LAPORAN RESUME

Nama Mahasiswa

NIM

Tempat Praktik

Tanggal Praktik

Kasus

Identitas
Nama Klien

Nama Ayah/Ibu

No RM

Pekerjaan Ayah/Ibu

TTL

Agama

Usia

Suku Bangsa

Alamat

Pendidikan Ayah/Ibu

Keluhan Utama :
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Pengkajian Data Fokus :
Data Subjektif :
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Pemeriksaan Fisik (sistem Terkait) :
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Pemeriksaan Diagnostik :

Therapi :

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Analisa data :
Data

Etiologi

Masalah

Diagnosa Keperawatan :
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Rencana Keperawatan
No

Diagnosa

Tujuan

Intervensi Keperawatan

Rasional

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Implementasi
No

Tanggal/jam

Dx Keperawatan

Implementasi Keperawatan

Evaluasi

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Paraf