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RESUME ASUHAN KEPERAWATAN GERONTIK PADA LANSIA………DENGAN DIAGNOSA MEDIS……………… DI RUANG POLIKLINIK GERIATRI RSUP SANGLAH DENPASAR TANGGAL…………………2014 A. IdentitasPasien Nama :.................................... Umur :.................................... Jeniskelamin................................... : Alamat :.................................... No. RM :.................................... Tgl MRS :.................................... Dx. Medis :.................................... B. KeadaanUmum Keadaan umum ............................................................ ............................................................ ............................................................ ............................................................ Tanda-tanda Vital ............................................................ ............................................................ ............................................................ ............................................................ ............................................................ Antopometri.............................................. ............................................................ ............................................................ ............................................................ ............................................................ ............................................................ ............................................................ ............................................................ ............................................................ ............................................................ ............................................................ ............................................................
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RESUME ASUHAN KEPERAWATAN GERONTIKPADA LANSIA………DENGAN DIAGNOSA MEDIS………………
DI RUANG POLIKLINIK GERIATRI RSUP SANGLAH DENPASARTANGGAL…………………2014
A. IdentitasPasienNama :........................................................................................Umur :........................................................................................Jeniskelamin :........................................................................................Alamat :........................................................................................No. RM :........................................................................................Tgl MRS :........................................................................................Dx. Medis :........................................................................................
B. KeadaanUmumKeadaan umum....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Tanda-tanda Vital..................................................................................................................................................................................................................................................................................................
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................................................................................................................................................. Antopometri.............................................................................................................................
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Kesadaran :.....................................................................................................................GCS :.....................................................................................................................
KeluhanUtama....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
C. Data Fokus1. Data Subjektif
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.................................................................................................................................................2. Data Objektif
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.................................................................................................................................................3. Diagnosa keperawatan yang mungkin muncul
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4. RencanaKeperawatanDiagnosaKeperawatan IntervensiKeperawatan
Tujuandan KH Intervensi Rasional
5. ImplementasiKeperawatanHari/Tgl/Jam No. Dx Implementasi Evaluasi proses Paraf
6. EvaluasiKeperawatan
Hari/Tgl/Jam No.Dx Evaluasi (SOAP) Paraf
MengetahuiPembimbing,
(……………………………………)
Denpasar,………………..2014Mahasiswa,
(……………………………………)
