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RESUME KEPERAWATAN KESEHATAN JIWA

PUSKESMAS BULULAWANG MALANG

Tanggal : Pukul :
Nama Pasien : Alamat : RT /RW
Data Evaluasi
DS: S:
Pasien: Pasien
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... Keluarga
Keluarga: .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... O:
......................................................................................................... Pasien
DO : .......................................................................................................
Pasien: .......................................................................................................
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......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... Keluarga
......................................................................................................... .......................................................................................................
Keluarga: .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... A:
......................................................................................................... Kognitif :
Diagnosis : .......................................................................................................
1. Halusinasi 4. Isos 7. HDR .......................................................................................................
.......................................................................................................
2. RPK 5. RBD 8. lain-lain
.......................................................................................................
3. DPD 6. Waham ....................
Afektif :
Tindakan Keperawatan : .......................................................................................................
Pasien .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... Psikomotor :
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......................................................................................................... .......................................................................................................
......................................................................................................... P : Tanggal/ Jam :
......................................................................................................... Perawat :
......................................................................................................... .......................................................................................................
Keluarga .......................................................................................................
......................................................................................................... Pasien :
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
......................................................................................................... Keluarga :
......................................................................................................... .......................................................................................................
......................................................................................................... .......................................................................................................
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Perawat
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