FORMAT LAPORAN PENDAHULUAN

PRAKTIK KLINIK KEPERAWATAN MEDIKAL BEDAH

A. DASAR TEORI
A.1. DEFINISI DIAGNOSA MEDIS
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A.2. EPIDEMIOLOGI KASUS
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A.3. ETIOLOGI
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A.3. TANDA & GEJALA

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A.4. PEMERIKSAAN PENUNJANG & HASILNYA SECARA TEORITIS

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A.4. PENATALAKSANAAN MEDIS

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A.6. PATOFISIOLOGI / PATHWAY
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B. ASUHAN KEPERAWATAN
B.1. DAFTAR DX KEPERAWATAN YG MUNGKIN MUNCUL PADA KASUS(Minimal 3
diagnosis Keperawatan) & DEFINISI MASALAH KEPERAWATAN SECARA TEORITIS
(Lihat buku saku diagnosa NANDA)

1) Diagnosis Keperawatan : ___________________________________________________

Definisi : ________________________________________________________________
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DS & DO Yg mendukung :___________________________________________________
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Tujuan : ________________________________________________________________
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Rencana Intervensi :
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2) Diagnosis Keperawatan : ___________________________________________________

Definisi : ________________________________________________________________
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DS & DO Yg mendukung :___________________________________________________
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 Tujuan : ________________________________________________________________
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Rencana Intervensi :
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8._. _____ _______________________________________________________________

3) Diagnosis Keperawatan : ___________________________________________________

Definisi : ________________________________________________________________
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DS & DO Yg mendukung :___________________________________________________
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Tujuan : ________________________________________________________________
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Rencana Intervensi :
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 DAFTAR PUSTAKA

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