wawancara Psikiatrik Anamnesis

8/18/2019 wawancara Psikiatrik Anamnesis

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KETRAMPILANWAWANCARA

PSIKIATRIK


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WAWANCARA PSIKIATRIK (1):


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YANG PERLU DIPERHATIKAN (1):

1. Sopan ingat ‘ethical issues’ 2. Perhatikan suasana & tempat terapi :

!" #$%3. #nterie' harus (ua arah" tatap muka"

)u)ur" ob*ekti+" terbuka

4. ,akukan (engan -P0#. ertan*a (engan pertan*aan *ang

mu(ah (ahulu" gunakan pertan*aanterbuka ‘openen(e( 5uestion’"pertan*aan tertutup biasan*a untukmenegaskan" pertan*aan *angmen(alam: hatihati

6. en(engarkan : sabar" ti(ak men*ela"ti(ak terlalu cepat menarik kesimpulan


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YANG PERLU DIPERHATIKAN (2):

7. emberi perhatian" (ukungan/suporti+(an respons

8. bserasi

9. Se(ikit mencatat" ban*ak mengingat

1. ‘;on+i(entialit*’: men)aga rahasia11. embina ‘%octorPatient $elationship’

*ang baik" keperca*aan pasien terha(appemeriksa

12. Pasien a(alah in(ii(u *ang ‘unik’"mempun*ai hambatan" terimalah apaa(an*a


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CARA MEMIMPIN WAWANCARA (1):

1. Pasien (ulu baru keluargan*a" bila perluterpisah (engan i)in" hin(ari kecurigaan2.


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CARA MEMIMPIN WAWANCARA (2):

. >sahakan secara kronologis

6. ila erbal ti(ak bisa" usahakan nonerbal

7. enangkap apa *ang tersurat (antersirat" kemu(ian perlu (icek.


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YANG PERLU DIOBSERVASI:1. Reaksi umum dan sikap badan:

kaku" aneh" biasa" mela'an" marah" acuh tak acuh"ti(ak tenang" berkeringat" lamban" pakaian (ankebersihan" (ll.

2. Ekspresi muka:kosong" (angkal" tampak sakit" curiga" )engkel" (ll.

3. Mata:

terbuka/tertutup" berke(ipke(ip" tak mau menatap"a(a tahanan" (ll.4. Bicaranya:

spontan" berbisik" ti(ak (imengerti" berputarputar"melantur" (ll.

. Reaksi otot:

lemah" mela'an/negatiisme" li(ah men)ulur" (ll.6. Reaksi emosi disertai komponen fisiologik:

se(ih : keluar air matamarah : muka merah" na+as tersengalsengalcemas : berkeringat


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DIFFICULT INTERVIEWS (1):

1. The quiet person – the mute personlmost all patients no matter ho' ill" 'ill talk"or attempt to communicatea. sk non clinical 5uestionsb. ?ra(ual an( less threatening techni5ues

ma* 'ork in the slo' respon(ersc. 0r* nonerbal 5uestions

#+ there is no response then think o+ the causesbelo':

a. $etar(e( (epressionb. ;atatoniac. rain (amage @ rganic rain %isor(ers(. utism


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DIFFICULT INTERVIEWS (2):

. The Talkati!e patient a. $emin( patient o+ 5uestion an( bringback to topic" +irml* b. #+ patient can’t gie a basic histor* a+ter

about 1 minutes o+ tr*ing" consi(er

other options

Ahen the process is triialise( an( theinterie'er is unable to cope" ther ma* be

one or more reasons:a. anic/h*pomanic illnessb. Personalit* problems/(isor(ersc. Some instances o+ organic brain

s*n(rome/!orsako++’s


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PEMERIKSAAN PASIEN YANG TIDAK

KOOPERATIF: (M!"#$G#%&&' S"# *+ R%,)

1. $eaksi umum (an sikap ba(an

2. -kspresi muka

3. ata

4. $eaksi terha(ap apa *ang(ikatakan atau (iperbuat

. $eaksi otot

6. $eaksi emosi *ang kelihatan7. icara

8. 0ulisan


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C%--%+ .#%/"-& 0+ 0+"#0""#&:

1. Bot intro(ucing *oursel+ 2. sking too man* close( en(e( 5uestions3. #ntolerance @ o+ silences4. #nterrogation rather than interie'ing

. Corgetting 5uestions aske(6. ;onclu(ing +or the patient" too 5uickl*7. ,ea(ing the patient @ suggesting8. ;oming in 'ith pre)u(ice9. Bot recogniDing hea* 'or(s1. Bot recogniDing nonerbal cues11. Bot asking i+ patient has 5uestions +or *ou


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