Professional Documents
Culture Documents
PARAF CI
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A. IDENTITAS KLIEN
1) Nama
2) Umur
3) Jenis kelamin
4) Alamat
5) Agama
6) Pekerjaan
7) Diagnosa medik
8) No. Medical Record
9) Tanggal masuk RS
10) Tanggal pengkajian
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C. RIWAYAT PENYAKIT
1) Riwayat penyakit sekarang
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2) Kondisi saat dikaji (P Q R S T) :
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3) Riwayat penyakit dahulu
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4) Riwayat keluarga keluarga
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D. PEMERIKSAAN FISIK
1. Keadaan umum
a. Kesadaran
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b. GCS
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c. Tanda-Tanda vital :
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2. Pengkajian B1-B6
a. B1 (Breating)
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b. B2 (Blood)
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c. B3 (Brain)
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d. B4 (Bladder)
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e. B5 (Bowel)
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f. B6 (Bone)
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E. KEBUTUHAN FISIK, PSIKOSOSIAL DAN SPRITUAL
a. Aktifitas dan istirahat :
Di rumah
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Di RS
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b. Personal Hygine
Di rumah
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Di RS
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c. Nutrisi
Di rumah
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Di RS
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d. Eliminasi
Di rumah
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Di RS
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e. Seksualitas
Di rumah
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Di RS
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f. Psikososial
Di rumah
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Di RS
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g. Spritual
Di rumah
Di RS
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F. DATA PENUNJANG
G. THERAPHY
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