7.FORMAT RESUME KEPERAWATAN JIWA DI RUANG 2017.docx

RESUME KEPERAWATAN KEPERAWATAN JIWA DI RUANG ...... RS .......

A.

IDENTITAS PASIEN  Nama Inisial Umur Jenis Kelamin Status  No CM Pendidikan Agama Pekerjaan Alamat Diangnosa Medis

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B. KELUHAN UTAMA/ALASAN MASUK ........................................... ................................................................. ............................................ ............................................ .............................................. .................................. .......... ........................................... ................................................................. ............................................ ............................................ ............................................. .................................. ........... ........................................... ................................................................. ............................................ ............................................ .............................................. ................................. ......... C. FAKTOR PREDISPOSISI ........................................... ................................................................. ............................................ ............................................ .............................................. .................................. .......... ........................................... ................................................................. ............................................ ............................................ ............................................. .................................. ........... D. FAKTOR PRESIPITASI ........................................... ................................................................. ............................................ ............................................ .............................................. .................................. .......... ........................................... ................................................................. ............................................ ............................................ ............................................ ................................. ........... E. DATA FOKUS DO

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F.

ANALISA DATA Tanggal/Jam

Data

Problem

G. PERENCANAAN DAN TINDAKAN KEPERAWATAN (dibuat Landscape) Hari/tanggal : No

Diangnosa

Tujuan

Intervensi

Rasional Implementasi

Evaluasi

kep. S: O: A: P: