Download Bahan Sejarah Dan Perkembangan Perawat (Ikd 1)

<div style="text-align: justify;"> Ilmu Keperawatan dasar akan dibuka dengan pembahasan pertama yaitu ihwal sejarah dan perkembangan perawat.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Pada bahan ihwal sejarah dan perkembangan perawat akan dimulai dengan pembahasan ihwal pengertian sejarah dan perkembangan perawat, pengertian perawat yaitu Perawat yaitu mereka yang mempunyai kemampuan dan kewenangan melaksanakan tindakan keperawatan menurut ilmu yang dimilikinya yang diperoleh melalui pendidikan keperawatan (UU Kesehatan No.23, 1992).</div> <div style="text-align: justify;"> <br /></div> <div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiV_QMzLT9KJkhJ65TK2t-p9hbj3QocuycRGsHiTdKZ8-tPRm9IrTchygOirhnvFrfNTeG_qc9EgciCElWZ3G3b7jgWrbc7eC7BkUEG9TJmGGoUYLj0YtyiHnx3XtGihmPSOLf56FW28YyS/s1600/Sejarah+dan+perkembangan+Perawat.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="165" data-original-width="236" height="279" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiV_QMzLT9KJkhJ65TK2t-p9hbj3QocuycRGsHiTdKZ8-tPRm9IrTchygOirhnvFrfNTeG_qc9EgciCElWZ3G3b7jgWrbc7eC7BkUEG9TJmGGoUYLj0YtyiHnx3XtGihmPSOLf56FW28YyS/s400/Sejarah+dan+perkembangan+Perawat.png" width="400" /></a></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Kemudian dilanjutkan dengan pembahasan sejarah dan perkembangan didunia yang membahas mulai dari sejarah dan perkembangan perawat sebelum masehi sampai proses penyebaran keperawatan didunia.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Kemudian Pembahasan mengerucut, membahas ihwal sejarah dan perkembangan perawat di Indonesia.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Pada masa pemerintahan kolonial Belanda, perawat berasal dari penduduk pribumi yang disebut “velpleger” dengan dibantu “zieken oppaser” sebagai penjaga orang sakit. Mereka bekerja pada rumah sakit Binnen Hospital di Jakarta yang didirikan tahun 1799. </div> <div style="text-align: justify;"> Pada masa VOC berkuasa, Gubernur Jendral Inggris Raffles (1812-1816), telah mempunyai semboyan “Kesehatan yaitu milik manusia” Pada ketika itu Raffles telah melaksanakan pencacaran umum, membenahi cara perawatan pasien dengan gangguan jiwa serta memperhatikan kesehatan dan perawatan tahanan. Setelah pemerintah kolonial kembali ke tangan Belanda, di Jakarta pada tahun 1819 didirikan beberapa rumah sakit. Salah satunya yaitu rumah sakit Sadsverband yang berlokasi di Glodok-Jakarta Barat. Pada tahun 1919 rumah sakat tersebut dipindahkan ke Salemba dan kini dengan nama RS. Cipto Mangunkusumo (RSCM).</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Dalam kurun waktu 1816-1942 telah bangun beberapa rumah sakit swasta milik misionaris katolik dan zending protestan seperti: RS. Persatuan Gereja Indonesia (PGI) Cikini-Jakarta Pusat, RS. St. Carolos Salemba-Jakarta Pusat. RS. St Bromeus di Bandung dan RS. Elizabeth di Semarang. Bahkan pada tahun 1906 di RS. PGI dan tahun 1912 di RSCM telah menyelenggarakan pendidikan juru rawat. Namun kedatangan Jepang (1942-1945) mengakibatkan perkembangan keperawatan mengalami kemunduran.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Kemudian Pembahasan dilanjutkan ihwal sejarah dan perkembangan perawat diIndonesia sehabis kemerdekaan sampai sekarang.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Dan untuk pembahasan selanjutnya sekaligus pembahasan sejarah dan perkembangan perawat terakhir ialah musim keperawatan kini dan masa depan. Kemajuan ilmu pengetahuan dan teknologi di segala bidang termasuk bidang kesehatan, peningkatan status ekonomi masyarakat, peningkatan perhatian terhadap pelaksanaan hak asasi manusia, kesadaran masyarakan akan kebutuhan kesehatan menjadikan masyarakat semakin sadar akan pentingnya hidup sehat dan melahirkan tuntutan akan pelayanan kesehatan yang berkualitas. Pergeseran akan fenomena tersebut, telah mengubah sifat pelayanan keperawatan dari pelayanan fokasional yang hanya menurut keterampilan belaka kepada pelayanan profesional yang berpija pada penguasaan iptek keperawatan dan spesialisasi dalam pelayanan keperawatan.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> diatas merupakan sedikit ringkasan ihwal bahan Sejarah dan Perkembangan perawat pada mata kuliah IKD 1. Untuk mendownload bahan secara lengkap silahkan ambil dibawah ini :</div> <ul> <li style="text-align: justify;"><b><a href="https://drive.google.com/file/d/0BweBC9baz6DEV0o4bDRJalJTNTg/view?usp=sharing" target="_blank">Ambil file</a></b> Sejarah dan Perkembangan perawat</li> </ul> <div style="text-align: justify;"> Silahkan didownload bagi yang membutuhkan, terima kasih.</div>

Download Bahan Sejarah Dan Perkembangan Perawat (Ikd 1)

Ilmu Keperawatan dasar akan dibuka dengan pembahasan pertama yaitu ihwal sejarah dan perkembangan perawat. Pada bahan ihwal sejarah dan...

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Download Bahan Paradigma Keperawatan (Ikd 1)

<div style="text-align: justify;"> Salah satu materi pada mata kuliah keperawatan, lebih tepatnya pada ilmu keperawatan dasar 1. kita akan bertemu 4 materi / bahasan yang akan dibahas pada mata kuliah ini. salah satu materi yang akan dibahas yaitu perihal paradigma keperawatan.</div> <div style="text-align: justify;"> <br /></div> <div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMNE9PPrVML5M48ugmLGMYCAlI7K7edbaTlJfy6ddy62LSrQYmwYizQQydw-tBAxkC0nJ_P6zr1yF-49EHElbrjpDCKF5rn0baSDl5EqAZq3_lay4NP8I6dmqf206rAX32EuxUVHPeSlKD/s1600/Paradigma+Keperawatan.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="196" data-original-width="277" height="283" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMNE9PPrVML5M48ugmLGMYCAlI7K7edbaTlJfy6ddy62LSrQYmwYizQQydw-tBAxkC0nJ_P6zr1yF-49EHElbrjpDCKF5rn0baSDl5EqAZq3_lay4NP8I6dmqf206rAX32EuxUVHPeSlKD/s400/Paradigma+Keperawatan.jpg" width="400" /></a></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Pokok bahasan pada materi ini yaitu paradigma keperwatan, dan untuk sub pokok bahasan nya yaitu pengertian paradigma keperawatan, lingkungan, manusia, keperawatan dan kesehatan. dibawah ini kami tampilkan ringkasan materi paradigma keperawatan, untuk mendapat materi paradigma keperawatan lengkap, silahkan download pada link yang telah kami sediakan.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> adapun ringkasan isi dari materi paradigma keperawatan sebagai berikut :</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Pengertian Paradigma</b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Paradigma adalah</b> suatu cara dalam mempersepsikan atau memandang sesuatu. Paradigma menjelaskan sesuatu dalam memahami suatu tingkah laku.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Keperawatan merupakan</b> suatu bentuk pelayanan yang profesional, yang merupakan bab integral dari pelayanan kesehatan berdasarkan pada ilmu dan kiat keperawatan, dengan bentuk pelayanan meliputi biopsikososio-spiritual yang ditujukan kepada individu, keluarga, kelompok dan masyarakat baik sehat maupun sakit dalam siklus kehidupan manusia.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Paradigma keperawatan adalah</b> suatu cara pandang yang fundamental atau cara kita melihat, memikirkan, memberi makna, menyikapi dan menentukan tindakan terhadap fenomena yang ada dalam keperawatan .</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Paradigma mempunyai fungsi antara lain: Menyikapi dan menuntaskan banyak sekali duduk kasus yang melingkupi profesi keperawatan sebagai aspek pendidikan dan pelayanan keperawatan, praktik dan organisasi profesi. Membantu individu dan masyarakat untuk memahami dunia keperawatan kita dan membantu kita untuk memahami setiap fenomena yang terjadi disekitar kita.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Konsep Manusia </b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Manusia adalah</b> makhluk bio – psiko – sosial dan spiritual yang utuh, dalam arti merupakan satu kesatuan utuh dari aspek jasmani dan rohani serta unik alasannya mempunyai banyak sekali macam kebutuhan sesuai tingkat perkembangannya.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> konsep insan berdasarkan paradigma keperawatan yaitu insan sebagai sistem terbuka, sistem adaptif , personal dan interpersonal yang secara umum sanggup dikatakan holistik atau utuh.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Peran perawat dalam membantu keluarga meningkatkan kemampuan untuk menuntaskan kasus kesehatan yaitu perawat sebagai pendeteksi adanya kasus kesehatan, memberi asuhan kepada anggota keluarga yang sakit, koordinator pelayanan kesehatan keluarga, fasilitator, pendidik dan penasehat keluarga dalam kasus – kasus kesehatan.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Konsep Keperawatan</b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Keperawatan adalah</b> suatu bentuk pelayanan profesional sebagai bab integral pelayanan kesehatan berbentuk pelayanan biologi, psikologi, sosial, spiritual dan kultural secara komprehensif, ditujukan kepada individu, keluarga dan masyarakat sehat maupun sakit meliputi siklus hidup manusia. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Konsep kesehatan</b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Sehat adalah</b> suatu keadaan yang dinamis dimana individu beradaptasi dengan perubahan – perubahan lingkungan internal dan eksternal untuk memepertahankan keadaan kesehatannya. Adapun faktor lingkungan internal yang mensugesti yaitu psikologis, dimensi intelektual dan spiritual dan proses penyakit. Faktor – faktor lingkungan eksternal yaitu faktor – faktor yang berada diluar individu yang mungkin mensugesti kesehatan antara lain variabel lingkungan fisik, hubungan sosial dan ekonomi.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Konsep Lingkungan </b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Lingkungan berdasarkan Kamus Besar Bahasa Indonesia adalah</b> daerah ( daerah dsb) yang termasuk didalamnya. Lingkungan yaitu faktor eksternal yang besar lengan berkuasa terhadap perkembangan menusia dan meliputi antara lain lingkungan sosial, status ekonomi dan kesehatan. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Itulah sepenggal bahasan materi paradigma keperawatan. untuk mendapat materi paradigma keperawatan lengkap silahkan download dibawah ini :</div> <ul> <li style="text-align: justify;"><b><a href="https://drive.google.com/file/d/0BweBC9baz6DEeWRZbFVmcWRwakE/view?usp=sharing" target="_blank">Ambil File</a></b> Materi Paradigma Keperawatan IKD 1</li> </ul> <div style="text-align: justify;"> Demikianlah kami bagikan materi Paradigma Keperawatan dalam mata kuliah ilmu keperawatan dasar 1, biar sanggup membantu teman - teman sejawat sekalian.</div>

Download Bahan Paradigma Keperawatan (Ikd 1)

Salah satu materi pada mata kuliah keperawatan, lebih tepatnya pada ilmu keperawatan dasar 1. kita akan bertemu 4 materi / bahasan yang aka...

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Download Bahan Konsep Sistem (Ikd 1)

<div style="text-align: justify;"> Dalam materi Ilmu keperawatan dasar 1, mata kuliah ilmu keperawatan akan kita temui pembahan ihwal konsep sistem, konsep sistem pada bahasan ini akan dibahas ihwal konsep sistem secara umum, dan konsep sistem untuk keperawatan.</div> <div style="text-align: justify;"> <br /></div> <div class="separator" style="clear: both; text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhh5DXzXHgXx4E7gfEgwNAxoiWyrVRzL8iIZ_Q7tZCBuTp-At6o7iNUZOfwzxOdqKxVHbS1vY3fpoHdXbAQejqxbgB6-oZHSZZTsk0b-Bvuf2h4AzENH_lrVCTlqQ3h8Ku72yPxZyJ9xZAa/s1600/Konsep+Sistem.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="264" data-original-width="361" height="468" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhh5DXzXHgXx4E7gfEgwNAxoiWyrVRzL8iIZ_Q7tZCBuTp-At6o7iNUZOfwzxOdqKxVHbS1vY3fpoHdXbAQejqxbgB6-oZHSZZTsk0b-Bvuf2h4AzENH_lrVCTlqQ3h8Ku72yPxZyJ9xZAa/s640/Konsep+Sistem.png" width="640" /></a></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> untuk materi ini pokok bahasan nya ialah konsep sistem dan sub pokok bahasan ialah Pengertian sistem, elemen sistem, pendekatan sistem dalam pendidikan keperawatan, pendekatan sistem dalam pelayanan keperawatan.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> beikut sedikit ringkasan kami ihwal materi konsep sistem :</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Dalam pengertian yang paling umum, sebuah sistem ialah sekumpulan alat yang mempunyai hubungan diantara mereka. Sistem secara sederhana sanggup didefinisikan sebagai sesuatu kesatuan dari banyak sekali elemen atau bagian-bagian yang mempunyai hubungan fungsional dan berinteraksi secara dinamis untuk mencapai hasil yang diharapkan. Dengan demikian keperawatan, sanggup diartikan sebagai satu keseluruhan karya insani yang terbentuk dari bagian-bagian yang mempunyai hubungan fungsional dalam upaya mencapai tujuan akhir.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Komponen Sistem dalam keperawatan mencakup Manusia, Lingkungan, Kesehatan, Keperawatan. Manusia ialah makhluk bio-psikososial yang utuh dan unik yang mempunyai kebutuhan bio-psiko-sosio-spiritual. Manusia selalu hidup dalam suatu lingkungan tertentu mencakup lingkungan fisik dan lingkungan sosial. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Dalam sistem terdapat input (masukan), proses, Output (hasil/Keluaran) dan umpan balik. Pendekatan sistem merupakan satu cara yang memandang keperawatan secara menyeluruh dan sistematik, tidak parsial dan Fragmentis.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Beberapa penerapan sistem keperawatan :</div> <ol> <li style="text-align: justify;">Penerapan sistem dalam penyelenggaraan pelayanan keperawatan </li> <li style="text-align: justify;">Penerapan sistem dalam penyelenggaraan Pendidikan Keperawatan </li> <li style="text-align: justify;">Penerapan sistem dalam penyelenggaraan pengembangan Profesi Keperawatan </li> <li style="text-align: justify;">Penerapan sistem dalam penyelenggaraan Pelayanan Kesehatan secara umum.</li> </ol> <div style="text-align: justify;"> Untuk mendownload materi konsep sistem secara lengkap silahkan download dibawah ini :</div> <div> <ul> <li style="text-align: justify;"><b><a href="https://drive.google.com/file/d/0BweBC9baz6DER20zRVZBbkFZT0k/view?usp=sharing" target="_blank">Ambil File</a></b> Konsep Sistem </li> </ul> <div style="text-align: justify;"> Demikian sedikit ringkasan ihwal materi konsep sistem IKD 1 Silahkan didownload materi lengkap bagi yang membutuhkan, terima kasih.</div> </div>

Download Bahan Konsep Sistem (Ikd 1)

Dalam materi Ilmu keperawatan dasar 1, mata kuliah ilmu keperawatan akan kita temui pembahan ihwal konsep sistem, konsep sistem pada bahasa...

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Download Bahan Teori Konsep Dan Model Keperawatan (Ikd1)

<div style="text-align: justify;"> Pada Pembahasan terakhir ilmu keperawata dasar 1 akan kita temui bahan wacana teori dan kerangka konsep.</div> <div> <div style="text-align: justify;"> <br /></div> </div> <div> <div style="text-align: justify;"> pada bahan ini pokok bahasan nya yaitu teori dan kerangka konsep dan sub poko bahasan berupa teori berdasarkan para mahir wacana teori dan model keperawatan.</div> <div style="text-align: justify;"> <br /></div> </div> <div> <div class="separator" style="clear: both; text-align: center;"> <img border="0" data-original-height="158" data-original-width="575" height="174" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyUB3kG-J2K-RK7UYwRhmSJNujpEFx-sU6YDoYsQJF0rd6uukVV7VBRbXZz5eRIvB4lpDUmsJd7AcA1ctvOpMvMB32_g_HAX-3DXkF5LqS6ycPDTSdkKaVWj-suhRMX06m-jpZkFX-7fYZ/s640/Teori+Konsep+Dan+Model.png" width="640" /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Pengertian Teori, Konsep Dan Model keperawatan </b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Teori yaitu korelasi beberapa konsep atau suatu kerangka konsep, atau definisi yang menunjukkan suatu pandangan sistematis terhadap gejala-gejala atau fenomena-fenomena dengan memilih korelasi spesifik antara konsep-konsep tersebut dengan maksud untuk menguraikan, menerangkan, meramalkan dan atau mengendalikan suatu fenomena. Teori sanggup diuji, diubah atau dipakai sebagai suatu fatwa dalam penelitian. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Teori keperawatan didefinisikan oleh Steven (1984), sebagai perjuangan untuk menguraikan dan menjelaskan aneka macam fenomena dalam keperawatan. Teori keperawatan berperan dalam membedakan keperawatan dengan disiplin ilmu lain dan bertujuan untuk menggambarkan,menjelaskan, memperkirakan dan mengontrol hasil asuhan atau pelayanan keperawatan yang dilakukan. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Konsep yaitu suatu keyakinan yang kompleks terhadap suatu objek, benda, suatu kejadian atau fenomena berdasarkan pengalaman dan persepsi seseorang berupa ide, pandangan atau keyakinan. Kumpulan beberapa konsep ke dalam suatu kerangka yang sanggup dipahami membentuk suatu model atau kerangka konsep. Konsep sanggup dianalogikan sebagai kerikil bata dan papan untuk membangun sebuah rumah dimana rumah yang dibangun diibaratkan sebagai kerangka konsep. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Tujuan Teori Dan Model Keperawatan </b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Teori keperawatan sebagai salah satu bab kunci perkembangan ilmu keperawatan dan pengembangan profesi keperawatan mempunyai tujuan yang ingin dicapai diantaranya : </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Adanya teori keperawatan diperlukan sanggup menunjukkan alasan-alasan wacana kenyataan-kenyataan yang dihadapi dalam pelayanan keperawatan, baik bentuk tindakan atau bentuk model praktek keperawatan sehingga aneka macam permasalahan sanggup teratasi. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Adanya teori keperawatan membantu para anggota profesi perawat untuk memahami aneka macam pengetahuan dalam kontribusi asuhan keperawatan kemudian sanggup menunjukkan dasar dalam penyelesaian aneka macam duduk kasus keperawatan. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Adanya teori keperawatan membantu proses penyelesaian duduk kasus dalam keperawatan dengan menunjukkan arah yang terang bagi tujuan tindakan keperawatan sehingga segala bentuk dan tindakan sanggup dipertimbangkan. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Adanya teori keperawatan juga sanggup menunjukkan dasar dari perkiraan dan filosofi keperawatan sehingga pengetahuan dan pemahaman dalam tindakan keperawatan sanggup terus bertambah dan berkembang. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Model Konsep dan Teori Keperawatan Florence Nigtingale</b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Florence merupakan salah satu pendiri yang meletakkan dasar-dasar teori keperawatan yang melalui filosofi keperawatan yaitu dengan mengidentifikasi tugas perawat dalam menemukan kebutuhan dasar insan pada klien serta pentingnya efek lingkungan di dalam perawatan orang sakit yang dikenal teori lingkungannya. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Model Konsep dan Teori Keperawatan Marta E. Rogers</b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Model konsep dan teori keperawatan berdasarkan Martha E. Rogers dikenal dengan nama konsep insan sebagai unit. Dalam memahami konsep model dan teori ini, Martha berasumsi bahwa insan merupakan satu kesatuan yang utuh, yang mempunyai sifat dan aksara yang berbeda-beda. Dalam proses kehidupan insan yang dinamis, insan selalu berinteraksi dengan lingkungan yang saling menghipnotis dan dipengaruhi, serta dalam proses kehidupan insan setiap individu akan berbeda satu dengan yang lain dan insan diciptakan dengan karakteristik dan keunikan tersendiri.</div> </div> <div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Model Konsep dan Teori Keperawatan Myra Levine</b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Model konsep Myra Levine memandang klien sebagai makhluk hidup terintegrasi yang saling berinteraksi dan menyesuaikan diri terhadap lingkungannya. Dan intervensi keperawatan yaitu suatu kegiatan konservasi dan konservasi energi yaitu bab yang menjadi pertimbangan. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b>Virginia Henderson (Teori Henderson) </b></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Virginia henderson memperkenalkan defenition of nursing (defenisi keperawatan). Defenisinya mengenai keperawatan dipengaruhi oleh latar belakang pendidikannya.Ia menyatakan bahwa defenisi keperawatan harus menyertakan prinsip kesetimbangan fisiologis. </div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> itulah sepenggal bahasan bahan teori dan kerangka konsep yang terdapat dalah mata kuliah ilmu keperawatan dasar 1.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Untuk mendownload bahan secara lengkap silahkan dibwah ini :</div> <ul> <li style="text-align: justify;"><b><a href="https://drive.google.com/file/d/0BweBC9baz6DEdkZRV2Rvb1Q3TDg/view?usp=sharing" target="_blank">Ambil File</a></b> bahan teori dan kerangka konsep</li> </ul> <div style="text-align: justify;"> Silahkan diambil bagi sobat - sobat perawat yang lagi membutuhkan bahan teori dan kerangka konsep dalam mata kuliah ilmu keperawatan dasar 1 gratis. terima kasih.</div> </div>

Download Bahan Teori Konsep Dan Model Keperawatan (Ikd1)

Pada Pembahasan terakhir ilmu keperawata dasar 1 akan kita temui bahan wacana teori dan kerangka konsep. pada bahan ini pokok bahasa...

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Format Dokumentasi Asuhan Keperawatan (Askep) Doc Terlengkap

<div style="text-align: justify;"> Didalam dunia keperawatan askep merupakan sebuah pegangan atau aliran seorang perawat dalam melaksanakan pelayananan berupa asuhan keperawatan untuk sanggup memecahkan problem pasien.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBQNluartBTnHXfSAVONVn7y4M4u3ft3tHGiaKwfiYHKTsk8FXx1wOhnz1wymqjg6km5BD0xb7_SQZUNx1cOclsGwFrkm6nPmpvyEhWn8fqNvhScJsIuICiTv18geP6SBLa9n0ivG-zNzx/s1600/Format+askep.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="297" data-original-width="444" height="214" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBQNluartBTnHXfSAVONVn7y4M4u3ft3tHGiaKwfiYHKTsk8FXx1wOhnz1wymqjg6km5BD0xb7_SQZUNx1cOclsGwFrkm6nPmpvyEhWn8fqNvhScJsIuICiTv18geP6SBLa9n0ivG-zNzx/s320/Format+askep.png" width="320" /></a>Dari itu sebagai seorang perawat, haruslah memliki konsep yang terang dalam menyusun sebuah askep, sebuah askep yang seyogyanya merupakan amunisi perawat dalam melaksanakan tindakannya dan sebagai benteng yang bisa membackup nya dari problem dikemudian hari.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Dari itu kita sebagai perawat diharuskan sanggup menyusun askep dengan baik dan benar sesuai dengan format yang telah ditetapkan biar perumusan problem pasien pun sanggup terkerucut dan juga sanggup dituntaskan dengan baik oleh seorang perawat.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Dalam penyusunannya, format askep harus sesuai dengan langkah-langkah asuhan keperawatan yang akan dilakuakan mulai dari pengkajian, diagnosa keperawatan, perencanaan / intervensi, pelaksanaan / implementasi, dan evaluasi.</div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> Untuk mempermudah dalam penyusunan Asuhan keperawatan (Askep) disini kami coba share format asuhan keperawatan, silahkan lihat dibawah :<br /> <br /> <br /></div> <div style="text-align: justify;"> <br /></div> <div style="text-align: justify;"> <b><span style="font-family: "times new roman" , "serif"; font-size: 14pt;">ASUHAN KEPERAWATAN PADA  Tn. …… DENGAN RESIKO INFEKSI B/D ………………….DENGAN DIAGNOSA MEDIS............. DI RUANG …………… RS………. KOTA ………….</span></b> </div> <div class="MsoNormal" style="line-height: normal;"> <div style="text-align: justify;"> <br /></div> </div> <div class="MsoNormal" style="line-height: normal;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Tanggal masuk            : ……</span></div> </div> <div class="MsoNormal" style="line-height: normal;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Jam                            : ……</span></div> </div> <div class="MsoNormal" style="line-height: normal;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">No RM                      : ……</span></div> </div> <div class="MsoNormal" style="line-height: normal;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Tgl pengkajian            : ………</span></div> </div> <div class="MsoNormal" style="line-height: normal;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Jam                            : …………….</span></div> </div> <div class="MsoNormal" style="line-height: normal;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Diagnosa medis          : ………………….</span></div> </div> <div class="MsoNormal" style="line-height: normal;"> <div style="text-align: justify;"> <br /></div> </div> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo40; text-indent: -.25in;"> <div style="text-align: justify;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">    A.<span style="font: 7pt "Times New Roman";">    </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pengkajian</span></b></div> </div> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; mso-list: l7 level1 lfo41; text-indent: -13.5pt;"> <div style="text-align: justify;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">   </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Identitas pasien dan penanggung jawab</span></b></div> </div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 5.4pt; text-align: justify;"><tbody> <tr style="height: 20.65pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; height: 20.65pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 202.5pt;" valign="top" width="270"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Identitas pasien</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; height: 20.65pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 199.8pt;" valign="top" width="266"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Identitas penanggung jawab</span></div> </td> </tr> <tr style="height: 163.75pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 163.75pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 202.5pt;" valign="top" width="270"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Nama               : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Umur               : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 1.0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Agama             : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Jenis kelamin    : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Alamat            <span style="background-color: #e06666;"></span> : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Suku / bangsa  : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pekerjaan         : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pendidikan      : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Status              : </span></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 163.75pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 199.8pt;" valign="top" width="266"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Nama               : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Umur               : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: 1.0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Agama             : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Jenis kelamin   : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Alamat              : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Suku / bangsa  : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pekerjaan         : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pendidikan      : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Status              : </span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Hub dgn klien : </span></div> </td> </tr> </tbody></table> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 13.5pt; mso-add-space: auto; mso-list: l7 level1 lfo41; text-indent: -13.5pt;"> <div style="text-align: justify;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"><br /></span></b></div> <div style="text-align: justify;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">   </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Riwayat kesehatan </span></b></div> </div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto; mso-list: l70 level1 lfo42; text-indent: -.25in;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">a.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Keluhan utama</span></div> </div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………………</span></div> </div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 31.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l70 level1 lfo42; text-indent: -.25in;"> <div style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">b.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Riwayat kesehatan sekarang</span></div> </div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.7pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-indent: -.25in;"> <div style="text-align: justify;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Waktu terjadinya sakit</span></div> </div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.7pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.7pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <br /></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Proses terjadinya sakit</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………….</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Upaya yang telah di lakukan</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; tab-stops: .75in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………….</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-indent: -.25in;"> <div style="text-align: justify;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Hasil investigasi sementara / sekarang</span></div> </div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………….</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">P     : ……………………</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Q     : ………………………</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">R     : ……………</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">S     : ……………….</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">T     : …………………………</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 31.5pt; margin-right: 0in; margin-top: 0in; mso-list: l70 level1 lfo42; tab-stops: .5in; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">c.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Riwayat kesehatan dahulu</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Penyakit dahulu</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Perlukaan</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Dirawat di RS</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Alergi obat / makanan</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 49.5pt; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Obat-obatan kini :</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.5pt; mso-add-space: auto; mso-list: l56 level1 lfo59; text-align: justify; text-indent: -.25in;"> <span style="font-family: "symbol"; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">         </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………….....</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.5pt; mso-add-space: auto; mso-list: l56 level1 lfo59; text-align: justify; text-indent: -.25in;"> <span style="font-family: "symbol"; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";">         </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto; mso-list: l70 level1 lfo42; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">d.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Riwayat kesehatan keluarga</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto; mso-list: l70 level1 lfo42; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">e.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Genogram</span></div> <div class="MsoListParagraphCxSpMiddle" style="text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;">           ………………………………..</span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 115%;"></span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Keterangan:               </span><br /> <br /> <ul> <li>Laki-laki (hidup)</li> <li>Laki-laki (meninggal)</li> <li>Wanita (hidup)</li> <li>Wanita (meninggal)</li> <li>Pasien</li> <li>Penderita penyakit (.....)</li> <li>Serumah dengan pasien         </li> </ul> (Note : Untuk genogram silahkan dibentuk sendiri sesuai dengan silsilah keluarga pasien dan tanda keterangan silahkan kreasi sendiri)</div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 31.5pt; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .25in; mso-add-space: auto; mso-list: l7 level1 lfo41; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">      </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola fungsi kesehatan</span></b></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">            a.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola administrasi kesehatan – persepsi kesehatan</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Tingkat pengetahuan kesehatan / penyakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Prilaku untuk mengatasi problem kesehatan</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Factor-faktor resiko sehubungan dengan kesehatan</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           b.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola kegiatan dan latihan</span></div> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; tab-stops: .75in; text-align: justify; text-indent: -31.5pt;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;"> Ø<span style="font: 7pt "Times New Roman";">    </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"><i>Sebelum sakit<i></i></i></span></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 41.4pt; text-align: justify;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Aktifitas</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">0</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">1</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">2</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">3</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">4</span></div> </td> </tr> <tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Makan</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> </tr> <tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Mandi </span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> </tr> <tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Berpakaian</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> </tr> <tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Eliminasi</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> </tr> <tr style="mso-yfti-irow: 5;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Mobilisasi ditempat tidur</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> </tr> <tr style="mso-yfti-irow: 6;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Berpindah </span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> </tr> <tr style="mso-yfti-irow: 7;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Ambulansi</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> </tr> <tr style="mso-yfti-irow: 8; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 3.5in;" valign="top" width="336"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Naik tangga</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 22.5pt;" valign="top" width="30"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 24.3pt;" valign="top" width="32"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> </tr> </tbody></table> <div class="MsoListParagraph" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <br /></div> <div class="MsoListParagraph" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Saat sakit</span><br /> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Tabel yang dipakai sama dengan tabel sebelum sakit .</span><br /> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"><br /></span></div> <div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .5in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Keterangan : </span></div> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l83 level1 lfo46; text-align: justify; text-indent: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">0<span style="font: 7pt "Times New Roman";">                    </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">: Mandiri</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l83 level1 lfo46; text-align: justify; text-indent: -.5in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">1<span style="font: 7pt "Times New Roman";">                    </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">: Di bantu sebagian</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l83 level1 lfo46; text-align: justify; text-indent: -.5in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">2<span style="font: 7pt "Times New Roman";">                    </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">: Di bantu orang lain</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l83 level1 lfo46; text-align: justify; text-indent: -.5in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">3<span style="font: 7pt "Times New Roman";">                    </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">: Di bantu orang dan peralatan</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l83 level1 lfo46; text-align: justify; text-indent: -.5in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">4<span style="font: 7pt "Times New Roman";">                    </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">: Ketergantungan / tidak mampu  </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 1.5in; text-align: justify; text-indent: -0.5in;"> </div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           c.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola istirahat tidur</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Sebelum sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"> ………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Saat sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           d.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola nutrisi dan metabolik</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Sebelum sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Selama sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">A: …………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">B: …………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">C:……………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">D:……………… …….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">          e.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola eliminasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Sebelum sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Saat sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           f.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola kognitif dan perceptual</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Sebelum sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Saat sakit.</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………  </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           g.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola konsep diri</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Gambaran diri</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Identitas diri</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Peran diri</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………...</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Ideal diri</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Harga diri</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           h.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola toleransi stress-koping</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Sebelum sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Saat sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">i           .<span style="font: 7pt "Times New Roman";">        </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola reproduksi-seksualitas</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Sebelum sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Saat sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….  </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           j.<span style="font: 7pt "Times New Roman";">        </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola kekerabatan peran</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Sebelum sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Saat sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l25 level1 lfo44; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           k.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pola nilai dan keyakinan</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Sebelum sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Saat sakit</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo40; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">    B.<span style="font: 7pt "Times New Roman";">     </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan fisik</span></b></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .25in; mso-add-space: auto; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Penampakan umum</span></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 23.4pt; text-align: justify;"><tbody> <tr style="height: 28.3pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 1.25in;" valign="top" width="120"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Keadaan umum</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; height: 28.3pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 294.3pt;" valign="top" width="392"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………..</span></div> </td> </tr> <tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 1.25in;" valign="top" width="120"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Kesadaran</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 294.3pt;" valign="top" width="392"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">……………</span></div> </td> </tr> <tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 1.25in;" valign="top" width="120"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">GCS</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 294.3pt;" valign="top" width="392"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Eye : …..   Verbal:…..   Motorik :…… Total =….</span></div> </td> </tr> <tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 1.25in;" valign="top" width="120"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">BB </span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 294.3pt;" valign="top" width="392"><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 1184;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 123.35pt;" valign="top" width="164"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"> ……… kg</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 123.4pt;" valign="top" width="165"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">TB: … cm</span></div> </td> </tr> </tbody></table> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"></span></div> </td> </tr> <tr style="mso-yfti-irow: 4;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 1.25in;" valign="top" width="120"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Skala nyeri</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 294.3pt;" valign="top" width="392"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">   ………</span></div> </td> </tr> <tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 1.25in;" valign="top" width="120"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">TD:….mmHg</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 294.3pt;" valign="top" width="392"><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; width: 337px;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 80.75pt;" valign="top" width="108"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Suhu : …ºC</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 80.75pt;" valign="top" width="108"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">RR : …x/mnt</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 91.55pt;" valign="top" width="122"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Nadi : ….x/mnt</span></div> </td> </tr> </tbody></table> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"></span></div> </td> </tr> </tbody></table> <div class="MsoNormal" style="tab-stops: 22.5pt; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: .25in; mso-add-space: auto; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Kepala dan leher</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">            a.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Rambut</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">            b.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Mata </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           c.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Telinga</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">            d.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Hidung</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">            e.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Mulut</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">             f.<span style="font: 7pt "Times New Roman";">       </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Leher</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">            g.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Dada </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..<span style="color: #00b050;"></span></span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Perkusi </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: .25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Auskultasi </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: .25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">            h.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Jantung</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: .25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Perkusi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: .25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Auskultasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo48; tab-stops: 27.0pt 31.5pt; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">               i.<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Abdomen</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………..</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Auskultasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: .25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">            …………………………………………………………………….......</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Perkusi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: .25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">           ………………………………………………………………………........</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .75in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………………………………………………………………………….</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 27.0pt; margin-right: 0in; margin-top: 0in; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -9.0pt;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">j.<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inguinal dan genetalia</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inpeksi </span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi </span></div> <div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">................................................................................................................</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l1 level1 lfo48; text-align: justify; text-indent: -9.0pt;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">k.</span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Ekstrimitas</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Inspeksi </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l34 level1 lfo43; text-align: justify; text-indent: -.25in;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Palpasi </span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">…………………………………………………………………………</span></div> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; mso-list: l34 level1 lfo43; text-indent: -.25in;"> <div style="text-align: justify;"> <span style="font-family: "wingdings"; font-size: 12pt; line-height: 150%;">Ø<span style="font: 7pt "Times New Roman";">  </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Kekuatan otot</span></div> </div> <table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 6.75pt; margin-right: 6.75pt; text-align: left;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-bottom-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-bottom-themecolor: text1; mso-border-right-alt: solid black .5pt; mso-border-right-themecolor: text1; mso-border-right-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 36.45pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 212.9pt; mso-element-top: 8.85pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">….</span></div> </td> <td style="border-bottom: solid black 1.0pt; border: none; mso-border-bottom-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-left-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 35.55pt;" valign="top" width="47"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 212.9pt; mso-element-top: 8.85pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">..</span></div> </td> </tr> <tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="border-right: solid black 1.0pt; border: none; mso-border-right-alt: solid black .5pt; mso-border-right-themecolor: text1; mso-border-right-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 36.45pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 212.9pt; mso-element-top: 8.85pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">….</span></div> </td> <td style="border: none; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 35.55pt;" valign="top" width="47"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 212.9pt; mso-element-top: 8.85pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">….</span></div> </td> </tr> </tbody></table> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;"> <br /></div> <div class="MsoNormal" style="text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; mso-list: l0 level1 lfo40; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">     C.<span style="font: 7pt "Times New Roman";">    </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Data penunjang</span></b><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"> </span></div> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Tanggal ………… (kimia klinik)</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;"></span></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 18.9pt; text-align: justify;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Pemeriksaan </span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 85.5pt;" valign="top" width="114"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Hasil</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 84.0pt;" valign="top" width="112"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Satuan</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 73.5pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Nilai normal</span></div> </td> </tr> <tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Gula darah sewaktu</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 85.5pt;" valign="top" width="114"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">………</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 84.0pt;" valign="top" width="112"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">……..</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 73.5pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">…………..</span></div> </td> </tr> <tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Ureum</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 85.5pt;" valign="top" width="114"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">………..</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 84.0pt;" valign="top" width="112"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">……..</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 73.5pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">……….</span></div> </td> </tr> <tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Creatinin</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 85.5pt;" valign="top" width="114"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">……….. </span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 84.0pt;" valign="top" width="112"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">………..</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 73.5pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;"> ………..</span></div> </td> </tr> <tr style="height: 11.4pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 11.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">SGOT</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 11.4pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 85.5pt;" valign="top" width="114"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">………</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 11.4pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 84.0pt;" valign="top" width="112"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">………</span></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 11.4pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 73.5pt;" valign="top" width="98"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">…………</span></div> </td> </tr> </tbody></table> <div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 4.5pt; mso-add-space: auto; mso-list: l0 level1 lfo40; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">   D.<span style="font: 7pt "Times New Roman";">    </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Data fokus</span></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 0.25in; text-align: justify;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 185.4pt;" valign="top" width="247"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Data subyektif</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 204.3pt;" valign="top" width="272"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Data obyektif</span></div> </td> </tr> <tr style="height: 49.0pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 49.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 185.4pt;" valign="top" width="247"><div class="MsoNoSpacing" style="margin-left: .25in; text-align: justify;"> <br /></div> <div class="MsoNoSpacing" style="margin-left: .25in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 49.0pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 204.3pt;" valign="top" width="272"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> </td> </tr> </tbody></table> <div class="MsoNormal" style="text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo40; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">   E.<span style="font: 7pt "Times New Roman";">     </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Analisa data</span></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 5.4pt; text-align: justify;"><tbody> <tr style="height: 16.15pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; height: 16.15pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 142.6pt;" valign="top" width="190"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Symtom</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; height: 16.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 129.35pt;" valign="top" width="172"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Etiologi</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; height: 16.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.35pt;" valign="top" width="174"><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Problem</span></div> </td> </tr> <tr style="height: 16.15pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 16.15pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 142.6pt;" valign="top" width="190"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 12.6pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 129.35pt;" valign="top" width="172"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.35pt;" valign="top" width="174"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <br /></div> </td> </tr> </tbody></table> <div class="MsoListParagraphCxSpFirst" style="margin-left: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="margin-left: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo40; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">     F.<span style="font: 7pt "Times New Roman";">     </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Diagnosa keperawatan dan prioritas masalah</span></b></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: .25in; mso-add-space: auto; mso-list: l66 level1 lfo49; tab-stops: 4.5pt; text-align: justify; text-indent: -.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">      </span></span><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">………..........................................................................................................</span></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">2.   ......................................................................................................................</span><br /> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"> </div> <div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo40; tab-stops: 4.5pt; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">    G.<span style="font: 7pt "Times New Roman";">    </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Perencanaan NIC dan NOC</span></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; text-align: justify; width: 559px;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 36.05pt;" width="48"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Hr</span></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Tgl</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 37.7pt;" width="50"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Jam</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 20.75pt;" valign="top" width="28"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -2.65pt; margin-right: 0in; margin-top: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">no</span></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -2.65pt; margin-right: 0in; margin-top: 0in;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">dx</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 157.5pt;" width="210"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">NOC / tujuan</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 139.5pt;" width="186"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">NIC / intervensi</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 27.45pt;" width="37"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -.9pt; margin-right: 0in; margin-top: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Ttd</span></div> </td> </tr> <tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 36.05pt;" valign="top" width="48"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 37.7pt;" valign="top" width="50"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -5.45pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 20.75pt;" valign="top" width="28"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 157.5pt;" valign="top" width="210"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 81.0pt 99.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 81.0pt 99.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 81.0pt 99.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 81.0pt 99.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; tab-stops: list 81.0pt 99.0pt; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 139.5pt;" valign="top" width="186"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .3in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .3in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .3in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 27.45pt;" valign="top" width="37"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -5.4pt; margin-right: 0in; margin-top: 0in; text-align: center;"> <br /></div> </td> </tr> <tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 36.05pt;" valign="top" width="48"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 37.7pt;" valign="top" width="50"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -5.45pt; margin-right: 0in; margin-top: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 20.75pt;" valign="top" width="28"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 157.5pt;" valign="top" width="210"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 139.5pt;" valign="top" width="186"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 12.6pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 12.6pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 12.6pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 27.45pt;" valign="top" width="37"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -5.4pt; margin-right: 0in; margin-top: 0in;"> <br /></div> </td> </tr> </tbody></table> <div class="MsoListParagraphCxSpFirst" style="margin-left: 0in; mso-add-space: auto; tab-stops: 4.5pt; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="margin-left: 0in; mso-add-space: auto; tab-stops: 4.5pt; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="margin-left: 0in; mso-add-space: auto; tab-stops: 4.5pt; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="margin-left: 0in; mso-add-space: auto; tab-stops: 4.5pt; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo40; tab-stops: 4.5pt; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">     H.<span style="font: 7pt "Times New Roman";">    </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Implementasi </span></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 5.4pt; text-align: justify;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" width="48"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Hari/tgl</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 40.5pt;" width="54"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">jam</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 27.0pt;" width="36"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">No Dx</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" width="174"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-add-space: auto;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Tindakan</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" width="198"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Respon</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" width="48"><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -5.4pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Paraf</span></div> </td> </tr> <tr style="height: 31.45pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 31.45pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: -5.4pt; margin-right: 0in; margin-top: 0in; text-align: center;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 31.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 40.5pt;" valign="top" width="54"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 31.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 27.0pt;" valign="top" width="36"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 31.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 130.5pt;" valign="top" width="174"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: 10.0pt; margin-left: 8.1pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: 10.0pt; margin-left: 8.1pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: 10.0pt; margin-left: 8.1pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: 10.0pt; margin-left: 8.1pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 31.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 148.5pt;" valign="top" width="198"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 31.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: .5in;" valign="top" width="48"><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: justify;"> <br /></div> </td> </tr> </tbody></table> <div class="MsoListParagraphCxSpFirst" style="margin-left: 0in; mso-add-space: auto; tab-stops: 0in; text-align: justify;"> <br /> <br /></div> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo40; tab-stops: 0in; text-align: justify; text-indent: -.25in;"> <b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">     I.<span style="font: 7pt "Times New Roman";">       </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , "serif"; font-size: 12pt; line-height: 150%;">Evaluasi</span></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; text-align: justify; width: 534px;"><tbody> <tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 67.5pt;" width="90"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Tgl / hari</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 49.5pt;" width="66"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Jam</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 31.5pt;" width="42"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">No dx</span></div> </td> <td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 211.5pt;" width="282"><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">Catatan perkembangan</span></div> </td> <td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-left-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 40.5pt;" width="54"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: center;"> <span style="font-family: "times new roman" , "serif"; font-size: 12pt;">TTD</span></div> </td> </tr> <tr style="height: 35.5pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; height: 35.5pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 67.5pt;" valign="top" width="90"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 35.5pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 49.5pt;" valign="top" width="66"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 35.5pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 31.5pt;" valign="top" width="42"><div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; text-align: center;"> <br /></div> </td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 35.5pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0in 5.4pt 0in 5.4pt; width: 211.5pt;" valign="top" width="282"><div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: normal; margin-bottom: 10.0pt; text-align: justify;"> <br /></div> </td> <td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-left-themecolor: text1; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 40.5pt;" valign="top" width="54"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"> <br /></div> </td> </tr> </tbody></table> <div class="MsoNormal" style="line-height: 150%; tab-stops: 4.5pt; text-align: justify;"> <br /> Untuk mendownload Format asuhan keperawatan dalam format doc, silahkan dibawah :<br /> <ul> <li><b><span style="background-color: cyan;">File format asuhan keperawatan (Askep) doc</span>, <a href="https://drive.google.com/file/d/1LxeEeHqeoq-TJyZlmT_n7e265ZpUosdW/view?usp=sharing" target="_blank">(Ambil file)</a></b></li> </ul> <div> Atau</div> <div> <ul> <li><b><a href="https://drive.google.com/file/d/1LxeEeHqeoq-TJyZlmT_n7e265ZpUosdW/view?usp=sharing" target="_blank">Link Alternatif Format askep 1</a></b></li> <li><b><a href="https://drive.google.com/file/d/1LxeEeHqeoq-TJyZlmT_n7e265ZpUosdW/view?usp=sharing" target="_blank">Link Alternatif Format askep 2</a></b></li> </ul> <div> Demikian Format Dokumentasi Asuhan Keperawatan (Askep) doc, kami bagikan semoga bisa membantu dan bermanfaat.</div> </div> </div> <div style="clear: both;"> </div>

Format Dokumentasi Asuhan Keperawatan (Askep) Doc Terlengkap

Didalam dunia keperawatan askep merupakan sebuah pegangan atau aliran seorang perawat dalam melaksanakan pelayananan berupa asuhan keperawa...

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