Lampiran SPTK - PM 1
Lampiran SPTK - PM 1
Pertemuan Ke :
Hari/Tanggal :
Nama Klien :
A. Proses Keperawatan
1. Kondisi Klien
_______________________________________________________________________
_______________________________________________
2. Diagnosa Keperawatan:
_______________________________________
3. Tujuan Khusus
a. _______________________________________________________
b. ____________________________________________________dst
4. Tindakan Keperawatan:
a. _______________________________________________________
b. ____________________________________________________dst
B. Strategi Komunikasi
1. ORIENTASI:
a. Salam terapeutik: ________________________________________
b. Evaluasi/Validasi: _________________________________________
c. Kontrak
Topik : _______________________________________________
Waktu : _______________________________________________
Tempat : _______________________________________________
d. Tujuan : _______________________________________________
2. KERJA:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________
3. TERMINASI
a. Evaluasi
Subyektif: _________________________________________
Obyektif : _________________________________________
b. Rencana Tindak Lanjut: ____________________________________
c. Kontrak
Topik : _______________________________________________
Waktu : _______________________________________________
Tempat : _______________________________________________