Detail Pengkajian Awal Pasien

Klinik

Nomor Registrasi	:	{{ $this->assessment->queuePatient->registration_number ?? '-' }}
Nomor Rekam Medis	:	{{ $this->assessment->patient->medical_record_number ?? '-' }}
Nama	:	{{ $this->assessment->patient->name ?? '-' }}
Alamat	:	{{ $this->assessment->patient->address ?? '-' }}
Jenis Kelamin	:	{{ $this->assessment->patient->gender ?? '-' }}

Tanggal Periksa	:	{{ optional($this->assessment->queuePatient->date)->format('d-m-Y') ?? '-' }}
Tanggal Lahir / Umur	:	{{ optional($this->assessment->patient->birthday)->format('d-m-Y') ?? '-' }} / {{ $this->assessment->patient->age ?? '-' }}
Nomor Ponsel	:	{{ $this->assessment->patient->phone_number ?? '-' }}
NIK	:	{{ $this->assessment->patient->id_number ?? '-' }}
Jenis Pasien	:	{{ $this->assessment->patient->type ?? '-' }}

Informasi dan Alasan

Informasi

Dari	:	{{ json_decode($this->assessment->reasonInformation->information)->radio ?? '-' }}
Nama	:	@if(json_decode($this->assessment->reasonInformation->information)->radio == 'Keluarga') {{ json_decode($this->assessment->reasonInformation->information)->nama->keluarga ?? '-' }} @else {{ json_decode($this->assessment->reasonInformation->information)->nama->orang_lain ?? '-' }} @endif
Hubungan	:	@if(json_decode($this->assessment->reasonInformation->information)->radio == 'Keluarga') {{ json_decode($this->assessment->reasonInformation->information)->hubungan->keluarga ?? '-' }} @else {{ json_decode($this->assessment->reasonInformation->information)->hubungan->orang_lain ?? '-' }} @endif

Cara Masuk

Asal Masuk

@if(json_decode($this->assessment->reasonInformation->origin_in)->radio == 'Rujukan') @endif

{{ json_decode($this->assessment->reasonInformation->origin_in)->radio ?? '-' }}
Dari	:	{{ json_decode($this->assessment->reasonInformation->origin_in)->rujukan ?? '-' }}

Diagnosa

Keluhan Utama

{{ $this->assessment->reasonInformation->main_complaint ?? '-' }}

Riwayat Keluhan Utama

{{ $this->assessment->reasonInformation->history_current_complaints ?? '-' }}

Jenis Keluhan Saat Ini

{{ $this->assessment->reasonInformation->kind_of_complaint ?? '-' }}

Riwayat Alergi

@if ($this->assessment->reasonInformation->allergy_history == '1') @endif

@if ($this->assessment->reasonInformation->allergy_history == '1') Ada @else Tidak Ada @endif

@if (json_decode($this->assessment->reasonInformation->allergy_detail)->ceklis->makanan) Makanan @endif
@if (json_decode($this->assessment->reasonInformation->allergy_detail)->ceklis->obat) Obat @endif
@if (json_decode($this->assessment->reasonInformation->allergy_detail)->ceklis->lain_lain) Lain - lain, {{ json_decode($this->assessment->reasonInformation->allergy_detail)->reaksi ?? '-' }} @endif

Keadaan Umum

Kesadaran

Resiko Dekubitus

{{ $this->assessment->generalCircumstances->risk_of_decubitus ?? '-' }}

Tanda Vital

Tekanan Darah

{{ json_decode($this->assessment->generalCircumstances->vital_signs)->tekananDarah ?? '-' }} mmHG

Nadi

{{ json_decode($this->assessment->generalCircumstances->vital_signs)->nadi->input ?? '-' }} x/menit,

Kondisi

{{ json_decode($this->assessment->generalCircumstances->vital_signs)->nadi->radio ?? '-' }}

Pernapasan

{{ json_decode($this->assessment->generalCircumstances->vital_signs)->pernafasan ?? '-' }} x/menit

Suhu	:	{{ json_decode($this->assessment->generalCircumstances->vital_signs)->suhu ?? '-' }} ^oC
SO2	:	{{ json_decode($this->assessment->generalCircumstances->vital_signs)->so ?? '-' }}
Detail Fisik	:	{{ json_decode($this->assessment->generalCircumstances->vital_signs)->fisikDetail ?? '-' }}

Berat Badan	:	{{ $this->assessment->generalCircumstances->weight ?? '-' }} kg
Penilaian Nyeri	:	{{ $this->assessment->generalCircumstances->pain_assessment ?? '-' }}
Skala Nyeri	:	{{ json_decode($this->assessment->generalCircumstances->pain_detail)->skalaNyeri ?? '-' }}

Tinggi Badan	:	{{ $this->assessment->generalCircumstances->height ?? '-' }} cm
Lokasi Nyeri	:	{{ json_decode($this->assessment->generalCircumstances->pain_detail)->lokasiNyeri ?? '-' }}
Karakteristik	:	{{ json_decode($this->assessment->generalCircumstances->pain_detail)->karakteristik ?? '-' }}

IMT	:	{{ $this->assessment->generalCircumstances->imt ?? '-' }}
Durasi Nyeri	:	{{ json_decode($this->assessment->generalCircumstances->pain_detail)->durasiNyeri ?? '-' }}
Metode	:	{{ json_decode($this->assessment->generalCircumstances->pain_detail)->metode ?? '-' }}

Resiko jatuh

Skor

{{ json_decode($this->assessment->generalCircumstances->risk_of_falling)->skor ?? '-' }}

Kategori

{{ json_decode($this->assessment->generalCircumstances->risk_of_falling)->kategori ?? '-' }}

Status Psikososial

Status Psikologi

@if (json_decode($this->assessment->psychosocialStatus->psychological_status)->radio == 'Lainnya') @endif

{{ json_decode($this->assessment->psychosocialStatus->psychological_status)->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->psychological_status)->input ?? '-' }}

Status Mental

@if (json_decode($this->assessment->psychosocialStatus->mental_status)->radio == 'Ada Masalah Prilaku') @endif

{{ json_decode($this->assessment->psychosocialStatus->mental_status)->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->mental_status)->input ?? '-' }}

Status Sosial

Status Pernikahan

@if (json_decode($this->assessment->psychosocialStatus->social_status)->statusPernikahan->radio == 'Lainnya') @endif

{{ json_decode($this->assessment->psychosocialStatus->social_status)->statusPernikahan->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->social_status)->statusPernikahan->input }}

Hubungan Pasien Dengan Keluarga

{{ json_decode($this->assessment->psychosocialStatus->social_status)->hubunganPasienDenganKeluarga ?? '-' }}

Tempat Tinggal

@if (json_decode($this->assessment->psychosocialStatus->social_status)->tempatTinggal->radio == 'Lainnya') @endif

{{ json_decode($this->assessment->psychosocialStatus->social_status)->tempatTinggal->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->social_status)->tempatTinggal->input }}

Kebiasaan Ibadah, Teratur?

{{ json_decode($this->assessment->psychosocialStatus->social_status)->kebiasaanIbadah ?? '-' }}

Status Ekonomi

Pekerjaan

{{ json_decode($this->assessment->psychosocialStatus->economic_status)->pekerjaan ?? '-' }}

Cara Pembayaran

@if (json_decode($this->assessment->psychosocialStatus->economic_status)->caraPembayaran->radio == 'Lainnya') @endif

{{ json_decode($this->assessment->psychosocialStatus->economic_status)->caraPembayaran->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->economic_status)->caraPembayaran->input ?? '-' }}

Nilai & Keyakinan yang perlu di perhatikan

@if (json_decode($this->assessment->psychosocialStatus->economic_status)->nilaiKeyakinan->radio == 'Ada') @endif

{{ json_decode($this->assessment->psychosocialStatus->economic_status)->nilaiKeyakinan->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->economic_status)->nilaiKeyakinan->input ?? '-' }}

Agama

@if (json_decode($this->assessment->psychosocialStatus->economic_status)->agama->radio == 'Lainnya') @endif

{{ json_decode($this->assessment->psychosocialStatus->economic_status)->agama->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->economic_status)->agama->input ?? '-' }}

Status Fungsional

Aktifitas dan Mobilisasi

{{ json_decode($this->assessment->psychosocialStatus->functional_status)->aktifitasMobilisasi ?? '-' }}

Cacat Tubuh

@if (json_decode($this->assessment->psychosocialStatus->functional_status)->penggunaanAlatBantu->radio == 'Lainnya') @endif

{{ json_decode($this->assessment->psychosocialStatus->functional_status)->penggunaanAlatBantu->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->functional_status)->penggunaanAlatBantu->input ?? '-' }}

Penggunaan Alat Bantu

@if (json_decode($this->assessment->psychosocialStatus->functional_status)->cacatTubuh->radio == 'Ada') @endif

{{ json_decode($this->assessment->psychosocialStatus->functional_status)->cacatTubuh->radio ?? '-' }}

{{ json_decode($this->assessment->psychosocialStatus->functional_status)->cacatTubuh->input ?? '-' }}

Status Nutrisi

Status Gizi / Anak / Pediatrik

{{ $this->assessment->nutritionalStatus->nutritional_status ?? '-' }}

Status Fungsional

1. Adakah Perubahan Berat Badan signifikan dalam 6 bulan terakhir

a. Tidak ada penurunan berat badan

b. Tidak Yakin / Tidak Tahu

c. Jika YA, berapa penurunan berat badan tersebut
1 = 1 – 5 kg, 2 = 6 – 10 kg, 3 = 11 – 15 kg, 4 = 15 kg

2. Apakah Asupan makanan berkurang karena tidak ada nafsu makan dalam 5 hari terakhir ?

0 = Tidak, 1 = Ya

{{ $this->assessment->nutritionalStatus->reduced_food_intake ?? '-' }}

Skor Nutrisi

{{ $this->assessment->nutritionalStatus->nutrition_score ?? '-' }}

Perlu Konsultasi Dengan Ahli Gizi

{{ $this->assessment->nutritionalStatus->needs_consultation ?? '-' }}

Edukasi

Kesediaan Pasien & Keluarga Menerima Informasi

Terdapat Hambatan Dalam Edukasi

@if ($this->assessment->education->educational_barriers == 'Ya') @endif

@if (json_decode($this->assessment->education->obstacle_detail)->ceklis->pendengaran) Pendengaran @endif
@if (json_decode($this->assessment->education->obstacle_detail)->ceklis->penglihatan) Penglihatan @endif
@if (json_decode($this->assessment->education->obstacle_detail)->ceklis->cognitif) Cognitif @endif
@if (json_decode($this->assessment->education->obstacle_detail)->ceklis->fisik) Fisik @endif
@if (json_decode($this->assessment->education->obstacle_detail)->ceklis->budaya) Budaya @endif
@if (json_decode($this->assessment->education->obstacle_detail)->ceklis->emosi) Emosi @endif
@if (json_decode($this->assessment->education->obstacle_detail)->ceklis->bahasa) Bahasa @endif
@if (json_decode($this->assessment->education->obstacle_detail)->ceklis->lainnya) Lainnya, {{ json_decode($this->assessment->education->obstacle_detail)->input ?? '-' }} @endif

Bahasa Sehari – hari

@if (json_decode($this->assessment->education->language)->radio == 'Daerah') @elseif (json_decode($this->assessment->education->language)->radio == 'Lainnya') @else @endif

{{ json_decode($this->assessment->education->language)->radio ?? '-' }}

{{ json_decode($this->assessment->education->language)->sebutkan }}

{{ json_decode($this->assessment->education->language)->lainnya }}

Tingkat Pendidikan Pasien

Cara Belajar Yang Disukai

Pasien dan Keluarga Menginginkan Informasi Tentang

@if (json_decode($this->assessment->education->information_about)->ceklis->diagnosaPenyakit) Diagnosa Penyakit @endif
@if (json_decode($this->assessment->education->information_about)->ceklis->dietDanNutrisi) Diet Dan Nutrisi @endif
@if (json_decode($this->assessment->education->information_about)->ceklis->terapi) Terapi @endif
@if (json_decode($this->assessment->education->information_about)->ceklis->manajemenNyeri) ManajemenNyeri @endif
@if (json_decode($this->assessment->education->information_about)->ceklis->penggunaanAlatMedis) Penggunaan Alat Medis @endif
@if (json_decode($this->assessment->education->information_about)->ceklis->lainnya) Lainnya, {{ json_decode($this->assessment->education->information_about)->input ?? '-' }} @endif

Perlu Penerjemah

@if (json_decode($this->assessment->education->translator_needed)->radio == 'Ya') @endif

{{ json_decode($this->assessment->education->translator_needed)->radio ?? '-' }}

{{ json_decode($this->assessment->education->translator_needed)->input ?? '-' }}

Masalah dan Rencana

Daftar Masalah Keperawatan

@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->hipertermia) @endif	Hipertermia	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->hambatanMobilitasFisik) @endif	Hambatan Mobilitas Fisik	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->konstipasiDiare) @endif	Konstipasi / Diare
@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->nyeri) @endif	Nyeri, {{ json_decode($this->assessment->planproblem->nursing_problems)->input->nyeri }}	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->resikoKerusakanIntegritasKulit) @endif	Resiko Kerusakan Integritas Kulit	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->gangguanPolaEliminasi) @endif	Gangguan Pola Eliminasi
@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->kekuranganVolumeCairan) @endif	Kekurangan Volume Cairan	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->penurunanCurahJantung) @endif	Penurunan Curah Jantung	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->resikoKerusakan_integritasKulit) @endif	Resiko Kerusakan Integritas Kulit
@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->ketidakEfektifanBersihanJalanNapas) @endif	Ketidak Efektifan Bersihan Jalan Napas	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->ketidakefektifanPolaNafas) @endif	Ketidakefektifan Pola Nafas	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->defisitPerawatanDiri) @endif	Defisit Perawatan Diri
@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->resikoKetidakefektifanPerfusiJaringanOtak) @endif	Resiko Ketidakefektifan Perfusi Jaringan Otak	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->gangguanPerfusiJaringanPeriferCerebral) @endif	Gangguan Perfusi Jaringan Perifer Cerebral	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->resikoKekuranganVolumeCairan) @endif	Resiko Kekurangan Volume Cairan
@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->nutrisiKurangDariKebutuhanTubuh) @endif	Nutrisi Kurang Dari Kebutuhan Tubuh	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->mual) @endif	Mual	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->tambah1) @endif	{{ json_decode($this->assessment->planproblem->nursing_problems)->input->tambah1 }}
@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->resikoInfeksi) @endif	Resiko Infeksi	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->kecemasan) @endif	Kecemasan	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->tambah2) @endif	{{ json_decode($this->assessment->planproblem->nursing_problems)->input->tambah2 }}
@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->intoleransiAktivitas) @endif	Intoleransi Aktivitas	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->gangguanPerfusiSensorik) @endif	Gangguan Perfusi Sensorik	@if (json_decode($this->assessment->planproblem->nursing_problems)->ceklis->tambah3) @endif	{{ json_decode($this->assessment->planproblem->nursing_problems)->input->tambah3 }}

Rencana Keperawatan

@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->kaji) @endif	Keji, {{ json_decode($this->assessment->planproblem->nursing_plans)->input->kaji }}	@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->ajakanTeknikRelaksasi) @endif	Ajakan Teknik Relaksasi
@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->observasiTandaVital) @endif	Observasi Tanda Vital	@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->libatkanKeluargaDalamPemenuhanKebutuhanPasien) @endif	Libatkan Keluarga Dalam Pemenuhan Kebutuhan Pasien
@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->anjuranPasienTeknikBatukEfektif) @endif	Anjuran Pasien Teknik Batuk Efektif	@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->observasiTandaInfeksi) @endif	Observasi Tanda Infeksi
@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->anjurkanPasien) @endif	Anjurkan Pasien, {{ json_decode($this->assessment->planproblem->nursing_plans)->input->anjurkanPasien }}	@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->kolaborasiDenganDokter) @endif	Kolaborasi Dengan Dokter
@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->beriPasienPosisiYangMenyenangkan) @endif	Beri Pasien Posisi Yang Menyenangkan	@if (json_decode($this->assessment->planproblem->nursing_plans)->ceklis->tambahan) @endif	{{ json_decode($this->assessment->planproblem->nursing_plans)->input->tambahan ?? '-' }}