STRATEGI PELAKSANAAN

TINDAKAN KEPERAWATAN
SP ………………………………………….
Pertemuan ………….
Tanggal…………………………

Pertemuan :
Hari/ Tanggal :
Nama Klien (Inisial) :
Ruangan :

A. Proses Keperawatan
1. Kondisi Klien :
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2. Diagnosa Keperawatan :

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3. Tujuan Khusus :

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4. Tindakan Keperawatan :

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B. Strategi Komunikasi
1. Orientasi
a. Salam
terapeutik : ............................................................................................................................
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b.
Evaluasi/validasi : .................................................................................................................
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c. Kontrak (topik, waktu dan tempat)

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d.
Tujuan : .................................................................................................................................
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2. Kerja (menjabarkan langkah-langkah tindakan keperawatan secara operasional)

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3. Terminasi
a. Evaluasi (respon klien terhadap tindakan keperawatan)
1) Evaluasi Subyektif
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2) .....................................................................................................................
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3) Evaluasi Obyektif
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4) .....................................................................................................................
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b. Rencana tindak lanjut (yang perlu dilatih klien sesuai hasil tindakan yang dilakukan)
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c. Kontrak yang akan datang ((topik, waktu dan tempat)

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