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  • Form Asuhan Pasien

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    Gustri Ningsih
    8 tayangan5 halaman
    asuhan pasien

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    8 tayangan5 halaman

    Form Asuhan Pasien

    Diunggah oleh

    Gustri Ningsih
    asuhan pasien

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 5

    LAPORAN RESUME KASUS

    KEPERAWATAN MEDIKAL BEDAH


    Ruangan : ……………………………………
    Diagnosa Medis : ……………………………………
    Tanggal Pengkajian : ……………………………………
    I. PENGKAJIAN
    A. Identitas Pasien
    Nama : …………………………………….
    Umur : …………………………………….
    Pendidikan : …………………………………….
    Suku Bangsa : …………………………………….
    Pekerjaan : …………………………………….
    Agama : …………………………………….
    Alamat : …………………………………….
    No. Medical Record : …………………………………….
    Tanggal Masuk : …………………………………….
    Tanggal Pengkajian : …………………………………….
    B. Penanggung Jawab
    Nama : …………………………………….
    Pekerjaan : …………………………………….
    Alamat : …………………………………….
    Hubungan Dengan Pasien : …………………………………….
    C. Riwayat Kesehatan Sekarang
    1. Riwayat Kesehatan Sekarang
    ..................................................................................................................................
    ..................................................................................................................................
    ..................................................................................................................................
    ..................................................................................................................................
    ..................................................................................................................................
    2. Riwayat Kesehatan Dahulu
    ..................................................................................................................................
    ..................................................................................................................................

    Format Resume KMB praktek profesi STIKES SYEDZA SAINTIKA Padang


    ..................................................................................................................................
    ..................................................................................................................................
    ..................................................................................................................................
    3. Riwayat Kesehatan Keluarga
    ..................................................................................................................................
    ..................................................................................................................................
    ..................................................................................................................................
    ..................................................................................................................................
    D. Pemeriksaan Fisik
    .........................................................................................................................................
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    E. Pemeriksaan Penunjang
    .........................................................................................................................................
    .........................................................................................................................................
    .........................................................................................................................................
    .........................................................................................................................................
    .........................................................................................................................................
    .........................................................................................................................................
    F. Terapi
    .........................................................................................................................................
    .........................................................................................................................................
    .........................................................................................................................................
    .........................................................................................................................................

    Format Resume KMB praktek profesi STIKES SYEDZA SAINTIKA Padang


    II. ANALISA DATA
    Data Fokus Penyebab
    No Masalah
    (subjektif dan Objektif) (Patofisiologi)

    III. DIAGNOSA KEPERAWATAN


    NO DAFTAR DIAGNOSA KEPERAWATAN TANDA TANGAN

    Format Resume KMB praktek profesi STIKES SYEDZA SAINTIKA Padang


    IV. RENCANA KEPERAWATAN
    NO TANGGAL/JAM DIAGNOSA KEPERAWATAN NOC NIC AKTIVITAS

    Format Resume KMB praktek profesi STIKES SYEDZA SAINTIKA Padang


    Format Resume KMB praktek profesi STIKES SYEDZA SAINTIKA Padang

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