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STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN KONDISI KLIEN……………………….……………………………………….. DIAGNOSA KEPERAWATAN :.....…………………..............................…………… TUJUAN KHUSUS : 1…………………………………………......................................................... 2………………………………………........................................................…. TINDAKAN KEPERAWATAN : 1……………………………………………...………..................................... 2……………………………………………...…….....................................… 3……………………………………….....................................……………… ORIENTASI 1. SALAM TERAPEUTIK ………………………………………………………..................................……… 2. EVALUASI/VALIDASI ...…………………………………………………………….................................. 3. KONTRAK TOPIK : ...…………………………………………………................................... WAKTU…………………………………………………….................................... TEMPAT……………………………………………………….............................. KERJA (Penerapan langkah langkah tindakan keperawatan) 1………………………………………………………........................................… 2………..………………………………………………......................................... 3…………………………………………………………………………dst. TERMINASI 1. EVALUASI RESPON KLIEN TERHADAP TINDAKAN KEPERAWATAN EVALUASI PASIEN (subyektif) EVALUASI PERAWAT (obyektif setelah reinforcement) 2. TINDAK LANJUT KLIEN (apa yang perlu dilatih klien sesuai dengan hasil tindakan yang telah di lakukan) 3. KONTRAK YANG AKAN DATANG TOPIK : ……………………………………………………...… WAKTU :………………………………………………………… TEMPAT :…………………………………………………….……

LAPORAN PENDAHULUAN

I. KASUS II. PROSES TERJADINYA MASALAH

III. A. POHON MASALAH B. MASALAH KEPERAWATAN DAN DATA YANG PERLU DIKAJI IV. DIAGNOSA KEPERAWATAN V. RENCANA TINDAKAN KEPERAWATAN

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