PROGRAM STUDI ILMU KEPEREWATAN

FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA
STRATEGI PELAKSANAAN
TINDAKAN KEPERAWATAN HARI KE..................

A. PROSES KEPERAWATAN
1. Kondisi klien:
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2. Diagnosa keperawatan:
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3. Tujuan khusus:
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4. Tindakan keperawatan:
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............................ B........... .................................................... ... ................................. 3........................................ ................................................................................................................................. .............................................. ... ................. ......................... .................................................................................................................................................... ................................................................................................ ... .............................. dan tempat .. Evaluasi/ Validasi: ................... ................ Kontrak: Topik........ .............................................................................................................................................. ..................................................................................................... ............................... KERJA: Langkah-Langkah Tindakan keperawatan ................................................................................................................ ............................................... .............................................................................................................................................................................................................................................................................................. ........................... ................................................................. Salam Terapeutik: .. ... .............. .......... ........................................................ .............................................. ..................................................... .................................................................................................... .................................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................... ........................... 2........................................................................................................................... ................................. .................. STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN ORIENTASI 1................................................... waktu..................................... .. ................................................................... ............................... ................................ ............................................................................................................................................ ............................................

........................................................ .......................................... .......................................................................... ............................................................... .................. ............................................................................... .......................................................................................................................... ............................................ ................................................................ Evaluasi respon klien terhadap tindakan keperawatan: Subyektif: ............................. Obyektif: ............................................................................................................... .................................. ........................................ ..................... ................................................................... ............................................................................................................. ............................................................................................ .................................................. ........ ........................................................................................................................................................................................................................................................... ........................................................................................ ............................ .............................................................................................................. Tindak lanjut klien (apa yang perlu dilatih klien sesuai dengan hasil tindakan yang telah dilakukan): ................ TERMINASI: 1.................................... ...................................... ...... .................................................................................. ....................................................................................................................................................................................................................... .................................... ............................................................................................................................... ........................................................................................ .......................................................................................... ................................ 2............ ................................................................................................................................................................ ....................................................................................................................................................................... .................... .. ................................................. ........................................................................................................................................................... ........................................ .......................................................... ...... ............................................... ......................................................

................................................................................................................................................................... ............................................................................................................................ .................................... ..................... ....................................................................... .............................. ....................................... dan tempat): .......................................................... ...................... .................................................................. ........................................................................................................................................................................................... . ................................................................................................ ............. .......................... ............................................................................... .................................................................................... ............................................................................................. ............................................................................................... ..................................................................... ........................ Kontrak yang akan datang (Topik........................... ............................................... 3....................................................... ........ .................................................................................................... ................................................. .................................................................. ......................................... waktu................................................................................................ ......................................................