LAPORAN RESUME

ASUHAN KEPERAWATAN JIWA

INSTALASI GAWAT DARURAT RUMAH SAKIT JIWA MENUR
SURABAYA
A. PENGKAJIAN

1. IDENTITAS PASIEN
a. Nama Pasien : ............................................, Umur : .............th,( L ) / ( P )
b. Register : ........................................, Tanggal : ................................
c. Agama : .............................................................................................
d. Status : ( Menikah ) / ( Tidak menikah ) , Pendidikan : .............
e. Pekerjaan : ...........................................................................................
f. Alamat : ............................................................................................
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2. KELUHAN UTAMA / ALASAN MASUK

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3. RIWAYAT PENYAKIT SEKARANG ( KRONOLOGIS )

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B. STATUS MENTAL
1. KEADAAN UMUM
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2. PENAMPILAN
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 LAPORAN RESUME
ASUHAN KEPERAWATAN JIWA
INSTALASI GAWAT DARURAT RUMAH SAKIT JIWA MENUR
SURABAYA
3. KESADARAN
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4. PEMBICARAAN
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C. KEADAAN AFEK
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D. PROSES BERPIKIR
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E. PERSEPSI
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F. DIAGNOSA KEPERAWATAN
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G. RENCANA KEPERAWATAN
1. TUJUAN UMUM
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Doc . RESUME/ IGD RSJM / S1 – KEPERAWATAN & D III / PJMK JIWA

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 LAPORAN RESUME
ASUHAN KEPERAWATAN JIWA
INSTALASI GAWAT DARURAT RUMAH SAKIT JIWA MENUR
SURABAYA
2. TUJUAN KHUSUS
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D. TINDAKAN KEPERAWATAN
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E. TERAPI
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F. EVALUASI
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Surabaya, ................. Mengetahui

Mahasiswa Kepala Ruangan Instalasi Gawat Darurat
Rumah Sakit Jiwa Menur Surabaya

Arif Soeprijono, Skep. Ns

Nim : Nip : 19710722 199603 1 0033

Doc . RESUME/ IGD RSJM / S1 – KEPERAWATAN & D III / PJMK JIWA

03
 LAPORAN RESUME
ASUHAN KEPERAWATAN JIWA
INSTALASI GAWAT DARURAT RUMAH SAKIT JIWA MENUR
SURABAYA

Doc . RESUME/ IGD RSJM / S1 – KEPERAWATAN & D III / PJMK JIWA