Resume Keperawatan Kesehatan Jiwa

RESUME KEPERAWATAN KESEHATAN JIWA PUSKESMAS BANTUR MALANG Tanggal : Nama Pasien :

Pukul Alamat

: :

Data

/RW Evaluasi

DS: Pasien: ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... Keluarga: ...................................................................................... ...................................................................................... ......................................................................................

S: Pasien .................................................................................... .................................................................................... .................................................................................... .................................................................................... Keluarga .................................................................................... .................................................................................... ....................................................................................

DO : Pasien: ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... Keluarga: ...................................................................................... ...................................................................................... ......................................................................................

O: Pasien .................................................................................... .................................................................................... .................................................................................... .................................................................................... Keluarga .................................................................................... .................................................................................... ....................................................................................

Diagnosis : 1. Halusinasi Halusinasi 2. RPK 3. DPD

 A : Kognitif : .................................................................................... .................................................................................... .................................................................................... Afektif : .................................................................................... .................................................................................... .................................................................................... Psikomotor : .................................................................................... .................................................................................... ....................................................................................

4. Isos 5. RBD 6. Waham

7. HDR 8. lain-lain ....................

Tindakan Keperawatan : Pasien ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... Keluarga ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... ...................................................................................... ......................................................................................

RT

P: Tanggal/ Jam : Perawat : .................................................................................... .................................................................................... Pasien : .................................................................................... .................................................................................... Keluarga : .................................................................................... .................................................................................... Perawat

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