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Program Studi Ilmu Keperawatan A Tahun 2013

RESUME ASUHAN KEPERAWATAN KELUARGA BAPAK ......


DENGAN ............................................................................ DI WILAYAH KERJA
PUSKESMAS .............................................

1. Identitas KK
Nama

Pendidikan

Pekerjaan

Agama

Alamat

Suku

Umur

Komposisi Keluarga
No

Nama

L/P

Umur

Hubungan dengan
KK

Pendidikan

Pekerjaan

Ket

Program Studi Ilmu Keperawatan A


Tahun 2013

Genogram :

Keterangan :

Program Studi Ilmu Keperawatan A


Tahun 2013
2. Pengkajian Fokus
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3. Diagnosa Keperawatan
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Program Studi Ilmu Keperawatan A Tahun 2013

4. Perencanaan
No

Dx.
Keperawatan

Tujuan

Rencana Tindakan

Kriteria Hasil

Standar Evaluasi

Program Studi Ilmu Keperawatan A Tahun 2013

No

Dx.
Keperawatan

Tujuan

Rencana Tindakan

Kriteria Hasil

Standar Evaluasi

Program Studi Ilmu Keperawatan A Tahun 2013

5. Implementasi
No

Dx. Keperawatan

Tanggal

Implementasi

Paraf

Program Studi Ilmu Keperawatan A Tahun 2013

No

Dx. Keperawatan

Tanggal

Implementasi

Paraf

Program Studi Ilmu Keperawatan A Tahun 2013

6. Evaluasi
No

Dx. Keperawatan

Tanggal

Evaluasi

Paraf

Program Studi Ilmu Keperawatan A Tahun 2013

No

Dx. Keperawatan

Tanggal

Evaluasi

Paraf

Program Studi Ilmu Keperawatan A


Tahun 2013
Mengetahui
Pembimbing

(..)

Denpasar, .. 2013
Mahasiswa

(..)
09020150..