BAHASA INGGRIS

NURSING CLIENTS WITH THERAPETIC REGIMENTS

MENTOR : TENNY MURTINNGSIH,S.Pd.,M.Pd

CREATED BY GROUPS 2

ANDI WIYANA

INDRA ADI KUSUMA

MIRANDA ANGRAINI

RENITA VITA TRIYANTI

GUSTI AYU DEVI ANINDYA

SANIA HIDAYAH

SUTIKNO

YOGI FEBY PEBRIA BAYU PRADANA

AKPER KESDAM VI/TANJUNGPURA

BANJARMASIN

2019
 FOREWORD

We thank you for the presence of god almighty who has bestowed his gift
so we can finish writing a paper entitled “NURSING CLIENTS WITH
THERAPETIC REGIMENTS” just in time. This paper is structured to fulfill the
task of psychiatric nursing.

In writing this paper we eralixe there are still many shortcomings both in
writing techniques and material. For this reason, we expect constructive criticism
and suggestions. Hopefully this paper can be useful for all of us and anyone who
reads it.

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 TABLE OF CONTENTS

FOREWORD.......................................................................................................

TABLE OF CONTENTS.....................................................................................

CHAPTER 1 PRELIMINARY.............................................................................

BACKGROUND......................................................................................

FORMULATION OF THE PROBLEM ...................................................

PURPOSE...............................................................................................

CHAPTER 2 DISCUSSION...............................................................................

DEFINITION OF THERAPEUTIC REGIMENS......................................

CAUSES OF THERAPEUTIC REGIMENS............................................

TYPES OF THERAPEUTIC REGIMENS...............................................

CHAPTER 3 CLOSING......................................................................................

CONCLUSION........................................................................................

SUGGESTION........................................................................................

REFERENCES...................................................................................................

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 CHAPTER 1

PRELIMINARY

A. BACKGROUND
mental disorders are disorders of mental functions, which include
emotions, thoughts, behavior, self-motivation and perceptions that cause
a decrease in all psychiatric functions, especially interests and motivation
so that it interferes with a person in the process of living in the community.
The number of people experiencing mental disorders is estimated to
continue to increase. This is because a person cannot adjust or adapt to a
change or turmoil in life. Especially in this modern era, changes occur so
quickly, such as socioeconomic and socio-political uncertainty and
increasingly harsh social environmental conditions that interfere with the
process of living in the community. Mental disorders occur not only in the
lower middle class as a result of socio-economic changes, but also in the
upper middle class caused by not being able to manage stress (Yosep,
2009). According to the Ministry of Health 2007, currently more than 450
million people live with mental illness.
B. FORMULATION OF THE PROBLEM
1. What is the definition of a therapeutic regimen?
2. What causes therapeutic regimens?
3. What are the types of therapeutic regimens
C. PURPOSE
1. General Objectives
Knowing about nursing care for clients with a therapeutic regimen.
2. Specific objectives Knowing about:
a. Definition of therapeutic regimen
b. Causes of therapeutic regimens
c. types of therapeutic regimens

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 CHAPTER 2
DISCUSSION

A. Defition Of Therapeutic Regimens

definition Therapeutic regimen is treatment that is interrupted at home
so that the therapy undertaken by the patient stops causing mental
disorders that the patient experiences again (Wardani, 2012). The
main therapy in mental nursing. This therapy is given in an effort to
change the patient's behavior from maladaptive behavior to adaptive
behavior. As a starting point for therapy or healing (Eko Prabowo,
2014).
B. Cause Of Therapeutic Regimens
1. Predisposing Factor
a. Psychologically, the failure experienced can lead to
frustration which can then appear aggressive or amok.
b. Behavior, reinforcement received during violence often
observes violence at home or outside the home, all these
aspects stimulate individuals to adopt violent behavior
c. Socio-culture, closed culture and discussing silently (passive
aggressive) and uncertain social control over violent behavior
will create as if violence behavior was accepted.
d. Bioneorologis, many opinions that damage to the limbic
system, prontal lobes, temporal lobes, and imbalance of
neurotransmitters also play a role in the occurrence of
violence (Wardani, 2012).
2. Precipitation Factors
Due to the non-cooperation of patients in drug therapy such as
boredom taking drugs and depression and hopelessness.
Because of the non-cooperation of the family in providing
therapy due to shame and isolation. Family is a very important
factor in the healing process of mental patients. The family is
the closest environment to the patient. With families who are
therapeutic and supportive of the patient, the patient's
recovery period can be maintained as long as possible.    
Conversely, if the family is less supportive, the recurrence rate
becomes faster. Based on the research found that the
recurrence rate in patients with mental disorders without family
therapy by 25-50%, while the relapse rate in patients receiving
family therapy is 5-10% (Ulpa, 2012)

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C. Type
1. Pharmacology
Nerolepetic with lower effective doses is more beneficial in
patients with chronic schizophrenia, which with high effective
doses are more beneficial in patients with increased psychomotor.
With phenothiazines, usually delusions and hallucinations
disappear within 2-3 weeks. If there are still delusions and
hallucinations then the sufferer is not so affected anymore and
becomes more cooperative and wants to participate in
environmental activities and wants to take part in occupational
therapy. Drug therapy is given in a relatively long period of time,
months or even years.
2. Electro-convulsive therapy
At the beginning (for the first time for a patient) usually 100-150 V
and 0.2-0.3 seconds of the first convulsator and 4J with 2-3
seconds with the second convulsator, if no direct convulsion
occurs repeated with the same voltage or if it has been interrupted
for a few seconds, with a higher voltage, we can repeat up to 3x, if
convection does not also occur, therapy should be postponed until
tomorrow.
3. Psychotherapy
Psychotherapy in the form of psychoanalysis does not bring the
expected results, some even argue that it should not be done on
patients with schizophrenia because it can add isolation and
autism, which can help sufferers tired of individual or group
supportive psychotherapy, as well as practical guidance with a
view to returning the patient to the public.     4   Rehabilitation
Rehabilitation is important as preparation for resettlement to
families and communities. This program is usually carried out in
institutions of rehabilitation, for example in hospitals. Soul, in the
rehabilitation program carried out various activities including:
carrying out artistic activities, physical therapy in the form of
sports, skills, recommendations, running religious worship
together. In general, rehabilitation programs last 3-6 months.
Periodically there are at least two evaluations, that is, before the
patient participates in the rehabilitation and evaluation program
when the patient is returned to the family

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 CHAPTER 3
CLOSING
A. Conclusion
Therapeutic regimen is treatment that is interrupted at home so that the
therapy undertaken by the patient stops which results in mental disorders
that the patient experiences again (Wardani, 2012). The causes of
therapeutic regimens are predisposing factors and precipitation factors.
The types of therapeutic regimens are pharmacology, electro convulsion
therapy, psychotherapy, rehabilitation, ECT therapy. The process of the
therapeutic regimen is a result of the wrong thinking patterns in the
community, many families of mental patients who do not want to receive
family members after being cured medically. Finally, the patient's disease
recurred and had to be treated back to the hospital (Budi and Akemat,
2007). Signs of symptoms of therapeutic regimens are emotionally
unstable, decreased interpersonal intercourse ability, hallucinations,
aggression, delusions, delusions, increased self-withdrawal, difficult
behavior directed, illogical thought process (Ulpa, 2012). As a result of the
therapeutic regimen of rejection, stigma, frustration, helplessness and
anxiety, fatigue, and suffering. Coping mechanisms commonly used in
patients with therapeutic regimens are ego defense mechanisms such as
sublimation and repression
B. Suggestion
Suggestions for the Community or families who care for the community;
From the results of this study are expected to be additional information
for families. Thus increasing motivation in families to increase family
support for sufferers of therapeutic regimens.

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 REFERENCES

http://www.depkes.go.id/index.php/berita/press-release/394-kesehatan-jiwa- sebagai-
prioritas-global.html. 

.http://www.depkes.go.id/downloads/profil/prov_sulut_2008.pdf 

Hawari. 2007.Keputusan Holistik Pada Gangguan Jiwa Skizofrenia. Jakarta:Balai FKUI.