Halaman
LEMBAR JUDUL
LEMBAR PENGESAHAN
KATA PENGANTAR...............................................................................................i
DAFTAR ISI............................................................................................................iv
DAFTAR TABEL....................................................................................................vii
DAFTAR SKEMA..................................................................................................viii
BAB I PENDAHULUAN.........................................................................................1
A. Latar Belakang........................................................................................1
B. Tujuan.....................................................................................................4
C. Metode Penulisan....................................................................................5
D. Sistematika Penulisan..............................................................................6
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BAB III TINJAUAN KASUS DAN PEMBAHASAN...........................................31
I. Pengkajian..................................................................................................31
a. Biodata.............................................................................................31
1) Identitas klien.............................................................................31
2) Identitas penanggung jawab.......................................................32
II. Alasan Masuk Rumah Sakit.......................................................................32
III. Faktor Presdiposisi.....................................................................................33
IV. Fisik. ..........................................................................................................34
V. Psikososial..................................................................................................34
1. Genogram.........................................................................................34
2. Konsep diri.......................................................................................35
3. Hubungan sosial(di rumah dan di rumah sakit)...............................36
4. Spiritual............................................................................................37
VI. Status Mental..............................................................................................37
1. Penampilan.......................................................................................37
2. Pembicaraan.....................................................................................38
3. Aktivitas motorik.............................................................................38
4. Alam perasaan..................................................................................38
5. Afek..................................................................................................38
6. Interaksi selama wawancara.............................................................38
7. Persepsi............................................................................................39
8. Isi pikir.............................................................................................39
9. Waham.............................................................................................39
10. Proses pikir.......................................................................................39
11. Tingkat kesadaran............................................................................39
12. Memori.............................................................................................40
13. Tingkat konsentrasi dan berhitung...................................................40
14. Kemampuan penilaian......................................................................40
15. Daya tilik diri...................................................................................41
VII. Kebutuhan Persiapan Pulang.....................................................................41
1. Makan...............................................................................................41
2. BAB/ BAK.......................................................................................41
3. Mandi...............................................................................................41
4. Berpakaian/ Berhias.........................................................................42
5. Istirahat tidur....................................................................................42
6. Penggunaan obat..............................................................................42
7. Pemeliharaan kesehatan...................................................................42
8. Kegiatan di dalam rumah.................................................................43
9. Kegiatan di luar rumah.....................................................................43
VIII. Mekanisme Koping...................................................................................43
IX. Masalah Psikososial Dan Lingkungan.......................................................43
X. Aspek Medik..............................................................................................44
XI. Kurang Pengetahuan Tentang....................................................................45
XII. Daftar Masalah Keperawatan.....................................................................45
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XIII.Diagnosa Keperawatan..............................................................................46
B. Analisa Data.................................................................................................46
C. Perencanaan Asuhan Keperawatan .............................................................48
D. Implemantasi dan Evaluasi Formatif...........................................................57
E. Evaluasi Somatif(Catatan Perkembangan) ..................................................71
BAB IV PEMBAHASAN........................................................................................74
1. Pengkajian ...................................................................................................74
2. Diagnosa Keperawatan.................................................................................76
3. Perencanaan..................................................................................................77
4. Implementasi................................................................................................79
5. Evaluasi........................................................................................................80
BAB V KESIMPULAN..........................................................................................81
A. Kesimpulan..................................................................................................81
1. Pengkajian..............................................................................................81
2. Diagnosa Keperawatan...........................................................................81
3. Perencanaan Keperawatan......................................................................82
4. Implementasi..........................................................................................83
5. Evaluasi .................................................................................................83
B. Saran.............................................................................................................84
DAFTAR PUSTAKA
LAMPIRAN
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