Format Longcase.docx

  • Uploaded by: normansyah emyuu
  • 0
  • 0
  • April 2020
  • PDF

This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA


Overview

Download & View Format Longcase.docx as PDF for free.

More details

  • Words: 226
  • Pages: 5
ASUHAN KEPERAWATAN LONG CASE & MINI CEX RUMAH SAKIT UMUM DAERAH ULIN BANJARMASIN DI RUANG DAHLIA (PARU)

Nama Mahasiswa

: Nahdiah, S. Kep

NPM

: 1614901210744

Ruang

: Dahlia (Paru)

CI

CT

Nama Klien

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

Umur/ tgl lahir

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

Diagnosa Medis

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

Tanggal Pengkajian

: Jum’at, 19 Januari 2018

Riwayat keluahan saat pengkajian

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

.................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... DATA FOKUS: a. Data Subjektif ............................................................................................................................. ............................................................................................................................. ............................................................................................................................. ............................................................................................................................. ............................................................................................................................. ............................................................................................................................. ............................................................................................................................. b. Data Objektif ............................................................................................................................. ............................................................................................................................. .............................................................................................................................

............................................................................................................................. ............................................................................................................................. ............................................................................................................................. .............................................................................................................................  Inspeksi ........................................................................................................................ ........................................................................................................................ ........................................................................................................................  Palpasi ........................................................................................................................ ........................................................................................................................ ........................................................................................................................  Perkusi ........................................................................................................................ ........................................................................................................................ ........................................................................................................................  Auskultasi ........................................................................................................................ ........................................................................................................................ ........................................................................................................................

ANALISA DATA : DATA Data Subjektif: ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... Data Objektif: ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... ...........................................................................

PROBLEM

ETIOLOGI

PROSES ASUHAN KEPERAWATAN (INTERVENSI, IMPLEMENTASI DAN EVALUASI) Diagnosa Keperawatan

NOC

NIC

Implementasi

Evaluasi

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

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

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

S:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

O:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

A:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

P: .....................................................................

Related Documents

Format
October 2019 65
Format
July 2020 39
Format
May 2020 46
Format
November 2019 63
Format
November 2019 67
Format
June 2020 40

More Documents from ""