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  • Resume Asuhan Keperawatan Anak A. Identitas Pasien

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    Silvia Silvia
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    Dokumen tersebut merupakan resume asuhan keperawatan anak yang mencakup identitas pasien, data fokus meliputi gejala dan keluhan utama, riwayat penyakit, terapi medis, data penunjang, analisis masalah keperawatan, diagnosa keperawatan, rencana tindakan keperawatan, serta catatan perkembangan pasien.

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    Dokumen tersebut merupakan resume asuhan keperawatan anak yang mencakup identitas pasien, data fokus meliputi gejala dan keluhan utama, riwayat penyakit, terapi medis, data penunjang, analisis masalah keperawatan, diagnosa keperawatan, rencana tindakan keperawatan, serta catatan perkembangan pasien.

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    21 tayangan13 halaman

    Resume Asuhan Keperawatan Anak A. Identitas Pasien

    Diunggah oleh

    Silvia Silvia
    Dokumen tersebut merupakan resume asuhan keperawatan anak yang mencakup identitas pasien, data fokus meliputi gejala dan keluhan utama, riwayat penyakit, terapi medis, data penunjang, analisis masalah keperawatan, diagnosa keperawatan, rencana tindakan keperawatan, serta catatan perkembangan pasien.

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    Tandai sebagai konten tidak pantas
    dari 13

    RESUME ASUHAN KEPERAWATAN ANAK

    A. Identitas Pasien
    Nama Pasien : ...............................................................................
    No RM : ..............................................................................
    Tempat Tanggal Lahir : ..............................................................................
    Umur : ..............................................................................
    Agama : .............................................................................
    Alamat : .............................................................................
    Jenis Kelamin : .............................................................................
    Diagnosa Medis : .............................................................................
    Tanggal Pengkajian : .............................................................................
    Nama Penanggujawab : ..............................................................................
    Hubungan dengan pasien : ..........................................................................

    B. Data Fokus
    DS : ......................................................................................................
    .........................................................................................................................
    .........................................................................................................................
    .........................................................................................................................
    ........................................................................................................................
    ........................................................................................................................
    DO : .....................................................................................................
    ........................................................................................................................
    ........................................................................................................................
    ........................................................................................................................
    ........................................................................................................................
    ........................................................................................................................
    Riwayat Penyakit Sekarang: ...........................................................................
    ..........................................................................................................................
    .........................................................................................................................
    .........................................................................................................................
    .........................................................................................................................
    ........................................................................................................................
    Riwayat Penyakit Dahulu :...............................................................................
    .........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    .........................................................................................................................
    ........................................................................
    C. Terapi Medis
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................

    D. Data Penunjang
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    ..........................................................................................................................
    E. Analisa Data
    No Data Masalah Penyebab
    F. Diagnosa Keperawatan
    ...................................................................................................................
    ...................................................................................................................
    ...................................................................................................................
    ...................................................................................................................
    RENCANA ASUHAN KEPERAWATAN
    (Nursing Care Plan)

    HARI/ DIAGNOSA
    TUJUAN INTERVENSI RASIONAL
    TGL KEPERAWATAN
    CATATAN PERKEMBANGAN

    Nama Pasien : .............................................. No. RM : ............................................


    Umur : .............................................. Dx Medis : ............................................

    Dx. TTD /
    Hari/Tgl Jam Implementasi Evaluasi TTD/
    Keperawatan Nama
    Nama

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