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FORM KUNJUNGAN RUMAH LANSIA RESTI

I. Analisa Data (DO/DS)

No Data Etiologi Problem

II. Daftar Diagnosa Keperawatan Berdasarkan Prioritas


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FORM KUNJUNGAN RUMAH LANSIA RESTI

III. Intervensi Keperawatan

Diagnosa Keperawatan
No NOC NIC
NANDA
FORM KUNJUNGAN RUMAH LANSIA RESTI

IV. Implementasi Keperawatan

No Tgl/Jam Pkl Implementasi Respon Klien Paraf


FORM KUNJUNGAN RUMAH LANSIA RESTI

V. Evaluasi

No Hari/Tgl PKL No. Dx Evaluasi Paraf

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