Daftar Diagnosa Keperawatan.docx

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DAFTAR DIAGNOSA KEPERAWATAN NAMA PASIEN UMUR NO REGISTER

:.......................................................... :.......................................................... :..........................................................

NO TANGGAL MUNCUL

DIAGNOSA KEPERAWATAN

TANGGAL TERATASI

TANDA TANGAN

ANALISA DATA NAMA PASIEN UMUR NO REGISTER

:.......................................................... :.......................................................... :..........................................................

DATA SUBJEKTIF DATA OBJEKTIF

FAKTOR YANG BERHUBUNGAN/RESIKO (E)

MASALAH KEPERAWATAN (NANDA)

RENCANA ASUHAN KEPERAWATAN

NAMA PASIEN :.......................................................... UMUR :.......................................................... NO REGISTER :.......................................................... . Diangnosa Keperawatan : .............................................................................................................. 1. NOC:...................................................................................................(kode:......................) a. ...........................................................dipertahankan/ditingkatkan pada......................... b. ...........................................................dipertahankan/ditingkatkan pada......................... c. ...........................................................dipertahankan/ditingkatkan pada......................... d. ...........................................................dipertahankan/ditingkatkan pada......................... e. ...........................................................dipertahankan/ditingkatkan pada......................... f. ...........................................................dipertahankan/ditingkatkan pada......................... g. ...........................................................dipertahankan/ditingkatkan pada......................... h. ...........................................................dipertahankan/ditingkatkan pada......................... i. ...........................................................dipertahankan/ditingkatkan pada......................... j. ...........................................................dipertahankan/ditingkatkan pada......................... k. ...........................................................dipertahankan/ditingkatkan pada......................... 2. NOC:...................................................................................................(kode:......................) a. ...........................................................dipertahankan/ditingkatkan pada......................... b. ...........................................................dipertahankan/ditingkatkan pada......................... c. ...........................................................dipertahankan/ditingkatkan pada......................... d. ...........................................................dipertahankan/ditingkatkan pada......................... e. ...........................................................dipertahankan/ditingkatkan pada......................... f. ...........................................................dipertahankan/ditingkatkan pada......................... g. ...........................................................dipertahankan/ditingkatkan pada......................... h. ...........................................................dipertahankan/ditingkatkan pada......................... i. ...........................................................dipertahankan/ditingkatkan pada......................... j. ...........................................................dipertahankan/ditingkatkan pada......................... k. ...........................................................dipertahankan/ditingkatkan pada......................... 3. NOC:...................................................................................................(kode:......................) a. ...........................................................dipertahankan/ditingkatkan pada......................... b. ...........................................................dipertahankan/ditingkatkan pada......................... c. ...........................................................dipertahankan/ditingkatkan pada......................... d. ...........................................................dipertahankan/ditingkatkan pada......................... e. ...........................................................dipertahankan/ditingkatkan pada......................... f. ...........................................................dipertahankan/ditingkatkan pada......................... g. ...........................................................dipertahankan/ditingkatkan pada......................... h. ...........................................................dipertahankan/ditingkatkan pada......................... i. ...........................................................dipertahankan/ditingkatkan pada......................... j. ...........................................................dipertahankan/ditingkatkan pada......................... k. ...........................................................dipertahankan/ditingkatkan pada.........................

RENCANA ASUHAN KEPERAWATAN NAMA PASIEN :.......................................................... UMUR :.......................................................... NO REGISTER :.......................................................... . Diangnosa Keperawatan : .............................................................................................................. 1. NOC:...................................................................................................(kode:......................) a. ...........................................................dipertahankan/ditingkatkan pada......................... b. ...........................................................dipertahankan/ditingkatkan pada......................... c. ...........................................................dipertahankan/ditingkatkan pada......................... d. ...........................................................dipertahankan/ditingkatkan pada......................... e. ...........................................................dipertahankan/ditingkatkan pada......................... f. ...........................................................dipertahankan/ditingkatkan pada......................... g. ...........................................................dipertahankan/ditingkatkan pada......................... h. ...........................................................dipertahankan/ditingkatkan pada......................... i. ...........................................................dipertahankan/ditingkatkan pada......................... j. ...........................................................dipertahankan/ditingkatkan pada......................... k. ...........................................................dipertahankan/ditingkatkan pada......................... 2. NOC:...................................................................................................(kode:......................) a. ...........................................................dipertahankan/ditingkatkan pada......................... b. ...........................................................dipertahankan/ditingkatkan pada......................... c. ...........................................................dipertahankan/ditingkatkan pada......................... d. ...........................................................dipertahankan/ditingkatkan pada......................... e. ...........................................................dipertahankan/ditingkatkan pada......................... f. ...........................................................dipertahankan/ditingkatkan pada......................... g. ...........................................................dipertahankan/ditingkatkan pada......................... h. ...........................................................dipertahankan/ditingkatkan pada......................... i. ...........................................................dipertahankan/ditingkatkan pada......................... j. ...........................................................dipertahankan/ditingkatkan pada......................... k. ...........................................................dipertahankan/ditingkatkan pada......................... 3. NOC:...................................................................................................(kode:......................) a. ...........................................................dipertahankan/ditingkatkan pada......................... b. ...........................................................dipertahankan/ditingkatkan pada......................... c. ...........................................................dipertahankan/ditingkatkan pada......................... d. ...........................................................dipertahankan/ditingkatkan pada......................... e. ...........................................................dipertahankan/ditingkatkan pada......................... f. ...........................................................dipertahankan/ditingkatkan pada......................... g. ...........................................................dipertahankan/ditingkatkan pada......................... h. ...........................................................dipertahankan/ditingkatkan pada......................... i. ...........................................................dipertahankan/ditingkatkan pada......................... j. ...........................................................dipertahankan/ditingkatkan pada......................... k. ...........................................................dipertahankan/ditingkatkan pada.........................

TINDAKAN KEPERAWATAN NAMA PASIEN UMUR NO REGISTER

:.......................................................... :.......................................................... :..........................................................

NO NO.DX TGL/JAM

TINDAKAN KEPERAWATAN

TANDA TANGAN

CATATAN PERKEMBANGAN NAMA PASIEN UMUR NO REGISTER

:.......................................................... :.......................................................... :..........................................................

NO NO.DX

JAM

EVALUASI

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