ASUHAN KEPERAWATAN KELUARGA PADA..........

PADA............. DENGAN DIAGNOSA MEDIS................................................

DI BANJAR PAMESAN DESA KETEWEL, GIANYAR

TANGGAL........s/d.....................................

OLEH :

NI MADE DESSY WULANDARI

NIM : P07120015042

D-III KEPERAWATAN TINGKAT 3 SEMESTER V

KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

POLITEKNIK KESEHATAN DENPASAR
JURUSAN KEPERAWATAN

PRODI D III
2017
 ASUHAN KEPERAWATAN KELUARGA PADA..........
PADA............. DENGAN DIAGNOSA MEDIS................................................
DI BANJAR PAMESAN DESA KETEWEL, GIANYAR

TANGGAL........s/d.....................................

A. PENGKAJIAN
1. Data Umum
a. Nama Kepala Keluarga : Tn. KG
b. Alamat : Banjar Pamesan, Desa Ketewel, Gianyar
c. Telpon : 081558232360
d. Pekerjaan : Pedagang
e. Pendidikan : SMP
f. Komposisi anggota keluarga

Status Imunisasi
HubDng
Nama JK Umur Pendidikan Polio DPT Hepatitis Ket
KK BCG Campak
1 2 3 4 1 2 3 1 2 3
2. Genogram
a. Riwayat Keluarga
Tn. KG mengatakan bahwa orang tua dari Tn.KG juga menderitaa
hipertensi

b. Genogram
3. Tipe Keluarga
Tipe keluarga dari Tn. KG adalah keluarga tradisional ( extended family
traditional ) dengan tipe keluarga besar yang terdiri dari nenek, suami,
istri dan anak-anaknya yang hidup dalam satu rumah tangga yang sama.
Tn. KG sebagai kepala keluarga, Ny. WW sebagai istri dan anak lakui-
lakinya adalah An. YK dan An. EW dan anak perempuannya adalah An.
KP dan orang tua Ny. WW yaitu Ny. KS sebagai nenek.

4. Suku Bangsa

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5. Agama

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6. Status Sosial Ekonomi Keluarga

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7. Aktivitas rekreasi keluarga

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B. RIWAYAT DAN TEHAP PERKEMBANGAN KELUARGA
1. Tahap perkembangan keluarga saat ini

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2. Tugas perkembangan keluarga yang belum terpenuhi

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3. Riwayat keluarga inti

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 4. Riwayat keluarga sebelumnya

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C. PENGKAJIAN LINGKUNGAN
1. Karakteristik rumah

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2. Karakteristik tetangga dan komunitas RW

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3. Mobilitas geografis keluarga

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4. Perkumpulan keluarga dan interaksi dengan masyarakat

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5. Sistem pendukung keluarga

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D. STRUKTUR KELUARGA
1. Komunikasi keluarga

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2. Struktur kekuatan keluarga

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3. Struktur peran

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4. Norma keluarga

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E. FUNGSI KELUARGA
1. Fungsi afektif

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2. Fungsi sosialisasi

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3. Fungsi perawatan kesehatan

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F. TUGAS PERAWATAN KELUARGA

1. Mengenal masalah keluarga

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2. Mengambil keputusan

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3. Merawat anggota keluarga yang sakit

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4. Memelihara lingkungan

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5. Menggunakan fasilitas/pelayanan kesehatan

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6. Fungsi reproduksi

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7. Fungsi ekonomi

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G. STRESS DAN KOPING KELUARGA
1. Stress jangka pendek dan panjang

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2. Kemampuan keluarga

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3. Strategi koping

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4. Strategi adaptasi

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H. PEMERIKSAAN FISIK
Keadaan Umum :...................................................................................
1. Tanda – tanda Vital : Tensi:………...... Nadi:..........…... RR:...………....
Suhu:….............. BB:……........TB:….........
LL:………... LK:................

2. Pemeriksaan Cepalo Caudal

a. Kepala dan Rambut

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b. Hidung

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c. Telinga

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d. Mata

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e. Mulut, Gigi, Lidah, Tonsil dan Pharing

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f. Leher dan Tenggorokan

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g. Dada/ Thorak
1) Pemeriksaan Paru
a) Inspeksi

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b) Palpasi

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c) Perkusi

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d) Auskultasi

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2) Pemeriksaan Jantung
a) Inspeksi
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b) Palpasi

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c) Perkusi

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d) Auskultasi

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h. Payudara
a) Inspeksi

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b) Palpasi

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i. Pemeriksaan Abdomen
a) Inspeksi

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b) Auskultasi

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c) Palpasi

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d) Perkusi

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j. Ekstrimitas, Kuku dan Kekuatan Otot

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k. Genetalia dan Anus

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l. Pemeriksaan Neurologi

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m. Pemeriksaan Penunjang
I. HARAPAN KELUARGA

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