Pengkajian Anak
Pengkajian Anak
TanggalPengkajian :
I. KELUHAN UTAMA
a. Keluhan Masuk Rumah Sakit
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b. Keluhan Saat ini
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II. RIWAYAT KESEHATAN
a. Riwayat penyakit sekarang:
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b. Riwayat penyakit dahulu
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Penjelasan:
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V. RIWAYAT SOSIAL
1. Sistempendukung/ keluargaterdekat yang dapatdihubungi
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2. Lingkunganrumah
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3. Problem sosial yang penting
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VI. KEADAAN KESEHATAN SAAT INI
1. TindakanOperasi
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2. Status Nutrisi
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3. Status Cairan:
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4. AktivitasAnak
Sebelum Masuk Rumah Sakit:
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Saat Dirawat Di Rumah Sakit:
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VII. PEMERIKSAAN FISIK
1. KeadaanUmum: .........................................................................................................
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2. Kesadaran : .......................................................................................................
- Tanda Vital : .......................................................................................................
- Nadi : x/ menit
- Suhu : °C
- RR : x/ menit
3. Pengkajian Skala Nyeri
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6. THT
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7. Ekstremitas
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8. Toraks
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9. Jantung
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10. Abdomen
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11. Genitalia
Frekuensi BAK: ......................../hari ,Jumlah Urine: ........................ cc
Warna Urine: .............................................................................................................
PenggunaanAlatbantuberkemih: ............................................................................
Kondisi Blast: ............................................................................................................
Tanggaldefekasiterakhir: .........................................................................................
Frekuensi BAB: .........../hari, Konsistensi: ..............., Warna: ......................
PenggunaanAlatbantu (Laksatif): ............................................................................
12. TumbuhKembang
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Lampiran 1. Daftar Obat-Obatan
No Obat Dosis Indikasi
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ANALISIS DATA
Nama Klien : ..............................................
Umur : ..............................................
Ruangan/Kamar : ..............................................
No
Data Penyebab Masalah
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No
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PRIORITAS MASALAH
Nama klien : ..............................................
Umur : ..............................................
Ruangan/kamar : ..............................................
No. RM : ..............................................
Tanggal Paraf
No. Masalah Keperawatan
Ditemukan Teratasi (Nama Perawat)
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RENCANA KEPERAWATAN
Tujuan Dan
No. Diagnosis Keperawatan Intervensi Rasional
Kriteria Hasil
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IMPLEMENTASI KEPERAWATAN DAN CATATAN PERKEMBANGAN
No.
Waktu Waktu
Dx Implementasi TT Evaluasi TT
Tgl/jam Tgl/jam
Kep
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Tgl/jam Tgl/jam
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Tgl/jam Tgl/jam
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Tgl/jam Tgl/jam
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Waktu Waktu
Dx Implementasi TT Evaluasi TT
Tgl/jam Tgl/jam
Kep
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No.
Waktu Waktu
Dx Implementasi TT Evaluasi TT
Tgl/jam Tgl/jam
Kep
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No.
Waktu Waktu
Dx Implementasi TT Evaluasi TT
Tgl/jam Tgl/jam
Kep
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