FORMAT

STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

(Dibuat setiap kali interaksi / pertemuan dengan klien)

A. PROSES KEPERAWATAN
1. Kondisi Klien
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2. Diagnosa Keperawatan
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3. Tujuan Khusus
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4. Tindakan Keperawatan
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B. STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN

a. FASE ORIENTASI
1. Salam Terapeutik
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2. Evaluasi / validasi
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3. Kontrak
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b. FASE KERJA
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c. FASE TERMINASI
1. Evaluasi respon klien terhadap tindakan keperawatan
Evaluasi subyektif (Klien)
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Evaluasi obyektif (Perawat)
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2. Rencana tindak lanjut
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3. Kontrak yang akan datang
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