FORMAT ADL PASIEN
Senin, Oktober 03, 2016 | 
Diposting oleh
Unknown
RENCANA KEGIATAN HARIAN (ADL) KLIEN
Nama : Tn. “ ” Ruangan : RM
No :
No
|
Jam
|
Jenis Kegiatan
|
Hari
|
Keterangan
|
||||||
Senin
|
Selasa
|
Rabu
|
Kamis
|
Jumat
|
Sabtu
|
|||||
1.
|
05.00
|
Bangun pagi, Shalat subuh +berdoa
|
||||||||
2.
|
05.15
|
Latihan napas dalam/ pukul bantal
|
||||||||
3.
|
05.30
|
Merapikan tempat tidur
|
||||||||
4.
|
06.00
|
Sarapan Pagi
|
||||||||
5.
|
06.30
|
Minum obat pagi
|
||||||||
6.
|
08.00
|
Mandi dan ganti pakaian
|
||||||||
7.
|
09.00
|
Bercakap-cakap dengan orang lain
|
||||||||
8.
|
10.00
|
Makan bubur kacang ijo
|
||||||||
9.
|
11.00
|
Minum Obat siang
|
||||||||
10.
|
12.00
|
Makan Siang
|
||||||||
11.
|
13.00
|
Shalat Dzuhur + berdoa
|
||||||||
12.
|
14.00
|
Istirahat/ tidur siang
|
||||||||
13.
|
15.30
|
Shalat Ashar + berdoa
|
||||||||
14.
|
16.00
|
Menyibukkan diri, berbincang dengan orang
lain
|
||||||||
15.
|
16.30
|
Minum obat sore
|
||||||||
16.
|
17.00
|
Makan sore
|
||||||||
17.
|
17.30
|
Mandi sore
|
||||||||
18.
|
18.15
|
Shalat magrib + berdoa
|
||||||||
19.
|
20.00
|
Shalat isya + berdoa
|
||||||||
20.
|
20.30
|
Latihan napas dalam/ pukul bantal
|
||||||||
21.
|
21.00
|
Istirahat tidur + berdoa
|
||||||||
Keterangan :
M =
Mandiri
B =
Bantuan
T =
Tidak Di Lakukan
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