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jiwaTRANSCRIPT
ASUHAN KEPERAWATAN
KEGAWAT DARURATAN PSIKIATRIA. Identitas
Nama klien
: ............................................................... Jenis kelamin
: ............................................................... Umur
: ............................................................... Alamat
: ............................................................... No RM
: ............................................................... Tanggal Masuk
: ............................................................... Nama Penanggung Jawab: ............................................................... Alamat Penanggung Jawab: ............................................................... Hubungan dengan klien: ...............................................................B. Riwayat Penyakit
1. Alasan Masuk................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................2. Riwayat Penyakit
Riwayat penyakit sebelum ................................................................................................................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Riwayat penyakit sesudah ................................................................................................................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................C. Diagnosis Medis Axis I
:.. Axis II
:. Axis III
:. Axis IV
:. Axis V
:.D. Therapi................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................E. Tahap Penanganan
1. Tahap Penanganan:
2. Skor
: 3. Tujuan Penanganan: .
4. Prinsip Penanganan 5. Hal yang dievaluasi: F. Status Mental
1. Persepsi sensori: 2. Proses berpikir: 3. Isi Pikir
: 4. Alam perasaan
: 5. Afek
: 6. Tingkat kesadaran: 7. Daya tarik diri
: G. Psikomotorik
1. Aktivitas
: 2. Pembicaraan
: 3. Interaksi wawancara: 4. Penampilan
: 5. Pola Nutrisi
: 6. Pola Tidur
: H. Analisa Data
DataMasalah Keperawatan
..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
I. Diagnosa Keperawatan1. ........................................................................................................................................... ...........................................................................................................................................2. ........................................................................................................................................... ...........................................................................................................................................3. ........................................................................................................................................... ...........................................................................................................................................4. ........................................................................................................................................... ...........................................................................................................................................J. Rencana dan Intervensi Keperawatan................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................K. Implementasi dan Evaluasi
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