STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

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No RM : ................................................................................
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Hari ke-/Pertemuan ke- : ................................................................................

A.PROSES KEPERAWATAN
1. Kondisi Klien
(Gambarkan kondisi klien saat terakhir bertemu, baik DS maupun DO)
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2. Diagnosa Keperawatan
(tulis diagnosa keperawatan yang akan diatasi pada pertemuan ini berdasarkan data di atas, tulis
diagnosa ke berapa)
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3. Tujuan
(tuliskan tujuan khusus dan kriteria hasil yang akan dicapai pada pertemuan ini sesuai diagnosa
di atas, tulis tujuan khusus ke berapa)
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4. Tindakan Keperawatan
(tuliskan tindakan keperawatan secara teoritis dari tujuan keperawatan di atas)
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B.STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN
(penjabaran dari semua tindakan keperawatan, buat dalam kalimat langsung)

a. Fase Orientasi
1. Salam Terapeutik
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2. Evaluasi/validasi
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3. Kontrak
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4. Tujuan
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b. Fase Kerja
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c. Fase Terminasi
1. Evaluasi respon klien terhadap tindakan keperawatan
Evaluasi Subjektif
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Evaluasi Objektif
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2. Rencana tintak lanjut

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3. Kontrak yang akan datang

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