x
3 Faktor Presipitasi .......................................................................... 12
4 Pemeriksaan Fisik ........................................................................ 12
5 Psikososial .................................................................................... 13
6 Status Mental ................................................................................ 13
7 Pohon Maslah ............................................................................... 14
8 Diagnosa Keperawatan ................................................................. 14
9 Perencanaan Keperawatan ............................................................ 15
BAB III TINJAUAN KASUS ....................................................................... 22
A Identitas Klien .................................................................................. 22
B Alasan Masuk ...................................................................................22
C Faktor Predisposisi ........................................................................... 22
D Pemeriksaan Fisik ............................................................................ 23
E Psikososial ........................................................................................ 24
F Status Mental .................................................................................... 26
G Kebutahan Persiapan pulang ............................................................ 27
H Mekanisme Koping .......................................................................... 28
I Masalah Psikososial dan Lingkungan ................................................ 28
J Pengetahuan Kurang Terang ............................................................. 29
K Aspek Medik .................................................................................... 29
L Analisa Data ..................................................................................... 29
M Pohon Masalah ................................................................................ 30
N Daftar Diagnosa Keperawatan ......................................................... 30
O Rencana Keperawatan ...................................................................... 40
P Catatan perkembangan....................................................................... 41
BAB IV PEMBAHASAN .............................................................................. 47
A Pengkajian Keperawatan .................................................................. 47
B Diagnosa Keperawatan ..................................................................... 48
C Rencana Keperawatan ..................................................................... 49
D Implementasi .................................................................................... 49
E Evaluasi Keperawatan ...................................................................... 50
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BAB V PENUTUP ......................................................................................... 52
A Kesimpulan ...................................................................................... 52
B Saran ................................................................................................. 53
DAFTAR PUSTAKA ..................................................................................... xviii
xii
DAFTAR GAMBAR
xiv
DAFTAR TABEL
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DAFTAR SINGKATAN
BB : Berat Badan
BAB : Buang Air Besar
BAK : Buang Air Kecil
Cm : Centimeter
Dll : Dan Lain-lain
F 20.5 : Skizofrenia Residual
Kg : Kilogram
KP3L :Kesatuan Pelaksanaan Pengamanan Pelabuhan Laut
Mg : Miligram
mmHg : Milimeter Hidrogerum
mnt : Menit
ND : Nadi
No.RM : Nomor Rkam Medis
Pkl : Pukul
RR : Respirasi
RSJ : Rumah Sakit Jiwa
SB : Suhu Badan
SP : Strategi Pelaksanaan
SP1K : Strategi Pelaksanaan 1 Keluarga
SP1P : Strategi Pelaksanaan 1 Pasien
SP2K : Strategi Pelaksanaan 2 Keluarga
SP2P : Strategi Pelaksanaan 2 Pasien
SP3K : Strategi Pelaksanan 3 Keluarga
SP3P : Strategi Pelaksanaan 3 Pasien
SOAP : Subyektif, Obyektif, Analisis, Perencanaan
TAK : Terapi Akrivitas Kelompok
TB : Tinggi Badan
TD : Tekanan Darah
Th : Tahun
TTV : Tanda-tanda Vital
TUK : Tujuan Khusus
TUM : Tujuan Umum
WHO : World Health Organization
WIT : Waktu Indonesia Timur
BHSP : Bina Hubungan Saling Percaya
xvi