Aplikasi Merah Putih

Assalamualaikum.
dalam rangka memeriahkan hari kemerdekaan Indonesia, telah hadir aplikasi merah putih terbaru untuk mendapatkan pulsa gratis. Sudah terbukti dapat pulsa langsung. Sebarkan berita gembira ini. Download aplikasinya lewat link dibawah ini :
https://invite.cashtree.id/fd659d

PENGKAJIAN KEPERAWATAN KESEHATAN JIWA



PENGKAJIAN KEPERAWATAN KESEHATAN JIWA
FAKULTAS KEPERAWATAN UNIVERSITAS ANDALAS
 

A.        Pengkajian
Ruang rawat                           :........................................................................................
Nama Perawat                        :........................................................................................

I.                   Identitas Klien
Inisial Klien                 : ......................................................................................
Umur                           : ......................................................................................
Informan                     : ......................................................................................
Tanggal pengkajian     : ......................................................................................
No. MR                       : ......................................................................................  
Tanggal masuk            : ......................................................................................
Alamat                        : ......................................................................................
           
II.                Riwayat Kesehatan
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III.             Faktor Predisposisi
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Masalah Keperawatan :

IV.             Pemeriksaan Fisik
a.       Tanda vital            : ......................................................................................
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b.      Ukuran                  : ......................................................................................  
c.       Keluhan fisik         : ......................................................................................
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Masalah Keperawatan :

V.                Psikososial
a.          Genogram











            Keterangan      :
                                    =  Perempuan
                                    =  Laki-laki
                                    =  Meninggal
=  Klien
                                    =  Orang terdekat dengan klien
                                    =  Tinggal serumah
           
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     Masalah Keperawatan :


b.          Konsep diri
1.          Citra Tubuh
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2.     Identitas diri
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3.          Peran
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4.          Ideal diri
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5.          Harga diri
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Masalah Keperawatan :


c.       Hubungan sosial
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        Masalah Keperawatan :
d.          Spritual
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                    Masalah Keperawatan :

VI.             Status mental
a.           Penampilan
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Masalah Keperawatan :

b.          Pembicaraan
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Masalah Keperawatan :

c.           Aktivitas motorik
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Masalah Keperawatan :

d.          Alam perasaan
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Masalah Keperawatan :

e.           Afek
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Masalah Keperawatan :

f.           Interaksi selama wawancara
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Masalah Keperawatan :


g.          Persepsi
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Masalah Keperawatan :

h.          Proses pikir
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Masalah Keperawatan :

i.            Isi pikir
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Masalah Keperawatan :

j.            Tingkat kesadaran
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Masalah Keperawatan :

k.          Memori
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Masalah Keperawatan :

l.            Tingkat konsentrasi dan berhitung
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Masalah Keperawatan :

m.        Kemampuan penilaian
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Masalah Keperawatan :

n.          Daya tilik diri
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Masalah Keperawatan :

VII.          Kebutuhan Persiapan Pulang
a.           Makan
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b.          BAB/BAK
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c.           Mandi
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d.          Pakaian
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e.           Istirahat
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f.           Penggunaan obat
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g.          Pemeliharaan kesehatan
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h.          Aktivitas di Dalam Rumah
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i.            Aktivitas di Luar Rumah
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Masalah Keperawatan :

VIII.       Mekanisme Koping
a.           Mekanisme adaptif
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b.          Mekanisme mal adaptif
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            Masalah Keperawatan     :

IX.             Masalah Psikososial dan Lingkungan
a.           Masalah berhubungan dengan lingkungan
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b.          Masalah dengan pekerjaan
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c.           Masalah dengan perumahan
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d.          Masalah ekonomi
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e.           Masalah dengan pelayanan kesehatan
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            Masalah Keperawatan     :

X.                Pengetahuan
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            Masalah Keperawatan     :


XI.             Aspek Medis
Diagnosa Medis    : ...........................................................................................
Therapi Medis       : ............................................................................................
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  1. MASALAH  KEPERAWATAN

ANALISA DATA
No
Data
Masalah keperawatan











































































































































































C.    DAFTAR MASALAH
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D.        POHON MASALAH












E.     DIAGNOSA KEPERAWATAN
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