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    Pengakajian Spiritual

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views1 page

    XxxxFrom Pengakajian Spiritual

    Uploaded by

    masmaymun
    Pengakajian Spiritual

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    RUMAH SAKIT AMELIA

    Jl. Pahlawan 25A Pare Kediri Telp. (0354) 394118 Fax. (0354) 398383
    E-mail : rsameliapare@ymail.com

    PENGKAJIAN SPIRITUAL

    1.

    Pengkajian spiritual pasien dilakukan tanggal..............Jam............WIB oleh.............................

    2.

    Keyakinan pasien terhadap Tuhan yang memotivasi kesembuhan pasien:


    ....................................................................................................................................................
    ....................................................................................................................................................

    3.

    Nilai-nilai hidup pasien:


    ......................................................................................................................................................
    ......................................................................................................................................................

    4.

    Tujuan Hidup Pasien:


    .......................................................................................................................................................
    ......................................................................................................................................................

    5.

    Kepercayaan Pasien:
    .......................................................................................................................................................
    .......................................................................................................................................................

    Tanggal / Jam selesai pengkajian


    ........................./......................WIB

    Nama Lengkap dan Tandatangan

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