fomat pengkajian matra dan hiperbarik
TRANSCRIPT
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LAPORAN KASUS
ASUHAN KEPERAWATAN MATRA DAN HIPERBARIK PADA KLIEN
DENGAN DIAGNOSA MEDIS .................................................................
DI ................................................... RUMKITAL Dr. RAMELAN
SURABAYA
Tanggal .............. s/d ..................
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LEMBAR PENGESAHAN
Asuhan keperawatan matra dan hiperbarik terhadap masalah
keperawatan ........................................................................................ di .....................................................
sesuai dengan praktik yang dilaksanakan oleh mahasiswa :
Nam : .....................................................................................................................................................
NIM : .....................................................................................................................................................
Semester : .....................................................................................................................................................
Prodi : .....................................................................................................................................................
Sebagai syarat pemenuhan tugas praktik profesi keperawatan matra dan hiperbarik Program
Profesi Ners STIKES Hangtuah Surabaya yang dilaksanakan tanggal ......................................... telah
disyahkan dan disetujui pada :
Hari : .....................................................................................................................................................Tanggal : .....................................................................................................................................................
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PENGKAJIAN KEPERAWATAN
ASUHAN KEPERAWATAN MATRA DAN HIPERBARIK
STIKES HANG TUAH SURABAYA
PENGKAJIAN
1. Identitas
Nama :
Usia :
Agama :
Pekerjaan :
Pendidikan :
Alamat :
Keluhan Utama :
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b. Neurologis
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c. Pernafasan
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d. Kardiovaskuler
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e. Pencernaan
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..............................................................................................................................................................f. Perkemihan
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4) Kebutuhan Eliminasi........................................................................................................................................................
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5) Interaksi Sosial
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6) Istirahat dan Tidur
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7) Konsep Diri
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ANALISA DATA
No. Data (Symptom) Penyebab (Etiologi) Masalah (Problem)
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RENCANA KEPERAWATAN
No. Penuh / Wholly Sebagian / Partial Suportif / Edukatif
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TINDAKAN KEPERAWATAN DAN CATATAN PERKEMBANGAN
No.Waktu
Tgl/jamTindakan TT
Waktu
Tgl/jam
Catatan Perkembangan
(SOAP)TT
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