LAPORAN KASUS

PRAKTIK KLINIK KEPERAWATAN KELUARGA

ASUHAN KEPERAWATAN KELUARGA NY. S DENGAN VERTIGO DIPUSKESMAS

PASAR IKAN BENGKULU TAHUN 2022

Disusun Oleh :
Nama : Serli Febriani Simamora
Nim : P0 5120220079

Pembimbing Pendidikan Pembimbing Lahan

( ) ( )

KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

POLITEKNIK KESEHATAN KEMENTRIAN KESEHATAN BENGKULU
JURUSAN KEPERAWATAN PROGRAM STUDI DIPLOMA III KEPERAWATAN TA
2022/2023
 LAPORAN PENDAHULUAN
PRAKTIK KLINIK KEPERAWATAN KELUARGA

ASUHAN KEPERAWATAN KELUARGA DENGAN VERTIGO DIPUSKESMAS

PASAR IKAN BENGKULU TAHUN 2022

Disusun Oleh :
Nama : Serli Febriani Simamora
Nim : P0 5120220079

Pembimbing Lahan Pembimbing Pendidikan

( ) ( )

KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

POLITEKNIK KESEHATAN KEMENTRIAN KESEHATAN BENGKULU
JURUSAN KEPERAWATAN PROGRAM STUDI DIPLOMA III KEPERAWATAN TA
2022/2023
 FORMAT ASKEP KELUARGA
PRAKTEK KEPERAWATAN KELUARGA MAHASISWA PRODI STr KEPERAWATAN JURUSAN
KEPERAWATAN POLTEKKES KEMENKES BENGKULU TA. 2021/2022

I. DATA UMUM

1. Nama Kepala Keluarga : ........................................................................................................

2. Alamat dan telepon : .........................................................................................................
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3. Pekerjaan kepala keluarga : .........................................................................................................
4. Pendidikan Kepala Keluarga : .........................................................................................................
5. Komposisi Keluarga : .........................................................................................................

No Nama JK Hubungan Umur Pnddk Status Imunisasi KET

Dgn Kepala
Keluarga
BCG Polio DPT Hepatitis Campak
1 2 3 4 1 2 3 1 2 3

Genogram (tiga generasi) :

 6. Tipe Keluarga :
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7. Suku Bangsa :
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8. Agama :
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9. Status Sosial Ekonomi :

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10. Aktifitas Rekreasi Keluarga :

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II. RIWAYAT TAHAP PERKEMBANGAN KELUARGA

11. Tahap Perkembangan Keluarga saat ini :

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12. Tahap Perkembangan Keluarga yang belum Terpenuhi :

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13. Riwayat Keluarga Inti :

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 14. Riwayat keluarga sebelumnya :
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III. LINGKUNGAN
15. Karakteristik Rumah :
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Denah Rumah :

16. Karakteristik tetangga dan Komunitas RW :

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17. Mobilitas Geografis Keluarga :

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18. Perkumpulan Keluarga dan Interaksi dengan masyarakat :

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19. Sistem Pendukung Keluarga :

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IV. STRTUKTUR KELUARGA
20. Pola Komunikasi Keluarga :
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21. Struktur Kekuatan Keluarga :

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22. Struktur Peran Formal dan Informal :

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23. Nilai dan Norma dalam Keluarga :

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V. FUNGSI KELUARGA
24. Fungsi Afektif :
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25. Fungsi Sosial

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26. Fungsi Perawatan Keluarga :

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27. Fungsi Reproduksi :

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 28. Fungsi Ekonomi :
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VI. STRES DAN KOPING KELUARGA

29. Stresor jangka pendek dan Panjang :
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30. Kemampuan keluarga Berespon terhadap situasi / stresor :

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31. Strategi Koping yang Digunakan :

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32. Strategi Adaptasi Disfungsional :

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VII. PEMERIKSAAN FISIK ( HEAD TO TOE ) ( Dikaji pada setiap anggota keluarga )
NO VARIABEL NAMA ANGGOTA KELUARGA

Tn. Ny. An. An.

1 Riwayat penyakit saat ini
2 Keluhan yang dirasakan

3 Riwayat penyakit
sebelumnya

4 Tanda-tanda vital

5 Kepala

6 Leher

7 Thoraks

8 Abdomen

9 Esktremitas
 10 Kulit

11 Genetalia

VIII. HARAPAN KELUARGA

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IX. ANALISIS DATA

No DATA ETIOLOGI MASALAH

Data Subjektif :

Data Objektif :

Data Subjektif :

Data Objektif :

Data Subjektif :

Data Objektif :
X. PRIORITAS MASALAH
DX. I . …………………………………………………………………………………………….

No Kriteria Skor Bobot Pembenaran

1 Sifat Masalah 1
Skala : Tidak / Kurang Sehat 3
Ancaman Kesehatan 2
Keadaaan Sejahtera 1

2 Kemungkinan Masalah dapat diubah 2

Skala : Mudah 2
Sebagian 1
Tidak dapat 0

3 Potensial Masalah Untuk dicegah 1

Skala : Tinggi 3
Cukup 2
Rendah 1
4 Menonjolnya Masalah 1
Skala : Masalah Berat harus segera di tangani 2
Adanya Masalah tetapi tidak perlu ditangani 1
Masalah Tidak Dirasakan : 0
Jumlah

Dx 2. . ………………………………………………………………………………………………….

No Kriteria Skor Bobot Pembenaran

1 Sifat Masalah 1
Skala : Tidak / Kurang Sehat 3
Ancaman Kesehatan 2
Keadaaan Sejahtera 1

2 Kemungkinan Masalah dapat diubah 2

Skala : Mudah 2
Sebagian 1
Tidak dapat 0

3 Potensial Masalah Untuk dicegah 1

Skala : Tinggi 3
Cukup 2
Rendah 1

4 Menonjolnya Masalah 1
Skala : Masalah Berat harus segera di tangani 2
Adanya Masalah tetapi tidak perlu ditangani 1
Masalah Tidak Dirasakan : 0

Jumlah

XI. DIAGNOSA KEPERAWATAN SESUAI PRIORITAS

1. ……………………………………………………………………………………………
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