SDKI (Standar Diagnosis Keperawatan Indonesia)

Sabtu, 07 Januari 2023

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



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