Case:

Family Mr. S (42 years) and Ms. K (32 years) have 3 children. An. J (17 years), An.
S (10 years) and An. D (3 years). Ms. K complained of frequent dizziness and the
neck area often hurt. Mrs. K considers this to be a common complaint, which can be
treated with medicine stalls. Mrs. K said that if you are dizzy, you can reduce it by
eating fresh foods like tamarind, salted fish and shrimp paste. At the time of family
visits and blood pressure measurements, the result is 160/90 mmHg.

Role Play
One day at Cipayung Health Center there were 6 students who were practicing
family clinics. CI, who already knows the target of student achievement, immediately
directs what students must do. CI also said that the results of last year's analysis of
the biggest problem in the Cipayung area were hypertension. For this reason, 6
nurses were divided into 3 groups and accompanied by a puskesmas nurse to do
community service in Cipayung RT 05 Rw 02. With permission from the puskesmas,
students and nurses immediately went to the cadre's mother to ask which families
had health problems. After asking health problems for cadres. Cadres also delivered
the nurses and students to ask permission from the RT's mother.

Cadre : good morning

Mrs. RT : Good morning, mother cadre. What's the matter, cadre?
Cadre : This is the arrival of the puskesmas, who wants to record
health problems in RT 05 bu RT.
Mrs. RT : Oh I see, just please. You go to people's homes. For RT 05

there are only 60 families.

Nurse : Yes, ma'am, if so, thank you, mom, for your willingness to
allow us to do health data collection.
Mrs. Rt : yes, please, please.

After registering a number of residents at RT 04. A & B students conducted a study

on a family with the head of the household from Mr. S. In the house there is Mrs. K,
An. J, An. S and An. D. In the family Ms. K often complains of dizziness and the
cervix often hurts.

A & B students : good morning

Mrs. K : good morning
A & B students : excuse me, our students from PKJ3 want to ask about

the health of family members. Are you willing?

Mrs. K : yes please enter.
A & B students : whose mother is the name of the head of the family of
this house, huh?
Mother : Suryadi sus
Student A : For the address of the ma'am?
Mother : Cipayung RT 05 Rw 2 no.2
Student A : Husband's religion?
Mother : Hindu
Student A : What kind of tribe is your father?
Mother : Indonesia
Student A : What everyday language is your father?
Mother : Balinese
Student A : What is the closest distance to the nearest airport?
Mother : 3 kilos
Student A : What do you usually go to the puskesmas, ma'am?
Mother : usually mah ride on a motorcycle
Student A : Oh yes. Then, who is the name of the family member
of Mr. Suryadi?
Mother : I own my name, kusmiyatih. This is my first child,
whose name is jahuri, the second is namaya saripah
and the third is named ditto.
Student A : How many years is your age, ma'am?
Mother : I myself am 32 years old, my first child is 17 years
old, my second child is 10 years old, and the last one is
2 years old.
Student A : What is your last education and what is your father?
Mother : my husband and I are both high school graduates
Student A : What is the work of a husband and mother?
Mother : My husband is a private employee and I am only a
housewife.
After reviewing the biodata of Ms. K, students did
TTV to Mrs. K and his family. Followed by student B.
Student B : My mother is tension, ma'am.
Mother : oh please join. (while checking blood pressure)
Student B : mother's mother's blood pressure is 160/90 mmHg.
Maternal blood pressure is high. then I check the
alarm, bro, I check mother's body temperature.
Mother because of high blood pressure I give the mother
a catropyl drug so that blood pressure not high.
Or with herbal medicine such as ginger, cinnamon leaves,
And cardomom.
Mother : please follow ..
Student B : maternal pulse 100x / minute and maternal body
temperature 36.5 o. mother's pulse is high too ma'am
Do you feel dizzy or not?
Mother : yes, mother often feels dizzy because thinking about
children is already big. School fees are increasing.
Student B : This is the first child of my mother and the second
child of my mother, also check, ma'am.
Mother : yes please.
Student B : jahuri, brother check first
Child J : yes.
Student B : Your tension is 120/70 mmHg. Normal huh Your
pulse is 75x / minute and your body temperature is
36.8 oC. everything is normal
Son J : Yes Sis.
Student B : now I check it too.
An. S : yes Sis
MAhasiswa B : what is your name? (while checking)
An.S : Saripah kak
Student B : very good name. Your pulse is 70 and your body
temperature is 36.5. Normal too, ma'am.
Student B : we go on ma'am Is there a disease history in your
family?
Mother : Yes, the highest blood pressure from my father
Student B : Are there any members of this family who have a
history of allergies?
Mother : it's okay.

Furthermore, A & B students conduct physical examinations covering general

conditions, circulation, fluids, urination, breathing, musculoskeletal, neurosensory,
and skin to the family members.

Student B : If one of the family members is sick, they are usually

taken directly to the puskesmas or only given stalls?
Mother : usually try medicine stalls, if you don't get better, you
will immediately take them to Neng Health Center
Student B : usually who cares if one family member is sick?
Mother : yes if not me, my husband is taking care.
Student B : What do you usually clean your house like? Whether
swept or dipel and how many times a day the mother
does that.
Mother : if it's not really dirty, I'm not cool
Student B : Can you have a mother or not?
Mother : there is neng, my bpjs are in grade 3.
Student B : Yes ma'am, the assessment is complete. For this day,
that's all I ask. Tomorrow there will be community
health centers who come to ask questions again.
Mother : oh yes, just come.
Student A and B : sorry, ma'am, so it's troublesome. We said goodbye
home, ma'am.

Mother : Ohiya, be careful, Sister

After conducting the service, A & B students chose a case from Mr. S. Because one
of his family members has hypertension problems. Then the results of these studies
A & B students determine the diagnosis of anxiety related to situational crises. Then
the two students intervened for the second visit. The next day….

Student : Good morning

Mother : Good morning, please come in.

Student : Good mom

Student A : We did a study yesterday, and as a result, if we have

hypertension problems, now we want to teach mothers about

relaxation exercises. Which aims to reduce tension in the
mother. Are you willing?

Mother : yes I am willing

Student A : This is a brochure for reading and reading mothers. now I

will explain about the gymnastics. while followed, ma'am

1. Hold your hand while making a fist and release it.

2. Straighten the arms then stack the wrists then pull the palms
to face forward.

3. Begin by holding both hands then bring both fists to the

shoulders so that the muscles of the beiceps will become tense

4. Lifting both shoulders as high as if the shoulder will be carried

to touch both ears. Focus, mom, pay attention to this movement
is the contrast of tension that occurs in the shoulders, upper
back and neck.

5. Facial muscles of the forehead, eyes, jaw and mouth.

Movement for the forehead by wrinkling the forehead and
eyebrows until the muscles feel and the skin is wrinkled.
6. Movement to relax the tension experienced by the jaw
muscles by closing the jaw, followed by biting the teeth so that
the tension around the jaw muscles

7. Movement to relax the muscles around the mouth. The lips

are stretched as hard as possible so that there will be tension
around the mouth.

8. Movement to relax the front and rear neck muscles. Place

both hands behind your head, then push your head back while
holding your head back.

9. Movement to train the neck muscles. By bringing your head to

face, then the client is asked to immerse the chin into his chest,
so that he can feel tension in the neck area of the face

10. Movement to train the back muscles. This movement can be

done by placing both hands behind while touching the floor and
holding the body. Then wrap your chest.

11. Movement to relax the chest muscles. Clients are asked to

take a deep breath. This position is held for a while, while feeling
tension in the chest then lowered to the abdomen. When the
tension is released, the client can breathe normally.

12. Movement to train the abdominal muscles. This movement is

carried out by pulling the abdomen firmly inward, then holding it
back until the stomach becomes tight and hard. After 10 seconds
is released freely, then repeated like the initial movement for this
Peru.

13. Movement for the leg muscles and aims to train the thigh
muscles, done by straightening both feet so that the thigh
muscles feel tense. This movement is carried out with the knees
so that the tension moves to the calf muscles
 14. As for the muscle relaxation procedure, the client must hold
the tension position for 10 seconds after releasing it. Each
movement is done twice.

After being taught relaxation exercises, Ms. K can understand and apply it. Ms. K
also said that she felt better after being taught relaxation gymnastics techniques.
And finally the student achievement target is reached. Students return to the
puskesmas.