D.0146
Risiko perilaku kekerasan
Kategori : Lingkungan
Subkategori : Keamanan Dan Proteksi
Definisi
Berisiko membahayakan secara fisik, emosi dan/ atau seksual
pada diri sendiri atau orang lain
Faktor risiko
1. Pemikiran waham/delusi
2. Curiga pada orang lain
3. Halusinasi
4. Berencana bunuh diri
5. Disfungsi sistem keluarga
6. Kerusakan kognitif
7. Disorientasi atau konfusi
8. Kerusakan kontrol impuls
9. Persepsi pada lingkungan tidak akurat
10. Alam perasaan depresi
11. Riwayat kekerasan pada hewan
12. Kelainan neurologis
13. Lingkungan tidak teratur
14. Penganiayaan atau pengabaian anak
15. Riwayat atau ancaman kekerasan terhadap din sendiri atau
orang lain atau destruksi properti orang lain
16. Impulsif
17. Ilusi
Kondisi Klinis Terkait
1. Penganiayaan fisik, psikologis atau seksual
2. Sindrom otak organik (mis. penyakit Alzheimer)
3. Gangguan perilaku
4. Oppositional defiant disorder
5. Depresi
6. Serangan panik
7. Gangguan Tourette
8. Delirium
9. Demensia
10. Gangguan amnestik
11. Halusinasi
12. Upaya bunuh diri
13. Abnormalitas neurotransmitter otak
Referensi
Ackley, B. J. Ladwig, G. B &
Makic MB F (2017). Nursing Diagnosis Handbook, An Evidence-Based Guide to
Planning Care 11" Ed St. Louis Elsevier
Appollis. T. M. Lund, C. de
Vries, P, et al (2015) Adolescents and adults experiences of being surveyed
about violence and abuse a systematic review of harms, benefits and regrets
American Journal of Public Health. 105(2) 631-645
Carpernito-Moyet LJ (2013)
Nursing Diagnosis Application to Clinical Practice 14" Ed Philadelphia
Lippincott Williams & Wilkins
Doenges, M. E. Moorhouse M F
& Murr A. C. (2013). Nursing Diagnosis Manual Planning, Individualizing and
Documenting Client Care 4" Ed Philadelphia FA Davis Company
Focht-New, G., et al. (2008),
Persons with developmental disability exposed to interpersonal violence and
crime: Approaches for intervention Perspectives in Psychiatric Care, 44, 89
Herdman, T H., & Kamitsuru, S
(2014) Nursing Diagnosis Definitions and Classification 2015-2017 10" Ed
Oxford Wiley Blackwel
Newfield. S A, Hinz M. D. Tiley,
DS. Sridaromont, K. L. Maramba, PJ (2012) Cox's Clinical Applications of
Nursing Diagnosis Adult Child Women's Mental Health, Gerontic and Home Health
Considerations 6" Ed Philadelphia: FA Davis Company
Olive P (2007) Care for emergency
department patients who have experienced domestic violence a review of the
evidence base. Journal of Clinical Nursing, 16, 1736
Smith, JE. Czicman, S. P. Early,
JA Green, PT. Lauck, D. L., Lindsay, K., & Wright, G (1994) Validation of
the defining characteristics of potential for violence Nursing Dagnosis ND The
Official Journal Of The North American Nursing Diagnosis Association, 5(4),
159-164
Towsend (2011) Nursing Diagnosis
in Psychiatric Nursing Care Plans and Psychotropic Medications Philadelphia
F.A. Davis Company
Xu. Y. Oifson, M. Villegas L et
al (2013) A characterization of adult victims of sexual violence results from
the national epidemiological survey for alcohol and related conditions
Psychiatry, 76, 223-240