LAPORAN RESUME ASUHAN KEPERAWATAN

RESUME ASUHAN KEPERAWATAN GERONTIK PADA LANSIA...........

DENGAN .........................DI.......................................................
TANGGAL..............................................

A. Identitas Pasien
Nama :..........................................................................................
Umur :..........................................................................................
Jenis kelamin :..........................................................................................
No. RM :..........................................................................................
Tgl. MRS :..........................................................................................
DX. Medis :..........................................................................................

B. Keadaan Umum
Keadaan Umum :..............................................................................
TTV : TD :..............................................................................
Nadi :..............................................................................
Suhu :..............................................................................
RR :..............................................................................
Kesadaran :..............................................................................
GCS :..............................................................................
Keluhan Utama :..............................................................................

C. Data Fokus
Data Subyektif :..........................................................................................
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 Data Obyektif :..........................................................................................
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D. Diagnosa Keperawatan
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 I. RENCANA KEPERAWATAN

No Nama/
NO Tujuan dan KH Intervensi Rasional
Dx. TTD
 II. IMPLEMENTASI
No Nama/
No Tgl/Jam Implementasi Respon Klien
Dx TTD
III. EVALUASI
 Nama/
No Tgl/Jam No Dx Evaluasi
TTD