FORMAT RESUME

Tanggal pengkajian :
Nama Pengkaji :
Ruang :
Waktu pengkajian :

A. Identitas

1. Identitas Klien
Nama :
Tanggal lahir :
Umur :
Jenis Kelamin :
BB :
Alamat :
Agama :
Pendidikan :
Suku bangsa :

2. Pengkajian Fokus
a. Keluhan Utama
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b. Riwayat Kesehatan
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c. Pengkajian kebutuhan dasar manusia
1. Kebutuhan rasa aman
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 2. Kebutuhan nutrisi
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3. Kebutuhan istirahat
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4. Kebutuhan personal higiene
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5. Kebutuhan eliminasi
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6. Aktivitas
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d. Px. Fisik (head toe toe) fokus
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SEKOLAH TINGGI ILMU KESEHATAN INDONESIA MAJU (STIKIM)

 ANALISA DATA

NO DATA FOKUS PROBLEM ETIOLOGI

SEKOLAH TINGGI ILMU KESEHATAN INDONESIA MAJU (STIKIM)

SEKOLAH TINGGI ILMU KESEHATAN INDONESIA MAJU (STIKIM)
 RENCANA KEPERAWATAN/CAPER

Hari/Tgl Diagnosa Tujuan Intervensi Keperawatan Implementasi Evaluasi (SOAP) Paraf

/Jam Keperawatan Keperawatan
 RESUME KEPERAWATAN PADA TN.
DI PANTI WERDHA HANNA – BOGOR
29 OKTOBER – 16 NOVEMBER 2018

NAMA : KHAERUN NISA

NURAKHYATI
NPM : 18170000117

PROGAM PENDIDIKAN PROFESI NERS

SEKOLAH TINGGI ILMU KESEHATAN INDONESIA MAJU
2018

SEKOLAH TINGGI ILMU KESEHATAN INDONESIA MAJU (STIKIM)