You are on page 1of 2

ILMU KEPERAWATAN ANAK DALAM KONTEKS KELUARGA

FORMAT RESUME

A. PENGKAJIAN
Inisial Pasien :.......................................................
Usia :.......................................................
Diagnosa Medis :.......................................................
Tanggal Pengkajian :.......................................................

B. RIWAYAT PENYAKIT
a. Keluhan Utama
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
b. Riwayat kesehatan yang lalu
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................

C. ANALISA DATA

Analisa Data Masalah Keperawatan


Data
(Pohon Masalah) yang muncul (NANDA)
D. CATATAN PERKEMBANGAN

Tanggal,
Hari Diagnosa Keperawatan Implementasi Evaluasi (SOAP)
jam