INDIVIDUAL TASK

DIALOG
ENGLISH NURSING INSURANCE
"Pulmonary TB
”
Dosen pengampu : Yoyok Febrijanto

Oleh:

Satria Anggara Putra (01.1.16.00794)

STIKES RS. BAPTIS KEDIRI

PROGRAM STUDI KEPERAWATAN STRATA 1
TAHUN AKADEMIK 2017/2018
 (Phase Assessment of personal data)

In the morning at the Baptis Hospital Kediri there is an elderly mother

who came to the hospital with suffering.pasient come with a less healthy. The
mother directly to the emergency room, and in the emergency room directly
handled by nurses. Then taken to the inpatient room efrata 2

Nurse : good morning mother

Mrs. M : good morning nurse
Nurse : introduce my name Satria anggara ibu.saya nurses who will take care
of mother today from 08.00 until 18.00.before may I talk with mother
about mother's disease.
Mrs. M : yes nurse please
Nurse : my personal data content mother first full name who ya mother?
Mrs. M : my name is mrs M
Nurse : How old is she?
Mrs. M : 73 years old
Nurse : education first to what level mother?
Mrs. M : I finished primary school nurse
Nurse : her home address where mother?
Mrs M : my house in the southern gambir mojoagung

(Stage of disease review)

Nurse : well my mom want to ask about the illness that mother feel. What is
true mother come here with complaint shortness of breath and cough
bloody mother huh?
Mrs. M : yes nurse is right. I have shortness of breath and have tuberculosis so
I come here.
Nurse : if you can know mom if shortness of breath mother immediately rest
or take medication mother?
Mrs. M : I immediately took the nurse medicine. But now I have taken the
medicine but still short of breath nurse
Nurse : where is the pain next to the chest?
Mrs. M : the pain is all over the chest nurse
Nurse : so all parts of chest yas mom.after pain like what yes mom, such as
heavy loaded burdened or like skewer mother knife
Mrs. M : it hurt like a heavy load of nurses, very sick
Nurse : good mother if I have a scale from 1 to 10. scale 1 to 3 it does not
feel crowded, then 4 to 6 is moderate. Then 7 until 8 is heavy. And 9
to 10 it is very heavy, according to mom tightness that mother feel as
in what number is the mother?
Mrs. M : The feeling is crowded on a scale of 9, very crowded
Nurse : then usually arise feeling crowded when mother do what yes ??
Mrs. M : when I was too heavy to do excessive activity.
Nurse : if you can know the chronology of the mother's tightness right now
because what ya mother?
Mrs. M : since two days ago I was shortness of breath accompanied by a
continuous cough and my chest feels heavy when I breathe. Then I
was here for treatment nurse
Nurse : whether the mother of the mother's family has a shortness of breath
like a mother
Mrs. M : do not have nurses. But i have hypertension disease from heredity
Nurse : so yes mother. This first new mother to the hospital what has often
been
Mrs. M : I've been treated this six times. But with the same disease that is
tuberculosis
Nurse : how many moms do you have if you can?
Mrs. M : I am the 4th child of 7 siblings
Nurse : then the husband of the mother how many siblings
Mrs M : my husband is 7 brothers too
Nurse : good mother, mother have child yes mother
Mrs. M : 9 my child's nurse. But who live with me only child to nine.lya
already on married nurse
Nurse : so the mother is now bersam the child's mother 9th the
house.namanya who ya mother if you can know /
Mrs. M : her name is santi nurse
Nurse : her name is like my friend mom.mom if at home praying at mosque
what at home mother
Mrs M : I pray in masjid nurse.
Nurse : mother always routine prayer 5 time
Mrs. M : yes I never miss my prayers
Nurse : well my mother check the temperature, pulse, breathing same
mother's blood pressure first yes mother
Mrs M : good nurse
Nurse : excuse me mother. I want to insert the thermometer in aksikal
mother, please in crush yes mother
Mrs. M : Well
Nurse : good mother can hold her hand yes mother, pulse 84 x / minute this
is normal mother
Mrs. M : Normally how many nurses
Nurse : normally it's 80 to 100 mothers
Mrs. M : yes
Nurse : I see it's okay first. Mom is relaxed, well 24x / minute respiratory
I see suhunnya first ya mother?
Mrs. M : Well.
Nurse : normal temperature bu 37,5˚ c. I measure the blood pressure yes
mother. Both mother blood teens are 150/100. Mother please do not
often stay up late yes
Mrs. M : My blood pressure is high yes nurse
Nurse : yes mom.but not worry.ini may be due to the mother's tuberculosis
disease.
Mrs. M : so so ya nurse
Nurse : well the next mother I want to do physical examination yes
mom.pemeriksaan it from head to toe.
Mrs M : well please nurse
Nurse : good mother can I hold her mother's head ramam sam
Mrs. M : May be
Nurse : head if I hold gini whether there is pain ya mother
Mrs M : no nurses
Nurse : well my mom while tidy ya mother her hair
Mrs. M : yes
Nurse : well mom can check her mother's eyes
Mrs. M : yes
Nurse : mother please look up .good mom normal eyes
Mrs. M : (smile)
Nurse : I saw her nose was mother
Mrs. M : yes
Nurse : The nose is clean and there is no mucus
Mrs. M : (smile)
Nurse : now may tilt the head to the right mother. I want to see the mother's
right ear
Mrs. M : Well
Nurse : now replace that left ear
Mrs. M : Well
Nurse : both are in good condition
Mrs. M : (smile)
Nurse : now I can see her mother's mouth.
Mrs. M : yes
Nurse : please open ya ibu.lalu out tongue
Mrs. M : Well
Nurse : excuse me mother see my mother's neck is there any enlargement of
thyroid gland
Mrs. M : (smile)
Nurse : well now I check the mother's mother first, yes, the mother breathe
easy
Mrs. M : yes
Nurse : the baby is relatively fast yes mother. Maybe the doctor's heart will
check further.
Mrs. M : Well
Nurse : is it possible for my mother to take her shirt off the mother's stomach
Mrs. M : Please nurse please
Nurse : I check first yes mother
Mrs. M : yes
Nurse : good mother now let me see the reflex at mother's feet huh
Mrs. M : yes
Nurse : later injuries ill mother say yes
Mrs. M : Well
Nurse : how the mother is sick
Mrs M : not too nurse
Nurse : well bu now I check the mother's soles
Mrs. M : yes
Nurse : is it tickled if there is a mother's pain
Mrs M : no
Nurse : yes mum thanks for the cooperation.i excuse me yaes mom.nanti I
come back again at 12 for blood sampling ibu.mau in test first
dilaboratorium.sekaligus infusion maternal infusion
Mrs M : good nurse
Nurse : I'll excuse myself first, good morning

Then the nurse leaves Mrs with the results of the assessment that
will be written in nursing care.
 Implementation stage 1 Exactly at 12 nurses back to mrs M. nurse
will do the blood gas collection and installation of the infusion.

Nurse : good day mother

Mrs. M : day nurse
Nurse : as I said before I want to freeze blood gas collection sam takeing
infus. mother willing
Mrs. M : yes I am willing
Nurse : good mother then I prepare the equipment first yes mother
Mrs. M : yes nurse

After a few minutes the nurse came to bring the device to be paired in the patient.

Nurse : good mother as I told you earlier I will pair the infusion first.
Mrs. M : yes nurse
Nurse : the previous installation of the infusion is a little sick mother. But the
mother does not need to worry because no long sorenya.hanya briefly
Mrs. M : yes I am used to nurses

(While installing a nurse's infusion while chatting with the patient)

Nurse: mother sad since when to suffer TB disease.

Mrs. M : it's been a long time my work time in industry I started coughing -
persistently cough.lalu I check to the doctor.terus suggested to hospital
sam doctor.
Nurse : mother used to work dipabrik where if possible tau ??
Mrs. M : I work in the salt cigarette factory here nurse. The better worker can
not do it, because I graduated only elementary school
Nurse : yes it's okay actually the mother. The important thing is to use the
mask actually if it works.
Mrs. M : I used to be exposed first nurse. Just use a mask, so it's late.
Nurse : so so ya ibu.ini've finished installing infusnya.habis I take blood
blood first yes mom. can be checked in the laboratory.
Mrs. M : please nurse.

The nurse takes blood from the brachial vein.

Nurse : sorry yes this mother is a little sick

Mrs. M : yes it's okay
Nurse : later at 2:00 pm I will be back to give bronchodilator medicine with
pure tarbivent medicine to tighten the mother's appetite
Mrs M : good nurse
Nurse : well finished mother. Thank you for the cooperation. Before i go is
there anything to ask mother?
Mrs. M : Then will the doctor come here at what time yo nurse?
Nurse : later the doctor may come here at 4 pm.
Mrs. M : well thanks nurse
Nurse : yes same mom.i promote first yes, later if need me or other nurse
please ring bell beside maternal bed
Mrs M : good nurse
Nurse : well I live first

At 13:50 The nurse returns to the patient for time-contact and

provides a bronchodilator with pure tarbivent medication.

Nurse : good day mother. I want to give bronchodilator medicine whether

mother is willing ??
Mrs. M : yes I am willing nurse
Nurse : well mom momentarily I take the medicine first yes mother
Mrs. M : yes nurse
(a few minutes later)
Nurse : good mother as I put it before I will give bronkodilator for mother's
shortness of breath is reduced.
Mrs. M : yes

(after a few minutes, after bronchodilator)

Nurse : well my mother has given bronchodilator if there is any question

asked
Mrs M : no nurse
Nurse : well this mother runs out at exactly 14.30 I will give you the right
way to use inhaler medication.
Mrs. M : yes nurse thanks
Nurse : same mother. I excuse myself first
Mrs. M : yes nurse

half an hour later the nurse returned with an inhaler drug and taught
the patient to use the inhaler.

Nurse : excuse my mom to teach me how to use inhaler medicine as

prescribed by doctor.
Mrs M : good nurse
Nurse : this is the way mothers sit upright. Let me help mother. Then I shake
it first yes mother inhalernya.amakah the first mother using the first
inhaler this time?
Mrs. M : yes I was the first time to use an inhaler drug
Nurse : good mother if first time mother in this week mother have to spray
medication of this inhaler into the air, spray a little mother. Its function
for inhaler work well.
Mrs. M : so this week sprayed first ya nurse Nurse: yes the mother is very
right. The end of the inhaler is brought close to the mouth yes
 mom.neks digroup.and then breathe slowly. After inhaling the mother
immediately breath in for the drug to the lungs - the lungs.
Mrs. M : yes
Nurse : and if it still feels tight spray again ya ibu.tetapi wait 30 seconds
again, just inhaled ya ibu.cukup 2 times suck aja ya mother.
Mrs M : ready nurse. I think i can own it.
Nurse : well my mother thinks mother can also do it with family assisted,
finished this medicine I tauh dimeja.usahakan medication placed in
dry place ya mother.
Mrs. M : yes nurse.
Nurse : yes bu hapir I forgot. Lest if the mother is less comfortable sleeping
position. Thousand can call nurse ya.
Mrs. M : yes nurse (with a smile)
Nurse : I will excuse myself. I will come again to check the mother's vital
signs
Mrs. M : okay nurse

The nurse returned at four

Nurse : good afternoon mother. I want to measure vital signs

Mrs. M : yes nurse.
Nurse : mother himpit thermometer yes mom.i’m hold yaa mother yes
Mrs. M : yes please
Nurse : Who are you waiting for?
Mrs M : who is waiting for my son santi nurse
Nurse : o yes.good may hold hands yes mom.and I see respiratory
mother.mom relaxed breath only.
Mrs. M : Well
Nurse : both the pulse mothers the same pernafasanya already normal after
the drug was given
Mrs. M : praise god
Nurse : now I measure the blood pressure yes mother
Mrs. M : yes
Nurse : her blood pressure also returned to normal mother 120/80
Mrs M : yes I am already a bit calm as well nurse
Nurse : now I see the temperature of mother badanya
Mrs. M : yes this is a nurse
Nurse : normal temperature 35 ° c
Mrs. M : yes nurse. My nurse is still coughing.
Nurse : well my mother teach all the effective cough yes mother, so seputum
can get out.
Mrs M : good nurse
Nurse : now the mother take a deep breath through the nose. Then hold 4 to 5
seconds then outin the mouth slowly - rehydrate for 3x.and yes mom
mother.
Mrs M : well now I try ya nurse.
Nurse : yes mother please try yes mother

(the patient performs an effective cough)

Mrs. M : now sadly relieved my throat

Nurse : yes mom. if mother throat sick again mothers do effective cough
again yes
Mrs M : good nurse
Nurse : I'm giving out food as my mother needs. And please help me eat it
later
Mrs. M : yes nurse
Nurse : I will excuse myself at 5 pm I will come back again.

(nurse leave patient. and later on 17.00 will come back again to
give food)
Nurse : excuse me mother back to give me food according to nutritionist
Mrs. M : yes what food nurse nurse
Nurse : this is a vegetable soup. And the side dish knows the same tempe.and
banana eaten yes mother
Mrs. M : but my mouth is not good for eating nurses. I also feel nauseous
Nurse : yes my mother knows, but the food must be spent yes mother, so
mothers get well soon.nant I will give the medicine yes mother not to
queasy
Mrs. M : Well my nurse will eat.
Nurse : well my mom will go first. Before i go is there anything asked?
Mrs. M : if other meals may not be nurses?
Nurse : we should feed the mother who provided us first ya ibu.karena food
we provide.
Mrs M : good nurse
Nurse : I'll excuse myself mom. Later at 18.00 I will return to give medicine
Mrs. M : yes nurse thanks
Nurse : yes same mother

(The nurse returns to the nurse's room, and later at 18.00 will return again to the
drug to Mrs M) (time indicates 18.00 pm nurse contract time to give the action of
giving medicine to the mrs M)

Nurse : good afternoon mother

Mrs. M : Good afternoon
Nurse : I got a doctor's advice to give to my mom, is she willing?
Mrs. M : yes I am willing nurse
Nurse : well my mother take the medicine first yes mother
Mrs. M : yes nurse
Nurse : excuse me
 (The nurse takes the medicine in his room)

Nurse : good afternoon mother as advised by my doctor I will give

medication metoclopramide 1 mg ranitidine 1 amp.ibu usually take
medicine with water or use banana or other mother
Mrs. M : I used to minimize water wear nurses
Nurse : good mother need help with taking the medicine or can own yes
mother
Mrs M : I can own a nurse
Nurse : good mother.
Mrs M : already a nurse
Nurse : good mother, later if there is still nausea mother please tell to nurse
yes mother
Mrs. M : well (smile)
Nurse : well my mother will stay tumorrow every body I want to say
goodbye dome, this is out my friend who changed to take care
mother.mom please rest.semoga heal well mother, I excuse me first.
Mrs. M : well thanks. Careful yes nurse on the street
Nurse : good mother thanks again

(Weigh nurses receive with other nurses because the hours of his service
is up, and time to go home)
 Implementation 2 The nurse returns the afternoon service, and
returns to take care of Mrs. M and after weighing the receipt and to
the Mrs M to deliver the drug through a ferbiven drug
bronchodilator

Nurse : good afternoon mrs M

Mrs M : good afternoon nurse satria, now that care for me nurse satria huh?
Nurse : yes now that is taking care of my mother i want to give medicine
through bronkodilator ferbiven medicine
Mrs. M : giving medicine like yesterday yes nurse
Nurse : yes mum is right. Is it mother willing
Mrs. M : yes I am willing.
Nurse : well my mom take the equipments equally medicine yes ib, please
wait mom just a moment
Mrs M : good nurse

(Nurses take equipment and medicine)

Nurse : excuse me
Mrs. M : yes please
Nurse : I will give the medicine as I told you mother. Please use mother like
yesterday yes mother
Mrs M : good nurse

After giving bronchodilator medicine

Nurse : mother does the mother's mother feel hot.

Mrs. M : yes my body is hot nurse. Do not know why
Nurse : well my mother will give medication paracetamol later ya mother, let
the drugs that are now dissolved in the body, later I will give
febrifuge.
Mrs M : good nurse.
Nurse : how to sleep mother last night
Mrs. M : I sleep only 4 hours mas.saya often woke up
Nurse : mother feels uncomfortable here
Mrs. M : yes I'm not comfortable here because I was overnight my body felt
bad
Nurse : is there no mother's wind?
Mrs M : no nurse. I can not sleep because my body hurt all.
Nurse : so so ya ibu.sebaiknya mother if tired mother motion move body
Mrs. M : yes nurse
Nurse : well my mom will take peracetamol medication first yes mother
please wait
Mrs M : well my nurse will wait

The nurse takes the medicine in the room, a few minutes the nurse
returns to the patient

Nurse : excuse me. I want to give you a febrifuge

Mrs. M : yes please
Nurse : the mother can directly use the water again what mother banana use
Mrs. M : I use water just nurse anymore
Nurse : well this mother I have prepared the water
Mrs. M : thank you nurse
Nurse : my mother helps to sit mother. Good to drink medicine
Mrs. M : Thank you

The nurse helps Mrs. M drinking the drug

Nurse : good mother now is there any other complaint yes mother
Mrs. M : That nurse, my nose runny, seems to have the flu
Nurse : well mother.set clock again i will give medicine to overcome mother
flu problem
Mrs. M : yes nurse.
Nurse : is there anything I can do to help my mom
Mrs M : no nurses
Nurse : well my mother stay first yes, if later need help please call bell yes
mother
Mrs. M : yes (smile)
Nurse : I'll excuse myself first, good afternoon

The nurse returns to the nursing room to document the nursing that has been given
to Mrs. M. At exactly 15:00 the nurse again checked and gave the fluenza drug.

Nurse : good afternoon mother. I want to give mother flu medication

Mrs. M : yes nurse. I can not stand the flu that interferes
Nurse : well this is the mother of the medicine. This also i have prepared the
water
Mrs. M : well I will drink it. I finished the nurse
Nurse : good mother. Before i go if there is anything to ask mother
Mrs M : no nurse
Nurse : good mother, mother should wear to sleep so that process can be
restored quickly
Mrs M : good nurse.
Nurse : I'll be later

back again at 16.00 to measure the mother's vital signs

Nurse leaves Mrs. M.

At exactly 4:00 pm the nurse returns to the patient for nursing care to check for
vital signs.
Nurse : good afternoon mother
Mrs. M : afternoon
Nurse : well my mom wants to do measuring vital signs. Is mommy willing?
Mrs. M : yes I am willing
Nurse : just take me mom's tool first mom
Mrs M : good nurse

The nurse takes the procedure and then spends a few more minutes on the patient

Nurse : excuse me mother. I will do measurement yes mother

Mrs M : good nurse.
Nurse : please thermometer is squeezed in armpit mother
Mrs. M : yes
Nurse : Today's mother is BaB how many times yes if you can?
Mrs. M : I have CHAPTER 1x nurse.
Nurse : how many times is the mother's boobs?
Mrs. M : I have 2x if BAK
Nurse : but there's no nausea like yesterday again is mother?
Mrs M : no nurses.
Nurse : good mother. Now I can hold her mother's hand.
Mrs. M : yes please
Nurse : both mom question normal mother.now say ga breath, breath mother
casually just yes mother
Mrs. M : yes nurse
Nurse : both of them are relatively normal mother
Mrs M : I'm already missing the nurse, I mean I can go home. I miss home
Nurse : yes mom will soon be able to go home mom please. Please slowly
more mom.to maternal healing process can be done smoothly
Mrs. M : tub nurse. I will be patient
Nurse : good mother now I measure blood pressure first ya mother.good
mother blood pressure 140/90 mmhg.buat maternal mother is still
including normal mother.
Mrs. M : yes nurse.only I sometimes a little dizzy
Nurse : probably because the mother is sleep deprived.
Mrs. M : yes it is possible.
Nurse : now there is no nausea vomiting
Mrs M : no nurse. I want to go home I have my body well
Nurse : well my mother ask doctor terlubi first ya.yakah mother can go home
what baseball
Mrs. M : I've been bored in the hospital all the time.
Nurse : good mother please wait a moment.
Mrs. M : yes
Nurse : I'll excuse ya mom
Mrs. M : yes nurse
Nurse : if you need help please call bell
Mrs M : good nurse.

The nurse goes to see another patient

Nurse : good afternoon mother.

Mrs. M : afternoon
Nurse : well I want to leave my mother. I want to go home. There is a nurse
who replaces to take care of mother.
Mrs. M : yes nurse. How come I can go home.
Nurse : if it's waiting tomorrow it's a mother. Because his doctor will check
on his mother tomorrow
Mrs M : good nurse - be careful on the street
Nurse : yes thank you mother
Mrs M : like

The nurse operates with another nurse and hands the patient Mrs. M to
the night nurse.
In the afternoon at 14.00 the nurse satria returned to the duty.
And run what the nurse's nurse has passed on to the subject.
Nurse : good afternoon my mother will be in the afternoon again today.
Mrs. M : yes nurse. So the doctor said I can go home nurse.
Nurse : yes the mother was the doctor also said that today the mother can go
home ..
Mrs. M : what time ya erawat say can go home.
Nurse : later at 15:00 the mother can go home.
Mrs M : well I will contact the family at home to pick me up
Nurse : yes mother please. I will check into the administration department
first yes mother
Mrs. M : yes nurse please

The nurse went to the administration department to confirm Mrs. M.dan's back to
return information to Mrs. M.

Nurse : good mother please help mother's family pay the cost of the
accommodation yes mother in the administration section
Mrs. M : yes nurse.ini my son would take care of it
Nurse : good mother. I live first yes mother. Hope mother not sick - ill again
yes mother.
Mrs. M : yes nurse thanks.
Nurse : same mother.

Mrs. M has cleared the goods and said good-bye to the nurse

Mrs M : good afternoon. My son and I will say goodbye. I am very thankful
for yes care.
Nurse : yes mom equally that has become our duty.
Mrs. M : I go home first ya nurse
Nurse : good mother careful on the street