a

, ra#a&a I'$a&.

6; S"a" ' S ' a$ E6 n & K $ ar#a

3


4/20

P n#+a' $an Tn S ra"a8ra"a 5 r, $an R5.


5/20

N31M*

KU ,a 6 5 & r 6'aan 7 ' 6 T 6anan Dara+ @0!>0 &&H# Na- >*

;!&n" " -a6 ' -an# & n- r "a ' a" 5 n=a6 " -an -a5a"

& $a6 6an a6" "a' ' +ar 8+ar ' 2ara &an- r .

An1A*

KU ,a 6 ana6 - 6 $ +6an Ba" 6 5 $ 6 ' 9a6 6 &ar n +a' $

5 & r 6'aan 7 ' 6 " &5% An.AT % " &5% 3: < 0? Na- 1** ;!&n"

R '5 % 30 ;!&n" P+ar n# a#a6 + 5 r & ' H - n# % n# '( )

-a-a!"+ ra6 % + / n#(8) r n6+ (8) BB % 13 K# TB % @*?& I&& n 'a' $ n#6a5.

An1 B'

KU ,a 6 KU ,a 6 " r# r 6 $ " ,a 6 5 r# ra6an a6" 7

.BB % :400#r TB % >0 2& LK% 43 2&. Pa-a KMS & n n9 6an

BGM(# / 6 ran#) r a=a" && n 'a' $ n#6a5.

R a=a" 6 $a+ ran % B ra" ,a-an $a+ r %*>00 #ra& 5an9an# ,a-an

4> 2& LK ran# " a $ 5a 5 r'a$ nan '5 n"an ,ra2+ - " $ n# $ +

, -an - r &a+ 6 $a nan $a+ r " -a6 a-a.

T n#6a" 5 r6 &,an#an ,a$ "a 'aa" n %

8 M " r 6 6a'ar % Ana6 -a5a" ,an#6 " n" 6 , r- r , r- r

- n#an 5 #an#an ana6 , $ & -a5a" , r- r

' n- r -an , $ & -a5a" , r9a$an.

8 M " r 6 +a$ ' % Ana6 -a5a" & & #an# -an & &, n" r6an - a

, a+ , n-a -an -a5a" & nar + , n-a 5a-a

' a" " &5a"

8 S ' a$ % Ana6 -a5a" , r" 5 6 "an#an & $a&,a 6an

"an#an & n & - n#an 2an#6 r -an -a5a"

& n r 6an 6 # a"an.

8 Ba+a'a % Ana6 -a5a" & n# 2 + & n= , " &a&a85a5a


6/20

-an -a5a" & n# 2a56an 'a" 6a"a.

4. R a=a" P n=a6 " K $ ar#a (6 " r nan)

a. R a=a" 5 n=a6 " -a+ $

K $ ar#a & n#a"a6an ,a+ a Tn..S ' 6 $ ar#a -a$a&

6 a-aan ' +a"8' +a" 'a9a -an " -a6 5 rna+ & n- r "a

' a" 5 n=a6 " =an# 5ara+.

,. P n=a6 " 6 " r nan

Tn.S & n#a"a6an ,a+ a " -a6 a-a 5 n=a6 " 6 " r nan

,a 6 -ar 5 +a6 Tn.S &a 5 n N=.S.

2. P n=a6 " 6r n '!& n $ar

K $ ar#a & n=a"a6an ,a+ a " -a6 a-a an## "a 6 $ ar#a

=an# & n- r "a 5 n=a6 " & n $ar.

-. K 2a2a"an an## "a 6 $ ar#a

Tn.S & n#a"a6an ,a+ a ana6n=a =an# 5 r"a&a $a+ r

- n#an , , r ' &, n# -an & n n##a$ - n a -a$a& ' a 1

"a+ n 6ar na a'5 ra' .

. P &an7aa"an a' $ "a' K ' +a"an

K $ ar#a & n#a"a6an , $a an## "a 6 $ ar#a 'a6 "- 5 r 6'a6an - P '6 '&a' Ga&5 n# I.


7/20

S & a an## "a 6 $ ar#a "aa" , r ,a-a+ '+ $a" $ &a a6" -an

& n# 6 " 6 # a"an 5 n#a9 an ' " a5 'a" , $an ' 6a$ .

T -a6 a-a an## "a 6 $ ar#a =an# & ra'a " r" 6an a"a

& n#a$a& #an## an & n"a$ 6 & n 6a' an"ar an## "a

6 $ ar#a 'an#a" +ar& n ' , # " 9 #a ran# " a.

:. P r' 5' -an Tan##a5an K $ ar#a " r+a-a5 La=anan K ' +a"an.

Tan##a5an K $ ar#a T r+a-a5 La=anan K ' +a"an ,a 6 " r, 6"

- n#an 6 , a'aaan an## "a 6 $ ar#a & & r 6'a6an - r 6

P '6 '&a'.

8; P $a P n#a&, $an K 5 " 'an

S " a5 a-a &a'a$a+ &a6a ' $a$ - & '=a ara+6an n" 6

& n#a&, $ 6 5 " 'an , a'an=a a=a+ =an# - & nan -a$a&

5 n#a&, $an 6 5 " 'an.

9; K , a'aan An## "a 6 $ ar#a ' +ar 8+ar .

a.Ma6an

K $ ar#a Tn.S " r, a'a &a6an 3 6a$ ' +ar - n#an 6 &5 ' '

na' $a 6 5a 6 'a= ran , a+ -an ' ' 6a-an#86a-an#.

Na& n 6 $ ar#a 9aran# &a6an , r'a&a8'a&a 6ar na Tn.S 5a-a

9a& &a6an - " &5a" 6 r9a ' -an#6an a6" &a6an ana6n=a

, r'a&a8'a&a 6ar na - ' a5 $ + , n=a. K &5 ' ' &a6anan

6 - a ana6n=a +a&5 r 'a&a ' & n"ara n" 6 An.BP - , a"

$ , + $ na6 -ar &a6anan 6a6a6n=a(An.AT).

,.M n &

S & a an## "a 6 $ ar#a & &5 n=a 6 , a'aan & n & a r

5 " + =an# ' -a+ - &a'a6 ra"a8ra"a : C # $a' 5 r +ar .

2.?ara & n# $a+ &a6anan

>


8/20

N=. S & &a'a6 &a6anan ' n- r - -a5 r 2ara & &a'a6

'a= ran , a'an=a - 5 " n# ,ar - 2 2 . A r & n & -ar ' & r

-an ' $a$ - &a'a6 $ , + -a+ $ .

-.?ara 5 n=a9 an

Ma6anan =an# - 'a9 6an - & 9a ' " $a+ - &a'a6 , $a a-a ' 'a

- " " 5 - a"a' & 9a - n#an " " 5 'a9 . K $ ar#a =an# &a

&a6an a&, $ ' n- r 8' n- r .

.P $a a6" "a' -an I'" ra+a"

K , a'aaan '" ra+a" an## "a 6 $ ar#a Tn. =a " +a&5 r ' & a

an## "a & & $ 6 6 , a'aan " - r ' an#. Tn.S -an N=.S " -a6

' &5a" , r $a+ ra#a 6ar na N=.S ' , 6 & & $ +ara ana6n=a

=an# " -a6 , 'a - " n##a$.

7.K , a'aan 6 $ ar#a =an# & r # 6an 6 ' +a"an

T -a6 a-a 6 , a'aan 6 $ ar#a =an# & r # 6an 6 ' +a"an.

@.R 5r - 6'

K , " +an 5a'an#an ' 6' a$ 6 $ ar#a " r5 n + 'aa"

5 n#6a9 an N=.S & n#a"a6an ,a+ a - r n=a , $ & , r8KB

6ar na ' 9a6 & $a+ r6an ana6n=a =an# 6 - a , $ & & n'"r a'

' + n##a & n r "n=a " -a6 5 r$ , rKB.

C; Struktur Keluarga

1.P $a K & n 6a' K $ ar#a

K & n 6a' -a$a& 6 $ ar#a , r9a$an - n#an ,a 6 , $a a-a

5 r&a'a$a+an - & '=a ara+6an.

*. S"r 6" r K 6 a"an K $ ar#a

K $ ar#a &a & n r &a 6 a-aan -an , r 'a+a " "a5 ' +a". Ana6

-an 6 5a$a 6 $ ar#a ' r"a 7a& $ =an# $a n 'an#a" & n- 6 n#.

3.S"r 6" r P ran


9/20

S " a5 an## "a 6 $ ar#a " $a+ & n9a$an6an 5 ran &a' n#8&a' n#

- n#an ,a 6. A=a+ ' ,a# 5 n2ar na76a+ "a&a -an ,

& & $ +ara ana68ana6 - r &a+.

D; ,ungsi Keluarga

S 2ara & & 6 $ ar#a Tn. S ' -a+ & & n + 7 n#' 6 $ ar#a ,a 6

7 n#' a7 6" 7 ' ' a$ 'a' -an 5 ra a"an 6 ' +a"an .

T #a' K $ ar#a & $ 5 " % 1. M n# na$ &a'a$a+ 6 ' +a"an

K $ ar#a , $ & & n# r" ,a+ a 6 6 ran#an BB 5a-a ana6

& r 5a6an &a'a$a+ 6 ' +a"an 6 ' +a"an.

*. M n#a&, $ 6 5 " 'an

K $ ar#a ' -a+ & & r 6'a6an!& n &,an#a6an BB ana6 6

P '=an-

3; M ra a" an## "a 6 $ ar#a K $ ar#a , $ & &a&5 & ra a" ana6n=a - n#an # / 6 ran#

6ar na , $ & "a+ " n"an# 5 ra a"an ana6 - n#an # / 6 ran#.

4; M & $ +ara $ n#6 n#an

K $ ar#a ' -a+ &a&5 & & $ +ara $ n#6 n#an na&5a6 -ar$ n#6 n#an - ' 6 "ar r &a+ , r' +

5; M n## na6an 7a' $ "a' 6 +a"an

K $ ar#a ' -a+ -a5a" & n## na6an 7a' $ "a' 6 ' +a"an - n#an

,a 6 , $a a-a an## "a 6 $ ar#a =an# 'a6 " &a6a - ,a a , r ,a" 6P '6 '&a'

E; Stres 4an Koping Keluarga

K $ ar#a Tn.S & n#a"a6an ,a+ a 'an#a" & n'= 6 r n 6&a"

6 ' +a"an =an# - , r 6an $ + T +an an# Ma+aE'a. T r+a-a5

@


10/20

ana6n=a =an# # / n=a 6 ran# 6 $ ar#a " -a6 " r$a$

& &5 r&a'a$a+6an 6ar na 6 $ ar#a ' -a+ , r 'a+a & & n +

6 , " +an &a6anan ana6n=a.

F; ,aktor Lingkungan 4an Mas3arakat

1; R &a+

K $ ar#a & n &5a" r &a+ ' n- r 9 n ' 5 r&an n - n- n# !

" &, 6 -ar ,a" ,a"a $an"a - 5$ '" r ' & n & &5 n=a 4 6a&ar

" - r 1r an# "a& -a5 r 6a&ar &an- -an W? ' -an#6an r an#&a6an " -a6 a-a. n" $a' 2 6 5 5 n2a+a=aan ,a 6 -an

5 n ran#an - n#an $ '"r 6.

D na+ R &a+ K $ ar#a Tn.S

4 <

* * U

1 Gan# 3

* *

K " ran#an % FF P n"1; R an# Ta&

2; Ka&ar T - r 3; Da5 r 4; Ka&ar Man-5; W?

2; Sa&5a+

Sa&5a+ r &a+ "an##a - , an# 5a-a " &5a" 'a&5a+ 6 $ ar#a , $a

5 n + 6 & - an - ,a6ar.

10


11/20

3; S &, r a r & n &

K $ ar#a & n## na6an ' & r #a$ .

4; Ja&,an K $ ar#a

K $ ar#a Tn. S & &5 n=a 9a&,an ' n- r 9 n ' 9a&,an $ + r

an#'a 6 n- ' ,a 6.

5; P &, an#an A r L &,a+

K $ ar#a N=. S & &5 n=a " &5a" 5 &, an#an a r $ &,a+ =an#

6 n- ' n=a &a' + ,a 6.

6; Ha$a&an r &a+

Pa-a 'aa" 6 n9 n#an +a$a&an r &a+ "a&5a6 , r' +.

7; L n#6 n#an r &a+

L n#6 n#an r &a+ 2 6 5 , r' + na& n +a$a&an - 5an r &a+

, $ & - &an7aa"6an - n#an ,a 6.

8; a' $ "a'

a' $ "a' 5 r-a#an#an ' 5 r" 5a'ar =an# , r9ara6 300 & " r -ar

r &a+ 7a' $ "a' 6 ' +a"an =a " P '6 '&a' , r9ara6 1 6& - 6" r

5ra6" 6 18* 6& r &a+ 'a6 "


12/20

Data O53ektif

1.KU ,a 6 " r# r 6 $ " ,a 6 5 r# ra6an a6" 7

*.BB % :400#r TB % 2& LK%43 2&.Pa-a KMS & n n9 6anBGM(# / 6 ran#)

Data Su53ektif

1.N=.S & n#a"a6anAn.AT ,a" 6 5 $ 6 ' 9a6 * +r.

*.An.BP -an 6a6a6n=a " - r-a$a& 'a" 6a&ar 3.N=.S & &, r 6an ,a"

5ara2 "a& $ ?TM 5a-aana6n=a ' 'a ,a" a6"ana6n=a 'a6 " -a+ $

Data o53ektif

1.An.AT % " &5% 3:


13/20

III; '&(&N6ANAAN

a1'enentuan 'rioritas Masalah

1; K " -a6 ' &,an#an n "r ' % 6 ran# -ar 6 , " +an " , + 5a-a

An.BP 6 $ ar#a Tn.S ,.-. 6 " -a6&a&5 an 6 $ ar#a & ra a" ana6

# / 6 ran# 6ar na 6 ran#=a 5 n# "a+ an 6 $ ar#a " n"an# 5 $a

&a6anan ,a= .

No Kriteria 0itungan Skor 'em5enaran

1. S 7a" &a'a$a+ %Aktual 3!3 ; 1 1 Ana6 B5 - n#an BB ,a a+ #ar 'M ra+ & n n9 6an ,a+ a # /ana6 6 ran#.

*. K & n#6 nan &a'a$a+ -a5a"- ,a+ % Mu4ah

*!* ; * * S &, r -a=a 6 $ ar#a , r 5aa6" -an " na#a 2 6 5 a-an=a

,a" an 5 & r n"a+ -a$a& 5 &, r an ,a" an ' ' -an MPASI a-n=a - 6 n#an -ar

&a'=ara6a" & $a$ 5 '=an- -an7a' $ "a' 6 ' +a"an & -a+- 9an#6a .

3. P " n' a$ n" 6 - 2 #a+ %7ukup

*!3 ; 1 *!3 Ma'a$a+ n - ra'a6an 2 6 5 $a&a-an ' -an# - $a6 6an 'a+a8 'a+an" 6 & n n#6a"6an '"a" ' # /

ana6 4. M n n9 $n=a &a'a$a+ %

Masalah 4irasakan tapiti4ak perlu segera 4itangani

1!* ; 1 1!* K $ ar#a & n=a-ar a6an 6 a-aan# / ana6 " "a5 a6an " "a5 5 r$a6" -an , a=a =an# 2 6 5 n" 6 & n#a"a' n=a

J &$a+ 4 1!:

*. R ' 6 " r" $arn=a 5 n=a6 " n7 6' 5a-a An.BP 6 $ ar#a Tn.S

, r+ , n#an - n#an 6 " -a6&a&5 an 6 $ ar#a & ra a" ana6 'a6 " 6ar na

6 ran#n=a 5 n# "a+ an 6 $ ar#a -an r n-a+n=a -a=a "a+an " , + ana6.

NoKriteria

0itungan Skor'em5enaran

1. S 7a" &a'a$a+ : (esiko *!3 ; 1 *!3 An.BP - n#an '"a" ' # / 6 ran#a6an & -a+ " r" $ar 5 n=a6 "

13


14/20

n7 6' .*. K & n#6 nan &a'a$a+ -a5a"

- ,a+ % se5agian

; * 1 P n- - 6an 6 $ ar#a(N=.S) =an#

2 6 5 ' &, r -a=a 6 $ ar#a -an&a'=ara6a"=an# & &a-a -an a-an=a7a' $ "a' 6 ' +a"an =an#" r9an#6a .

3. P " n' a$ n" 6 - 2 #a+ %7ukup

*!3 ; 1 *!3 M & 'a+6an An.BP - n#an6a6a6n=a a#a6 ' 'a+ 6ar na " - r -a$a& 'a" 6a&ar na& n 'a+a8'a+a 5 n2 #a+an -an 5 n# ,a"an' -a+ - $a6 6an - n#an ,a 6.

4. M n n9 $n=a &a'a$a+ % *i4ak 4irasakan

0!* ; 1 0 K $ ar#a Tn.S " -a6 & n=a-ar ,a+ a 5 n=a6 " n7 6' & -a+& n $ar 5a-a ana6 =an# -a=a

"a+an " , +n=a r n-a+.J &$a+ *1!33. R ' 6 " r9a- n=a 6 +a& $an =an# " -a6 - 6 + n-a6 , r+ , n#an

- n#an 6 " -a6&a&5 an 6 $ ar#a -a$a& & n#a&, $an 6 5 " 'an

, rKB 6ar na 6 ran#n=a 5 n# "a+ an 6 $ ar#a " n"an# KB.

No Kriteria 0itungan Skor 'em5enaran

1. S 7a" &a'a$a+ : (esiko *!3 ; 1 *!3 T -a6 , r KB -a5a" , r ' 6" r9a- n=a 6 +a& $an =an# " -a6- 6 + n-a6 .

*. K & n#6 nan &a'a$a+ -a5a"- ,a+ % se5agian

; * 1 S &, r -a=a 6 $ ar#a -an&a'=ara6a" =an# & &a-a " na#a-an 7a' $ "a' 6 ' +a"an=an# & &a-a -an & -a+- 9an#6a na& n 5 n# "a+ an ," n"an# , rKB &a' + 6 ran#.

3. P " n' a$ n" 6 - 2 #a+ %7ukup

*!3 ; 1 *!3 Ma'a$a+ n ' -a+ $a&a - ra'a6an$ + N=.S " "a5 " n-a6an N=.S

,ar ' ,a"a' & n2ar n7 r&a'-ar , 8 , $a n.

4. M n n9 $n=a &a'a$a+ %4irasakan tetapi ti4ak perlupenanganan segera

1!* ; 1 1!* N=.S & ra'a "a6 " +a& $ 6ar naana6n=a &a' + 6 2 $ -an ' -a+a-a 6 n# nan n" 6 , rKBna& n a6" 6 P '6 '&a'

, $ & ' &5a"J &$a+ *

Dar +a' $ '6 r n# - a"a' &a6a r "an 5r r "a' 5 & 2a+an &a'a$a+ a-a$a+ %

1; K " -a6' &,an#an n "r ' % 6 ran# -ar 6 , " +an " , + 5a-a An.BP

6 $ ar#a Tn.S ,.-. 6 " -a6&a&5 an 6 $ ar#a & ra a" ana6 # /

14


15/20

6 ran# 6ar na 6 ran#=a 5 n# "a+ an 6 $ ar#a " n"an# 5 $a &a6anan

,a= .

2; R ' 6 " r9a- n=a 6 +a& $an =an# " -a6 - 6 + n-a6 , r+ , n#an

- n#an 6 " -a6&a&5 an 6 $ ar#a -a$a& & n#a&, $an 6 5 " 'an

, rKB 6ar na 6 ran#n=a 5 n# "a+ an 6 $ ar#a " n"an# KB.

3 R ' 6 " r" $arn=a 5 n=a6 " n7 6' 5a-a An.BP 6 $ ar#a Tn.S

, r+ , n#an - n#an 6 " -a6 &a&5 an 6 $ ar#a & ra a" ana6 'a6 "

6ar na 6 ran#n=a 5 n# "a+ an 6 $ ar#a -an r n-a+n=a -a=a "a+an

" , + ana6.

51 'eren7anaan Keperawatan

No1D8

*u9uan 2angka'an9ang*upan;

*u9uan 2angka'en4ek *upen;

Kriteria&000#r

r,a$

P' 6 & " r 1.K $ ar#a

-a5a"& n9 $a'6an" n"an# 5 $a&a6anan ,a=081* , $an

*.K $ ar#a-a5a"& &, a"2 n" + & n' - r+anan" 6 ana6

3.BB ana6 na 6:00#r -a$a&1 , $an.

1.J $a'6an 5a-a 6 $ ar#a" n"an# 5 n" n#n=a

5 &, r an &a6anan' +a" n" 6 ana6

*.J $a'6an 5a-a 6 $ ar#a" n"an# 5 $a &a6anan

,a= ' a 0 C 1* , $an3.B r'a&a 6 $ ar#a

& n- & n'"ra' 6an 2ara& &, a" & n ' - r+anan" 6 ana6.

4.K r- na' - n#an 5 " #a' # / 5 '6 '&a'" n"an# 5 &, r an&a6anan "a&,a+an(PMT8ASI)


16/20

, rKB P '6 '&a'n" 66 n' $"a' KB

3 S " $a+ - , r 6an 5 ra a"an ' $a&a 1 , $an 6 $ ar#a& n# r" -an -a5a"& ra a" ana6n=a=an# 'a6 "

S " $a+ - $a6 6an< 6a$ 6 n9 n#an6 $ ar#a % 1.M n# "a+

2ara 5 n2 #a+anana6 'a6 "

*.M n# "a+ 2ara& ra a" ana6'a6 "

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