VIDEO PRAKTEK KEPERAWATAN (EPISODE 19 I SP 1 JIWA - HALUSINASI)

Summary

In this educational video, Rizki Praditya introduces viewers to the process of providing Sensory Perceptual (SP) therapy for patients experiencing hallucinations. Hallucinations are characterized by false sensory perceptions, often leading to behaviors like talking or laughing alone. The video demonstrates practical techniques to help patients manage these disturbances, such as confronting the hallucinations and establishing a routine for medication. It also emphasizes the importance of social interaction and scheduled activities to aid in recovery. The session concludes with a commitment to practice these strategies in daily life, aiming to empower patients to cope with their hallucinations effectively.

Takeaways

• 👨‍⚕️ The speaker, Rizki Praditya, introduces a practice session for providing support (SP) to patients with hallucinations.
• 🌟 Hallucinations are identified as a sign and symptom of mental health patients, characterized by false sensory perceptions.
• 🗣️ Patients experiencing hallucinations may exhibit behaviors like talking to themselves, laughing alone, or covering their ears as if hearing voices.
• 👀 They might also point to specific directions, feel frightened, or engage in actions like scratching their skin due to perceived sensations.
• 📝 The session outlines methods to support patients with hallucinations, including training to harden against hallucinations, taking medication regularly, and engaging in scheduled activities.
• 🗣️ A practical demonstration is provided, where the speaker guides a patient through a process of 'hardening' against the hallucinations by using commands to dismiss the perceived voices.
• 💊 The importance of taking medication on a regular schedule is emphasized, and the patient is encouraged to incorporate this into their daily routine.
• ⏰ The session sets specific times for the patient to practice the hardening technique and take medication, aiming to establish a habit.
• 🤝 The speaker engages in a dialogue with the patient, validating their experiences and offering practical coping strategies.
• 🔄 The session concludes with a reminder for the patient to practice the learned techniques and a commitment to continue the support in the next meeting.
• 📢 The video ends with a call to action for viewers to subscribe to the channel and share the content with others.

Q & A

What is the main topic discussed in the video script?

The main topic discussed in the video script is the practice of providing support to patients with hallucinations.

What are the characteristics of a patient experiencing hallucinations as described in the script?

A patient experiencing hallucinations may exhibit behaviors like talking to themselves, laughing alone, looking towards their ears as if hearing something, frequently covering their ears, and feeling like there is something on their skin or in their body.

What are the four strategies mentioned in the script to help patients with hallucinations?

The four strategies mentioned are: 1) Training the patient to challenge their hallucinations, 2) Teaching them to take medication regularly, 3) Encouraging them to talk with friends, and 4) Asking them to engage in scheduled activities.

How does the script suggest introducing oneself to the patient?

The script suggests introducing oneself by stating one's name, the purpose of the visit, and asking for the patient's name and preferred way to be addressed.

What is the first technique demonstrated in the script to help the patient deal with hallucinations?

The first technique demonstrated is to have the patient focus and challenge the hallucinations by saying 'Go away, you are fake, I don't want to hear you' out loud.

What is the purpose of practicing the challenging technique as described in the script?

The purpose of practicing the challenging technique is to help the patient learn to dismiss the hallucinations as fake and not to be bothered by them.

How does the script suggest the patient should take their medication?

The script suggests that the patient should take their medication on a schedule, with reminders to not forget and to repeat the practice even if the hallucinations are not present.

What is the significance of setting specific times for the patient to practice the techniques as mentioned in the script?

Setting specific times helps the patient to remember and get used to practicing the techniques regularly, which can be crucial in managing hallucinations.

What is the role of the support person (Rizky Adi) in the script?

Rizky Adi plays the role of a support person who guides the patient through the process of challenging their hallucinations and planning medication schedules.

How does the script conclude the session with the patient?

The script concludes the session by ensuring the patient understands the techniques, setting a follow-up meeting, and reminding the patient to practice the techniques and to not forget.

Outlines

00:00

👩‍⚕️ Introduction to Treating Hallucinations

The speaker, Rizki Praditya, introduces the topic of treating patients with hallucinations, a symptom of mental health disorders characterized by false sensory perceptions. Hallucinations can manifest as hearing voices, seeing things, or feeling sensations that aren't there. The speaker outlines a structured approach to help patients with hallucinations, including training them to challenge these perceptions, taking medication regularly, and engaging in conversations with others. The session aims to practice providing respect and support (SP) to patients experiencing hallucinations, starting with an introduction, understanding the patient's experience, and setting a contract for the interaction.

05:03

🗣️ Practicing Hallucination Management Techniques

In this segment, Rizki Praditya demonstrates practical techniques for managing hallucinations with a patient named Ibu. The patient describes hearing disturbing sounds, including animal noises and crying children. The speaker guides the patient through a process of challenging these auditory hallucinations by practicing a mental dismissal technique, instructing the patient to firmly tell the hallucinated voices to go away. The speaker also emphasizes the importance of medication and scheduling its intake throughout the day. The session concludes with a plan for the patient to practice these techniques regularly and a reminder to meet again the next day for further guidance and support.

Keywords

💡Halucination

Halucination refers to the perception of something that is not present, typically involving the sense of hearing or vision. In the context of the video, it is a symptom experienced by patients with mental health issues, characterized by false sensory perceptions. The script mentions that patients may hear voices or sounds that aren't there, such as 'mendengar suara-suara' (hearing voices), which is a key indicator of halucinations.

💡Mental Health

Mental health encompasses a person's emotional, psychological, and social well-being. The video script addresses mental health by discussing the treatment of patients experiencing halucinations, which is a significant aspect of psychiatric care. The script outlines various strategies for managing halucinations, emphasizing the importance of mental health support.

💡Sensory Disturbance

Sensory disturbance is a disruption in the normal processing of sensory information, leading to false perceptions. The script specifically mentions 'gangguan persepsi, sensori yang palsu' (disturbance in perception, false sensory), which relates to halucinations where patients perceive things that are not real, such as hearing voices or seeing things that aren't present.

💡Psychiatric Patient

A psychiatric patient is someone who is receiving treatment for a mental health disorder. The video script focuses on the care and treatment of such patients, particularly those experiencing halucinations. The term is used to describe the individuals who are the subject of the therapeutic practices being discussed, as in 'pasien jiwa' (psychiatric patient).

💡Therapeutic Practice

Therapeutic practice refers to the methods and techniques used by healthcare professionals to treat and support patients. The script discusses various therapeutic practices, such as 'cara menghardik' (a method to confront) halucinations, which involves teaching patients how to challenge and dismiss the false perceptions they experience.

💡Medication

Medication is a term used to describe drugs used to treat or prevent disease. In the script, it is mentioned as part of the treatment plan for halucinations, where patients are advised to 'minum obat secara teratur' (take medication regularly) to manage their symptoms.

💡Psychosocial Intervention

Psychosocial intervention involves the use of psychological and social techniques to support individuals with mental health issues. The video script discusses interventions such as engaging patients in conversation and encouraging them to participate in scheduled activities, which are aimed at improving their mental well-being.

💡Self-Care

Self-care refers to the actions individuals take to maintain or improve their own health and well-being. The script suggests that patients with halucinations can benefit from self-care practices, such as the 'cara menghardik' technique, which empowers them to manage their symptoms independently.

💡Scheduled Activities

Scheduled activities are planned events or tasks that are set at specific times. The script mentions the importance of engaging patients in 'aktivitas yang terjadwal' (scheduled activities) as part of their treatment, which can provide structure and a sense of purpose, aiding in the management of mental health symptoms.

💡Coping Mechanism

A coping mechanism is a strategy used to manage stress or challenging situations. The video script introduces 'menghardik' as a coping mechanism for dealing with halucinations, where patients are taught to confront and dismiss the false perceptions they experience, such as 'pergi pergi kamu suara palsu' (go away, fake voice).

💡Psychiatric Nursing

Psychiatric nursing is a specialized area of nursing that focuses on the care of individuals with mental health conditions. The script reflects the role of psychiatric nursing in providing support and treatment to patients, including the implementation of therapeutic practices and psychosocial interventions.

Highlights

Introduction to the practice of giving SP (Symptom Provocation) to patients with hallucinations.

Definition of hallucinations as a sign and symptom of mental health patients with false sensory perception disturbances.

Characteristics of patients experiencing hallucinations, such as talking to themselves, laughing alone, and showing fear.

Explanation of how patients with hallucinations may cover their ears or scratch their skin due to perceived sensations.

Suggestion to train patients with hallucinations to harden themselves against their symptoms.

Recommendation for patients to take medication regularly to manage hallucinations.

Importance of conversation and social interaction in the treatment of hallucinations.

Introduction of scheduled activities as a method to help patients with hallucinations.

Role-play demonstration of how to introduce oneself and engage with a patient experiencing hallucinations.

Technique to help patients recognize and dismiss hallucinatory voices as false.

Instruction on how to incorporate medication into a daily routine to combat hallucinations.

Emphasis on the importance of repetition in training to manage hallucinations.

Practical exercise for the patient to apply the learned techniques to dismiss hallucinatory voices.

Setting specific times for the patient to practice the techniques learned during the day.

Encouragement for the patient to perform the techniques even if they do not currently experience hallucinations.

Closing remarks and confirmation of the next meeting time with the patient.

Call to action for viewers to subscribe and share the channel for more learning opportunities.

Final sign-off and well-wishes for the application of learned techniques in practical settings.

Transcripts

hai hai

Hai assalamualaikum warahmatullahi

wabarakatuh Hai sahabat semuanya

Perkenalkan nama saya Rizki Praditya

hari ini kita akan coba mempraktekkan

acara memberikan SP kepada pasien dengan

halusinasi halusinasi merupakan salah

satu tanda dan gejala pasien jiwa yang

ditandai dengan gangguan persepsi

sensori yang palsu Seseorang dikatakan

halusinasi jika memiliki tanda dan

gejala seperti Pasien itu biasanya

berbicara sendiri tertawa sendiri

memalingkan mata kearah telinga seperti

mendengar sesuatu sering menutup telinga

seperti mendengar bisikan-bisikan

selanjutnya Pasien itu biasanya menunjuk

kearah tertentu merasa ketakutan pasien

sering meludah muntah dan menggaruk area

permukaan kulitnya karena merasakan

seperti ada yang

ataupun sesuatu di daerah kulitnya

Selanjutnya apa yang bisa kita berikan

kepada pasien dengan halusinasi yaitu SP

satunya itu kita bisa melatih cara

menghardik kepada pasien dengan

halusinasi Yang kedua kita ajarkan minum

obat secara teratur yang ketiga itu

bercakap-cakap ataupun berbicara dengan

temannya selanjutnya yang keempat kita

dapat meminta pasien dengan halusinasi

itu melakukan aktivitas yang terjadwal

kita langsung aja lanjut ya ke pasiennya

oke baiklah teman-teman kali ini kita

akan mempraktekkan cara memberikan

respek kepada pasien halusinasi langsung

saja kita masuk ke tab orientasinya ya

dimana kita akan sebelumnya

memperkenalkan diri menanyakan nama

klien dan nama kesenangannya lalu kita

kontrak waktu tempat dan juga kita

sampaikan tujuan kita akan melakukan apa

kepada pasien langsung saja kita ke

pastinya Selamat pagi Bu Perkenalkan

nama saya pernah Rizky Adi

niscaya yang akan merawat ibu dari 08.00

hingga siang nanti sebelumnya dengan Ibu

siapa saya berbicara Ibu Wilda senangnya

dipanggil IB gede aja ya sekarang apa

yang Ibu rasakan Bu Kenapa Ibu jadi

ketakutan gitu suara suara suara apa tuh

yang terdengar suara ibu sekarang

mendengar suara-suara gitu ya apa

dibilangnya Bu jelas nggak apa yang

dikatakannya Ya udah kalau gitu hari ini

suara-suara berisik hari ini kita akan

atasi masalah yang Ibu rasakan itu Boya

Bagaimana kalau kita ngobrol-ngobrol

sekitar 10-15 menit untuk mengatasinya

gue bersedia kalau itu tempatnya di sini

aja ya kayaknya disini udah nyampe nih

ya oke baiklah kalau gitu Langsung aja

kita Mas

cap selanjutnya sekarang Coba Ibu

sampaikan apa yang kurasakan

nge-review mendengar suara binatang buas

suara binatang suara-suara rimau

menangis suara anak kecil juga dengar

apa di suara anak kecil tuh nangis kalau

suara-suara binatang meraung-raung gitu

dia itu mengganggu body butuh Iya

berisik kira-kira kapan aja dia muncul

tubuh lagi sendiri lagi sendiri hari ini

udah berapa kali munculnya tiga kali

tiga kali jadi sama sekarang berdasarkan

berat tiga kali enggak apa kek mana

suaranya How Ya udah kalau misalnya itu

terjadi apa yang ibu lakukan tidur kalau

tidur hilang suaranya masih ada

sedikit-sedikit gitu dengar tetapnya

kalau sebelumnya ada nggak ibu di aja

yang sama kakak-kakak yang lainnya

bagaimana cara mengatasinya belum pernah

diajarkan ya Oh ya udah kalau gitu hari

ini kita akan belajar cara untuk

menghardik ataupun mengatasi suara

seorang ibu dengarkan bersedia Oke nanti

saya praktekkan ibu-ibu lihat saya Leste

dulu fokus nanti saya praktekkan baru

Ibu laksanakan ya ya saya dulu jadi apa

yang Ibu rasakan sekarang itu namanya

halusnya Sibuk karena Ibu mendengar

dengar suara Padahal saya dan

teman-teman saya di sini tidak ada

mendengar apa yang Ibu dengar jadi itu

namanya halusinasi Cara yang pertama itu

menghardik acaranya itu biar saya

perhatikan dulu ya nanti Ibu lihat baru

barusan akan ya Jadi pertama itu Ibu tuh

ini bukan ibu dengarnya dengan dengan

singa nih Ibu tutup telinganya Tria

kuat-kuat bilang pergi pergi kamu suara

palsu Saya tidak mau dengar paham coba

melaksanakan sekarang nih sekarang ada

dengar enggak suaranya ada masih ada

manggil-manggil gitu masih boleh tutup

mata juga Biar ribu lebih mendalami

lebih menghayati gitu pergi-pergi kamus

Arab palsu Saya tidak mau dengar lagi

bagus-bagus lebih bagus pergi-pergi kamu

karena palsu Saya tidak mau dengar

sangat baik melakukannya Jadi kalau

misalnya nanti suara suaranya ada suara

suaranya datang Ah mengganggu dia

mengganggu Ibu habis nyabu lakukan itu

Bu Coba lebih sekali sekali lagi saya

yakin Kalibutuh

ngerti seri hebatnya ya pergi-pergi Kamu

sarapan langsung saya tidak mau dengar

Wah bagus sekali jadi ibu sudah mengerti

kan kalau seandainya datang suara

suaranya bisa dilakukan seperti di itu

tuh cara pertama untuk mengatasi

halusinasi asal suara yang mengganggu

Ibu Teddy jadi yang kedua besok kan saya

ajarkan di pertemuan selanjutnya yaitu

dengan cara minum obat anti saya ajarkan

ya sekarang ibu masukkan ke jadwal

latihan kita ambil ribu tidak lupa dan

sering diulang-ulang meskipun suaranya

tidak ada nanti Ibu tetap batin Saya mau

Ibu besok laksanakan dalam sehari itu

tiga kali pagi siang dan malam paginya

mau jam berapa Bu kalau mau boleh juga

lebih banyak Lebih baik biar Ibu tidak

lupa dan bisa melakukan acara menghardik

tadi paginya mau jam berapa Jam berapa

yo yo yang 7 Oke kalo siangnya aja 1103

oke jam tujuh jam 11.00 ketiga Siang

tidur siang kejam yang tiga malamnya mau

jam berapa nanti Ibu lakukan dia jangan

sampai lupa biar ribu ingat dan terbiasa

melakukannya Sunday nanti ada

suara-suara nih ibu tinggal lakukan

paham ya Nah sekarang coba sebelum saya

pamit Saya mau lihat lagi pula aku kan

udah saya yakin kalau Ibu memang udah

mengerti dengan apa yang kita pelajari

hari ini Coba lakukan misalnya sore-sore

datangnya Hilda Ibu Ida katanya pergi

kamu salah palsu Saya tidak mau dengar

oke bagus

hai oke baiklah Jadi mungkin hari ini

sampai disini dulu pertemuan kita besok

kita jumpa lagi ya besok kira-kira kita

jumpa jam 09.00 deh apa GYA Tempatnya

disini juga besok saya kabari lagi Ibu

sayang caribou besok deh kalau begitu

Sebelum saya pamit ada yang Ibu tanyakan

tidak udah paham ya Kalau begitu saya

pamit demikianlah video pembelajaran

kita hari ini Semoga apa yang kita

pelajari hari ini bermanfaat ya dan

dapat teman-teman prakteknya dilapangan

intinya buat teman-teman yang belum

subscribe jangan lupa di subscribe

channel kita dan di-share ke teman-teman

lainnya Oke saya Rizki Praditya dari

timescape pamit undur diri

assalamualaikum alaikum ye ini kita akan

belajar cara memberi sp.rad

cervical mereka langsung oleh shagrath

[Musik]

Assalamualaikum warahmatullahi

wabarakatuh Hai semuanya

[Musik]