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APGAR SCORE

No Almost always Sometimes (1) Hardly ever ( 0 )


(2)

A I am satisfied that I can turn to my family √


for help when something is troubling me.

P I am satisfied with the way my family √


talks about things with me and shares
problems with me.

G I am satisfied that my family accepts and √


supports my wishes to take on new
activities or directions

A I am satisfied with the way my family √


expresses affection and responds to my
emotions such as anger, sorrow, and love

R I am satisfied with the way my family and √


I share time together.

 SCORE APGAR = 10 (Level Satisfaction individual about family is high)


APGAR PART 2
NAME RELATIONSHIP AGE SEX
Andri Suami 36 tahun Laki-laki
Tiodora Sinta Sinaga Istri 32 tahun Perempuan
Andra Reski Anak 8 tahun Laki-laki
Ramadhan
Veny Putri Ariyela Anak 8 bulan Perempuan

How do you get along ?


WELL
SCREEM
RESOURCES PATHOLOGY
Social - Ikut berpatisipasi dalam kerja bakti namun
-social interaction is evident among family hanya kepala keluarga.
members
-Family members have well-balanced lines
of communication with extra-familial social
groups

Cultural - sebagian besar di rumah selalu memakai bahasa


-cultural pride and satisfaction can be minang. Jarang memakai bahasa Indonesia.
identified

Religious - Melaksanakan sholat 5 waktu wajib, namun


-Offers satisfying spiritual experiences as well kadang di masjid dan kadang di rumah jamaah.
as contacts with an extra-familial support
group
Economic - untuk Ekonomi kebutuhan dapat terpenuhi,
-Economic stability is sufficient to provide namun saat ini keluarga Pak Andri sedang
both reasonable satisfaction with financial menabung untuk sekolah anak nanti di masa
status and an ability to meet economic depan.
demands of normative life events
Educational - Pendidikan prioritas utama. Target pak Andri,
-Education of members is adequate to allow anak kuliah sampai sarjana. Sedang menabung
members to solve or comprehend most untuk itu.
problems that arise within the format of the
lifestyle established by the family
Medical - kalau sakit biasanya pergi ke puskesmas atau ke
-Medical health care is available through klinik dokter umum. Namun kadang beli obat
channels that are easily established and have sendiri di apotik/toko obat.
previously been experienced in a satisfactory
manner
Family Lifeline
FAMILY LIFELINE
- Tahun menikah 2009
- Tahun anak pertama, dan kedua 2009 (anak pertama), 2014 (Anak kedua)
- Tahun anak masuk sekolah 2007 ( Andra )

Family Circle

Buk Dora
Pak Andri

Veny Andra
GENOGRAM
KELUARGA PAK ANDRI
RT 02/ RW 02 Kelurahan Rimbo Kaluang
Kecamatan Padang Barat

1950 1954 1953 1956


67 63 64 61

Pak Jatiar Saleh Rami


Syafril SInaga Gulton

1979 1983 1985 1987 1988 1990 1995 1987 1988 1990 1990 1994
38 34 32 30 29 27 22 30 29 27 27 23

Peni Jas Roza Astrid Rino Rinol Neby Melvin Purni Afriyanto Liya Roisal
Indra

20122014 2014
5 3 3

AkbarRaka Graha
1980 1984
36 32

Andri Tiodora
Sinta
SInta
Sinaga
SInaga
2009 2014
8 3

Andra Veny

KETERANGAN
: Diabetes
: Tensi
: Stroke
: Laki-laki
: Perempuan
LAPORAN FOME
FAMILY ASSESMENT TOOLS

FACHRURRAZI AL ANSORI
1510311112
19C

PROFESI DOKTER
FAKULTAS KEDOKTERAN
UNIVERSITAS ANDALAG
2016/2017

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