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Format Pengkajian Keperawatan Keluarga

Format Pengkajian Keperawatan Keluarga

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Published by Anisa Rooses

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Published by: Anisa Rooses on Dec 25, 2010
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06/27/2013

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FORMAT PENGKAJIANASUHAN KEPERAWATAN KELUARGASTIKES HANG TUAH SURABAYA
A. PENGKAJIAN (TANGGAL : ..................................)I. Data Umum1. Nama kepala keluarga : ......................................................................................................2. Alamat dan telepon : ......................................................................................................3. Pekerjaan KK : ......................................................................................................4. Pendidikan KK : ......................................................................................................5. Komposisi keluarga : ...................................................................................................... No. NamaJeniskelHubkel – KK Umur DiStatus imunisasiKetPolio DPT Hepatitis CampaGenogram :1. Tipe keluarga : ......................................................................................................2. Suku bangsa : ......................................................................................................3. Agama : ......................................................................................................4. Status sosial ekonomi : ......................................................................................................5. Aktivitas rekreasi keluarga
 
..........................................................................................................................................................................................................................................................................................II. Riwayat Dan Tahap Perkembangan Keluarga1. Tahap perkembangan keluarga saat ini................................................................................................................................................................................................................................................................................................................................................................................................................................................2. Tugas perkembangan keluarga yang belum terpenuhi................................................................................................................................................................................................................................................................................................................................................................................................................................................3. Riwayat kesehatan keluarga inti................................................................................................................................................................................................................................................................................................................................................................................................................................................4. Riwayat kesehatan keluarga sebelumnya................................................................................................................................................................................................................................................................................................................................................................................................................................................III. Data Lingkungan1. Karakteristik rumahDenah rumah2. Karakteristik tetangga dan komunitasnya................................................................................................................................................................................................................................................................................................................................................................................................................................................3. Mobilitas geografis keluarga................................................................................................................................................................................................................................................................................................................................................................................................................................................4. Perkumpulan keluarga dan interaksi dengan masyarakat................................................................................................................................................................................................................................................................................................................................................................................................................................................5. Sistem pendukung keluarga
 
................................................................................................................................................................................................................................................................................................................................................................................................................................................IV. Struktur Keluarga1. Struktur peran................................................................................................................................................................................................................................................................................................................................................................................................................................................2. Pola komunikasi keluarga................................................................................................................................................................................................................................................................................................................................................................................................................................................3. Struktur kekuatan keluarga................................................................................................................................................................................................................................................................................................................................................................................................................................................V. Fungsi Keluarga1. Fungsi ekonomi................................................................................................................................................................................................................................................................................................................................................................................................................................................2. Fungsi mendapatkan status sosial................................................................................................................................................................................................................................................................................................................................................................................................................................................3. Fungsi pendidikan................................................................................................................................................................................................................................................................................................................................................................................................................................................4. Fungsi sosialisasi................................................................................................................................................................................................................................................................................................................................................................................................................................................5. Fungsi pemenuhan (perawatan/pemeliharaan) kesehatana. Mengenal masalah keluarga.............................................................................................................................................................................................................................................................................................................................................................................................................................. b. Mengambil keputusan mengenai tindakan kesehatan..............................................................................................................................................................................................................................................................................................................................................................................................................................c. Kemampuan merawat anggota keluarga yang sakit..............................................................................................................................................................................................................................................................................................................................................................................................................................d. Kemampuan keluarga memelihara/memodifikasi lingkungan rumah yang sehat..............................................................................................................................................................................................................................................................................................................................................................................................................................e. Kemampuan menggunakan fasilitas pelayanan kesehatan..............................................................................................................................................................................................................................................................................................................................................................................................................................6. Fungsi religius................................................................................................................................................................................................................................................................................................................................................................................................................................................

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