LAPORAN RESUME ASUHAN KEPERAWATAN GERONTIK

Resume Asuhan Keperawatan Gerontik pada Lansia .............. dengan ..................................

di .................................................................. tanggal .....................................

A. Identitas Pasien
Nama : ...................................
Umur : ........ tahun
Jenis Kelamin : L/P
No. RM : ......................................
Tgl MRS : ......................................
Dx Medis : ......................................

B. Keadaan umum
1. Keadaan umum
: .................................................................................................
..................
2. TTV (Tanda-tanda Vital) :
a. TD : ........................................................................................
b. Nadi : ........................................................................................
c. RR : ........................................................................................
d. Suhu : ........................................................................................
3. Kesadaran : .....................................................................
a. GCS : ........................................................................................
4. Keluhan Utama : ........................................................................................

C. Data Fokus
1. Data Subyektif :
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2. Data Obyektif :
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D. Diagnosa Keperawatan yang muncul
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E. Intervensi Keperawatan
Diagnosa Tujuan dan
No Intervensi Rasional TTD
Keperawatan Kriteria hasil
F. Implementasi
No Tgl/Jam Diagnosa Implementasi Respon Klien TTD
keperawatan
G. Evaluasi
No Tgl/Jam Diagnosa Evaluasi TTD
Keperawatan