Format Pengkajian Nyeri
Format Pengkajian Nyeri
Format Pengkajian Nyeri
A. IDENTITAS PASIEN
1. Nama Pasien :
2. Umur :
3. Jenis Kelamin :
4. Pendidikan :
5. Agama :
6. Pekerjaan :
7. Status Perkawinan :
8. Suku :
9. Alamat :
B. PENGKAJIAN NYERI
1. Provocative/palliative
Apa penyebabnya : .............................................................
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Hal-hal yang memperbaiki keadaan :............................................................
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2. Quantity/quality
Bagaimana dirasakan : .............................................................
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Bagaimana dilihat : ............................................................
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3. Region
Dimana lokasinya : .............................................................
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Apakah menyebar : .............................................................
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4. Severity : ...........................................................
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5. Time : .............................................................
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