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STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN ................................................... ................................................... Nama : ............................................. No RM : ............................................ Umur : ............................................. Tgl MRS : ............................................ Jenis kelamin : ............................................. Dx Medis : ............................................ Ruang : ............................................. Kondisi klien : ................................................................ ................................................................ ................. ................................................................ ................................................................ ................. ................................................................ ................................................................ ................. Alasan masuk panti : ................................................................ ................................................................ ................. ................................................................ ................................................................ ................. .............................................. ................................................................ ...................................

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Page 1: FORMAT SPSK gerontik.docx

STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

......................................................................................................

Nama : ............................................. No RM : ............................................Umur : ............................................. Tgl MRS : ............................................Jenis kelamin : ............................................. Dx Medis : ............................................Ruang : .............................................

Kondisi klien :...................................................................................................................................................................................................................................................................................................................................................................................................................................................

Alasan masuk panti :.................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

Data fokus :.................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

Diagnosa keperawatan (masalah)................................................................................................................................................................................................................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................................................................................

Tujuan khusus : tujuan yang akan dicapai, kriteria hasil................................................................................................................................................................................................................................................................................................................................................................................................................................................... Tindakan keperawatan ...................................................................................................................................................................................................................................................................................................................................................................................................................................................

Page 2: FORMAT SPSK gerontik.docx

STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN

........................................................................................................................................

ORIENTASI- Salam terapeutik :

.................................................................................................................................................

................................................................................................................................................. ................

.................................................................................................................................

.................................................................................................................................................

- Evaluasi/validasi :.................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

- Kontrak Topik : .................................................................................................................................

................................................................................................................................. .................................................................................................................................

Waktu : ..................................................................................................................................................................................................................................................................

Tempat : ..................................................................................................................................................................................................................................................................

KERJA (Langkah-langkah tindakan keperawatan) : komunikasi saat melakukan tindakan

......................................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

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Page 3: FORMAT SPSK gerontik.docx

...................................................................................................................................................... ..............

........................................................................................................................................

TERMINASI- Evaluasi respon klien terhadap tindakan keperawatan

......................................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

......................................................................................................................................................

- Tindak lanjut klien (apa yang perlu dilatih klien sesuai dengan hasil tindakan yang telah dilakukan).................................................................................................................................................................................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................

- Kontrak yang akan datangTopik : .................................................................................................................................

................................................................................................................................. .................................................................................................................................

Waktu : ..................................................................................................................................................................................................................................................................

Tempat : .................................................................................................................................................................................................................................................................

Denpasar, ………………………Pembimbing

(………………………………………..)

Page 4: FORMAT SPSK gerontik.docx

STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

......................................................................................................

Nama : ............................................. No RM : ............................................Umur : ............................................. Tgl MRS : ............................................Jenis kelamin : ............................................. Dx Medis : ............................................Ruang : .............................................

Kondisi klien :.................................................................................................................................................

Alasan masuk panti :.................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

Data fokus :.................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

Diagnosa keperawatan (masalah)..................................................................................................................................................................................................................................................................................................

Page 5: FORMAT SPSK gerontik.docx

................................................................................................................................................. .......

..........................................................................................................................................

.................................................................................................................................................

Tujuan khusus : tujuan yang akan dicapai, kriteria hasil................................................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

Tindakan keperawatan ................................................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................

Denpasar, ………………………Pembimbing

(………………………………………..)

Page 6: FORMAT SPSK gerontik.docx

STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN

........................................................................................................................................

ORIENTASI- Salam terapeutik :

.................................................................................................................................................

................................................................................................................................................. ................

.................................................................................................................................

.................................................................................................................................................

- Evaluasi/validasi :.................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

- Kontrak Topik : .................................................................................................................................

................................................................................................................................. .................................................................................................................................

Waktu : ..................................................................................................................................................................................................................................................................

Tempat : ..................................................................................................................................................................................................................................................................

KERJA (Langkah-langkah tindakan keperawatan) : komunikasi saat melakukan tindakan

......................................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

......................................................................................................................................................

Page 7: FORMAT SPSK gerontik.docx

...................................................................................................................................................... ..............

........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

TERMINASI- Evaluasi respon klien terhadap tindakan keperawatan

......................................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

......................................................................................................................................................

- Tindak lanjut klien (apa yang perlu dilatih klien sesuai dengan hasil tindakan yang telah dilakukan).................................................................................................................................................................................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................

- Kontrak yang akan datangTopik : .................................................................................................................................

................................................................................................................................. .................................................................................................................................

Waktu : ..................................................................................................................................................................................................................................................................

Tempat : .................................................................................................................................................................................................................................................................

Denpasar, ………………………Pembimbing

Page 8: FORMAT SPSK gerontik.docx

STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

......................................................................................................

Nama : ............................................. No RM : ............................................Umur : ............................................. Tgl MRS : ............................................Jenis kelamin : ............................................. Dx Medis : ............................................Ruang : .............................................

Kondisi klien :.................................................................................................................................................

Alasan masuk panti :.................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

Data fokus :.................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

Denpasar, ………………………Pembimbing

Page 9: FORMAT SPSK gerontik.docx

Diagnosa keperawatan (masalah)................................................................................................................................................................................................................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................................................................................

Tujuan khusus : tujuan yang akan dicapai, kriteria hasil................................................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

Tindakan keperawatan ................................................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................. .................................................................................................................................................

Denpasar, ………………………Pembimbing

(………………………………………..)

Page 10: FORMAT SPSK gerontik.docx

STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN

........................................................................................................................................

ORIENTASI- Salam terapeutik :

.................................................................................................................................................

................................................................................................................................................. ................

.................................................................................................................................

.................................................................................................................................................

- Evaluasi/validasi :.................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................

- Kontrak Topik : .................................................................................................................................

................................................................................................................................. .................................................................................................................................

Waktu : ..................................................................................................................................................................................................................................................................

Tempat : ..................................................................................................................................................................................................................................................................

KERJA (Langkah-langkah tindakan keperawatan) : komunikasi saat melakukan tindakan

......................................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

......................................................................................................................................................

Page 11: FORMAT SPSK gerontik.docx

...................................................................................................................................................... ..............

........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ..............

........................................................................................................................................

TERMINASI- Evaluasi respon klien terhadap tindakan keperawatan

......................................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

...................................................................................................................................................... ............

..........................................................................................................................................

......................................................................................................................................................

......................................................................................................................................................

- Tindak lanjut klien (apa yang perlu dilatih klien sesuai dengan hasil tindakan yang telah dilakukan).................................................................................................................................................................................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................

- Kontrak yang akan datangTopik : .................................................................................................................................

................................................................................................................................. .................................................................................................................................

Waktu : ..................................................................................................................................................................................................................................................................

Tempat : .................................................................................................................................................................................................................................................................

Denpasar, ………………………Pembimbing

Page 12: FORMAT SPSK gerontik.docx

Denpasar, ………………………Pembimbing