Laporan Resume Ird PDF
Laporan Resume Ird PDF
1. IDENTITAS PASIEN
a. Nama Pasien : ............................................, Umur : .............th,( L ) / ( P )
b. Register : ........................................, Tanggal : ................................
c. Agama : .............................................................................................
d. Status : ( Menikah ) / ( Tidak menikah ) , Pendidikan : .............
e. Pekerjaan : ...........................................................................................
f. Alamat : ............................................................................................
............................................................................................
B. STATUS MENTAL
1. KEADAAN UMUM
…………………………..…………………………………………………………………
…………………………..…………………………………………………………………
……………………………………………………………………………………………..
................................................................................................................……..……………
................................................................................................................……..……………
................................................................................................................……..……………
................................................................................................................……..……………
2. PENAMPILAN
……………………..………………………………………………………………………
……………………………………………………………………………..........................
.................................…………..………......................................................................……
…………………………………………………......………………………………………
4. PEMBICARAAN
…………………………………………………......………………………………………
…………………………………………………......………………………………………
…………………………………………………......………………………………………
…………………………………………………......………………………………………
C. KEADAAN AFEK
…………………………………………………......………………………………………
…………………………………………………......………………………………………
…………………………………………………......………………………………………
…………………………………………………......………………………………………
…………………………………………………......………………………………………
…………………………………………………......………………………………………
D. PROSES BERPIKIR
…………………………………………………...........………………………………………
…………………………………………………...........………………………………………
…………………………………………………...........………………………………………
…………………………………………………...........………………………………………
…………………………………………………...........………………………………………
E. PERSEPSI
…………………………………………………...........………………………………………
…………………………………………………...........………………………………………
…………………………………………………...........………………………………………
…………………………………………………...........………………………………………
…………………………………………………...........………………………………………
F. DIAGNOSA KEPERAWATAN
………………………………….......................................................…………………...……
……………………………………,,,,…………………………………………………..……
………………………………………,,,,………………………………………………..……
G. RENCANA KEPERAWATAN
1. TUJUAN UMUM
………………………………………………..……………………………………………
………………………………………………..……………………………………………
……………………………………………..………………………………………………
……..……................................................................................................................………
…………………………………………………………..…………………………………
……………………………………………………………..………………………………
………………………………………………………………………………………..........
.....................................................................................................…………..……...………
D. TINDAKAN KEPERAWATAN
………………………………………………..………………………………………………
……………………………………………..…………………………………………………
………………………………………..……………………………………………………..
…………………………………………………………..……………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
……………………….....…………………………………..………………………………
E. TERAPI
………………………………………………..………………………………………………
……………………………………………..…………………………………………………
………………………………………..……………………………………………………..
……................................................................................................................……..................
F. EVALUASI
………………………………………………..………………………………………………
……………………………………………..…………………………………………………
………………………………………..……………………………………………………..…
…...................................................................................................................................………