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FORMAT KASUS RESUME

1. Identitas Klien:

Nama/inisial :
Umur :
L/P :
Alamat :
Tempat Perawatan :
Tanggal dirawat :
Tanggal Pengkajian :

2. Pengkajian data fokus

Data subyektif:
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Data obyektif:
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3. Masalah keperawatan
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4. Rencana tindakan keperawatan ( untuk masalah keperawatan utama)

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5. Implementasi dan evaluasi
Tanggal/ Masalah kep. Implementasi Evaluasi
pukul

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