Kasus

• Pasien mengeluh
– Pasien satu hari pasca operasi mengeluh nyeri
– TD 130/90 mmHg
– RR 30X/ menit
– N: 115X/Menit
– Nyeri skala 8
– Ekspresi wajah tampak kesakitan
– Mengeluh tidak bisa tidur

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NS. DIAGNOSIS :
Domain :
(NANDA-I)
Kelas :

DEFINITION:

DEFINING
CHARACTERISTIC
S

RELATED
FACTORS:
 AS
DIAGNOSIS SESSMENT Subjective data entry Objective data entry

Ns. Diagnosis (Specify):

Client
Diagnostic
Statement: Related to:

1. Intervensi Keperawatan

NIC NOC

Intervensi Aktifitas Outcome Indikator