RESUME KEPERAWATAN KESEHATAN JIWA
PUSKESMAS BANTUR MALANG
Tanggal : Pukul
Nama Pasien : Alamat
Data
DS:
Pasien: ........................................................................
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Keluarga:
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DO :
Pasien: ........................................................................
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Keluarga:
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Diagnosis :
1. Halusinasi 4. Isos 7. HDR
2. RPK 5. RBD 8. lain-lain
3. DPD 6. Waham ....................
Tindakan Keperawatan :
Pasien
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Keluarga
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:
: RT /RW
Evaluasi
S:
Pasien
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Keluarga
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O:
Pasien
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Keluarga
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A:
Kognitif :
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Afektif :
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Psikomotor :
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P:
Tanggal/ Jam :
Perawat : ...................................................................
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Pasien : .....................................................................
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Keluarga : .................................................................
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Perawat
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