Upaya kolaboratif dalam meningkatkan kesehatan maternal dan perinatal

Image
  Upaya kolaboratif dalam meningkatkan kesehatan maternal dan perinatal Upaya kolaboratif dalam meningkatkan kesehatan maternal dan perinatal sangat penting untuk mencapai hasil yang optimal. Berikut ini adalah beberapa contoh upaya kolaboratif yang dapat dilakukan: 1.       Kolaborasi antara tenaga medis dan bidan: Tim medis yang terdiri dari dokter, perawat, dan bidan dapat bekerja sama untuk memberikan pelayanan kesehatan yang holistik kepada ibu hamil dan bayi yang akan lahir. Dengan saling berbagi pengetahuan dan keterampilan, mereka dapat meningkatkan pemantauan kehamilan, memberikan perawatan prenatal yang tepat, dan menangani komplikasi saat melahirkan. 2.       Kemitraan antara lembaga kesehatan dan masyarakat: Kolaborasi antara fasilitas kesehatan, organisasi non-pemerintah, dan masyarakat lokal dapat membantu meningkatkan kesadaran akan pentingnya kesehatan maternal dan perinatal. Misalnya, mengadakan kampanye penyuluhan dan program edukasi di komunitas mengenai perawa

FORMAT PENDOKUMENTASIAN ASUHAN KEBIDANAN KESEHATAN REPRODUKSI


FORMAT PENDOKUMENTASIAN

ASUHAN KEBIDANAN KESEHATAN REPRODUKSI




RS/PKM/RB/BPS/KLINIK :
NOMOR RM :
Pj. Ruangan :
Tangal/Pukul pengkajian :
Nama mahasiswa :
NIM                     :
Pembimbing         :
Sumber Informasi tempat pelayanan
¨ Teman                       ¨ Orang tua/keluarga
¨ Nakes                        ¨ Sendiri
A
BIODATA
Nama                     : .................................................................................................................
Umur                      : .................................................................................................................
Suku/bangsa           : .................................................................................................................
Agama                    : .................................................................................................................
Pendidikan             : .................................................................................................................
Pekerjaan               : .................................................................................................................
Alamat                   : .................................................................................................................
                               : .................................................................................................................
B
1
DATA SUBJEKTIF
Keluhan Utama
..................................................................................................................................................
2
Riwayat Kesehatan/penyakit sekarang
..................................................................................................................................................
3
Riwayat kesehatan yang lalu
..................................................................................................................................................
4
Riwayat kesehatan keluarga
..................................................................................................................................................
5
Riwayat fungsi reproduksi
a. Riwayat menstruasi
Menarche       : ...................................
Siklus             : ...................................
Lamanya        : ...................................
Banyaknya    : ...................................
Warna/bau     : ...................................
Disminorhea  : ...................................
HPHT            : ...................................

b. Kebiasaan Seksual   : ..........................................
c. Riwayat kehamilan, persalinan dan nifas yang lalu :
................................................................................
d. Tumor                      : ..........................................
e.  Infeksi                    : ..........................................
f.  Gangguan KB          : ..........................................
g.  Riwayat perkawinan                                 : ..........................................
6
Riwayat Kebiasaan Sehari hari
a.    Makan/Minum
Frekuensi      : ...................................
Macam          : ...................................
Pantangan     : ...................................
Minum          : ...................................
b.   Eliminasi
BAK            
Frekuensi      : ...................................
Konsistensi   : ...................................
Warna           : ...................................
Bau               : ...................................
BAB             
Frekuensi      : ...................................
Konsistensi   : ...................................
Warna           : ...................................
Bau               : ...................................

c.    Personal Hygiene
Mandi                             : ...................................
Sikat gigi                        : ...................................
Ganti pakaian                 : ...................................
d.   Ketergantungan
Alergi                             : ...................................
Merokok                        : ...................................
Obat-obatan/alkohol       : ...................................
Jamu                              : ...................................
e.    Keadaan psikologis, sosial dan spiritual
Status emosional            : ...................................
Status sosial                    : ...................................
Komunikasi dg keluarga : ...................................
Status ekonomi               : ...................................

B
1
DATA OBJEKTIF
Pemeriksaan Umum
Keadaan umum           : ........................................
Kesadaran                   : ........................................
Keadaan emosional     : ........................................
BB                              : ........................................
TB                               : ........................................


Tanda-tanda Vital
- TD                  : ............................
- Nadi               : ............................
- Pernafasan     : ............................
- Suhu               : ............................
2
Pemeriksaan Fisik
a.       Kepala
Rambut                 : ¨ Bersih                        ¨ Rontok                             ¨ Ketombe    
Konjungtiva          : ........................................
Sclera                    : ........................................
b.      Mulut dan gigi       : ........................................
c.       Leher
Pembengkakan      : ¨ Kelenjar tyroid           ¨ Kelenjar getah bening       ¨ Vena jugularis
d.      Dada
Jantung                 : ........................................
Paru-paru              : ........................................

e.       Payudara
¨ Pembesaran                  ¨ Puting menonjol        ¨ Benjolan                 ¨ Simetris
¨ Nyeri                            ¨ Pengeluaran              
f.       Punggung dan pinggang
¨ Posisi punggung normal                                     ¨ Nyeri ketuk
g.       Ekstremitas
¨ Oedema                        ¨ Kekakuan otot           ¨ Kemerahan             ¨ Varises
h.      Abdomen
¨ Bekas luka operasi       ¨ Acites                        ¨ Konsistensi             ¨ Tumor
i.        Anogenitalia
Vulva dan vagina              : ......................................................
Oedema                            : ......................................................
Pengeluaran                      : ......................................................
Banyaknya                       : ......................................................
Anus                                 : ......................................................
Inspekulo                          : ......................................................
Pemeriksaan dalam           : ......................................................
2
Pemeriksaan penunjang
a.       Laboratorium
Hb                                    : ......................................................
Protein urine                     : ......................................................
Glukosa urine                   : ......................................................
b.      USG                                  : ......................................................
c.       Papsmear                          : ......................................................
d.      Dll                                    : ......................................................
C
ASESSMENT
..................................................................................................................................................
..................................................................................................................................................
D
PENATALAKSANAAN
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................



Pembimbing Lahan,





(............................................)

Pembimbing akademik,





(............................................)
.................., ................................
Mahasiswa,





(............................................)



Comments

Popular posts from this blog

Konsep Cairan dan Elektrolit Tubuh

Makalah Konsep Dasar Teori Air Susu Ibu (ASI)