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P. 1
Format Pengkajian

Format Pengkajian

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Published by Tatat Permana

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Published by: Tatat Permana on Apr 18, 2010
Copyright:Attribution Non-commercial

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12/16/2012

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ASUHAN KEPERAWATAN
PASIEN DENGANI.
 
PENGKAJIANA.
 
Identitas pasien
y
 
Nama :
y
 
Jenis kelamin :
y
 
U
mur :
y
 
Agama :
y
 
S
uku bangsa :
y
 
Pendidikan :
y
 
Pekerjaan :
y
 
T
gl masuk R
S
:
y
 
No register :
y
 
D
iagnose medis :
y
 
T
anggal operasi :
y
 
T
anggal pengkajian :B.
 
Riwayat keperawatan1). Keluhan utama :2). Riwayat kesehatan sekarang :3). Riwayat kesehatan sekarang :
 
 C.
 
Pola kebiasaan/A
DL
 Aktivitas
D
i Rumah
D
i R
S
 Pola NutrisiPola eliminasiPola istirahat & tidurPersonal hygiene
D
.
 
Pemeriksaan fisik1)
 
Keadaan
U
mum :-
 
Kesadaran :-
 
Penampilan :-
 
TTV
 *
TD
: R :* N :
S
:-
 
BB :-
 
T
B :2)
 
S
ystem pernafasan :3)
 
S
ystem kardiovaskuler :
 
4
)
 
S
ystem pencernaan :5)
 
S
ystem perkemihan :6)
 
S
ystem musculoskeletal :7)
 
S
ystem integumen :E.
 
Pemeriksaan penunjangF.
 
Riwayat pengobatan

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