Kep
Nim : 00317005
Stase :KD
PENGKAJIAN KEPERAWATAN PADA PASIEN
A.Pengkajian
I. Identitas Klien
a. nama :
b. Nomor RM :
c. umur :
d. jenis kelamin :
e. agama :
f. suku bangsa / ras :
g. status menikah :
h. golongan darah :
i. pendidikan terakhir :
j. bahasa yang dipakai :
k. pekerjaan :
l. alamat :
m. diagnosa masuk :
n. penanggung jawab :
o. hubungan dengan klien :
p. nomor telpon :
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IV. Riwayat Penyakit Terdahulu
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V. Riwayat Penyakit Keluarga
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VI. Riwayat Psikososial
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VII. Pola-pola kesehatan
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c. System sirkulasi
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d. System neurologi
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e. System gastrointestinal
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f. System uroginetal
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g. System muskuloskletal
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IX. Pemeriksaan penunjang
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B.Diagnosa Keperawatan
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C.Rencana Keperawatan
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a. Tujuan
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b. kriteria hasil
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a. Tujuan
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b. kriteria hasil
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D. Evaluasi
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