Format Proses Asuhan Keperawatan CMHN Masalah Psikososial

1. Identitas
Nama Klien :
Umur :
Jenis kelamin :
Alamat :
Nama Puskesmas :
No.RM :
Perawat CMHN :

2. Pengkajian
A. Data subyektif :
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
............................................................

B. Data obyektif :
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
............................................................

3. Diagnosa keperawatan :
4. Tindakan keperawatan :
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
............................................................

5. Evaluasi :
S :
O :
A :
P :

Hari/ tanggal:

Nama Perawat:

Tanda tangan:
 Format Proses Asuhan Keperawatan CMHN Sehat Jiwa

A. Identitas
1. Nama :
2. Usia :
3. Jenis kelamin :
4. Alamat :

B. Perkembangan Psikososial:
Uraiakan karakteristik perilaku yang diperlihatkan oleh klien sesuai
dengan tahap usianya (ibu hamil, bayi, kanak-kanak, pra sekolah, sekolah,
remaja, dewasa, dan lanjut usia).

C. Diagnosa keperawatan :

D. Tindakan keperawatan :

E. Evaluasi :
S:
O :
A:
P:

Hari/ tanggal:

Nama Perawat:

Tanda tangan:
 DAFTAR NAMA KELOMPOK VI A

KELOMPOK 1 KELOMPOK 2 KELOMPOK 3

1. Nurkhalid Hashabi 1. Rahayu Putri 1. Cindy Rahmasari
2. Mayang Andrita Putri 2. Necha Dwitama 2. Resty Muhirdalia
3. Fitria Wezi 3. Lidia Purmasari 3. Fiola Raflita Dewi
4. Fadhilla Asnur Al-Humaira 4. Vallia Rizki 4. Restya Chatrin
5. Agung Siswandi 5. Wike Purmala Sari 5. Reza Budi Minandha
6. Putri Oktavia 6. Heni 6. Mira Rahmayuni
7. Indri Okmariza 7. Sifa Urrohmah 7. Fatiha tasya alana
8. Nova Fitriani Saogo 8. Novita Irmawati 8. Adella Oktavia Arista
9. Nana Aulia Chanza 9. Muhammad Havisd P 9. Chris Topher
10. Aulia Manda Pratiwi 10. Dela Arya Masitah 10. Islami Fikri
11. Ella Seftia Andhal Safitri 11. Gatot 11. Tari Syafitri
12. Chelsea Izda Safitri 12. Zara Zettira ZR 12. Messi Ratna Sari
13. Rahmadana Syafli 13. Riza Andriani Fitri 13. Armela Oktavia
14. Ladysri Nalurind 14. Susi Nurah Mita 14. Dicky Seprian
15. Shinta nengsih 15. Sindy Lidya 15. Jhody Okta Saputra
16. Nadya Yovia Arianti 16. Yandranil Satrika
Ns. Amelia Susanti, Ns. Diana Arianti, M.Kep. Ns. Tomi Jepisa, M.Kep.
M.Kep.,Sp.Kep.J

Padang, Juli 2020

Koord. MK CMHN

Ns. Amelia Susanti, M.Kep.,Sp.Kep.J

 DAFTAR NAMA KELOMPOK VI B

KELOMPOK 1 KELOMPOK 2 KELOMPOK 3

1. Rafika Afriyanti 1. Ayuli Warni 1. Rina
2. Rahmah Elmunawwirah 2. Cyntia Iswari 2. Riri Arika Putri
3. Restia Afrizah 3. Dera Murni 3. Rizka Johana Sari
4. Rian Antoni 4. Elsa Shintia Paramitha 4. Ronaldo
5. Rila Driani 5. Febria Dena Putri 5. Selvi Radiatul Mardiah
6. Riva Akva Wahyuni 6. Gita Reviliai 6. Shonia Puji Andika
7. Rosfika Ira Merliana 7. Melati Ananda 7. Sinta Gusmi Dahlia
8. Sentia Widia Putri 8. Indah Mayang Sari 8. Sri Rahmi Amerisa
9. Silvia Anggraini 9. Liza Anggraini 9. Ummiyati Latifa
10. Somia Pratama 10. Mifta Fadhilla 10. Vindia Gusti Vinanda
11. Cici Nova Runia 11. Muhamad Fiqhy 11. Winda Rahmat Armanda
12. Tania Fadhira 12. Vivi Andriani 12. Wirosevel
13. Utari Luxminisa 13. Novia Melta Sari 13. Yolanda Dwi Putri
14. Qistina Bazla 14. Putri Larassati 14. Wulan Permata Putri
15. Adinda Oktaviana 15. Rahma Tiana Putri 15. Baiq Maziza Adawiach Mandala
16. Afriyanti 16. Ratih Indah 16. Cindy Novrita Malkam
17. Andri 17. Permata Sari 17. 17.Muhammad Al-Chafiqi
18. Ridia Yuliasti
Ns. Diana Arianti, M.Kep. Ns. Tomi Jepisa, M.Kep. Ns. Amelia Susanti, M.Kep.,Sp.Kep.J

Padang, Juli 2020

Koord. MK CMHN

Ns. Amelia Susanti, M.Kep.,Sp.Kep.J