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STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN SETIAP HARI

TANGGAL ___________________________

A. Proses Keperawatan

Kondisi Klien
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Diagnosa keperawatan (Masalah)


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Tujuan khusus (tujuan yang akan dicapai, kriteria hasil)


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Tindakan keperawatan (tindakan apa yang akan dilakukan)


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(lingkari tindakan yang akan dilaksanakan)

B. Proses Pelaksanaan Tindakan


ORIENTASI
1.

Salam Terapeutik
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2.

Evaluasi/validasi
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Kontrak

Topik, waktu, tempat


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KERJA (langkah-langkah tindakan keperawatan): komunikasi saat melakukan tindakan


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B. TERMINASI
1.

Evaluasi respon klien terhadap tindakan keperawatan

Evaluasi Subyektif
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Evaluasi Obyektif
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2.

Tindak lanjut klien (apa yang perlu dilatih klien sesuai dengan hasil tindakan yang
telah dilakukan
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3.

Kontrak yang akan datang


o Topik, waktu, tempat
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