Detail Penilaian Awal Detail Penilaian Awal Riwayat
Nomor Registrasi: {{ $this->assessment->queuePatient->registration_number ?? '-' }}
Nomor Rekam Medis: {{ $this->assessment->patient->medical_record_number ?? '-' }}
Nama: {{ $this->assessment->patient->name ?? '-' }}
Alamat: {{ $this->assessment->patient->address ?? '-' }}
Tanggal Periksa: {{ optional($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: {{ $this->assessment->patient->id_number ?? '-' }}
Informasi dan Alasan
Informasi :
Dari : {{ json_decode($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 : {{ $this->assessment->reasonInformation->how_to_enter ?? '-' }}
Asal Masuk : @if(json_decode($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 : {{ $this->assessment->reasonInformation->diagnosis ?? '-' }}
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 : {{ $this->assessment->generalCircumstances->awareness ?? '-' }}
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($this->assessment->generalCircumstances->vital_signs)->nadi->radio ?? '-' }}
Suhu : {{ json_decode($this->assessment->generalCircumstances->vital_signs)->suhu ?? '-' }} oC
Pernapasan : {{ json_decode($this->assessment->generalCircumstances->vital_signs)->pernafasan ?? '-' }} x/menit
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
{{ $this->assessment->nutritionalStatus->weight_loss ?? '-' }}
{{ $this->assessment->nutritionalStatus->not_sure_know ?? '-' }}

1 = 1 – 5 kg, 2 = 6 – 10 kg, 3 = 11 – 15 kg, 4 = 15 kg
{{ $this->assessment->nutritionalStatus->if_yes ?? '-' }}
2. Apakah Asupan makanan berkurang karena tidak ada nafsu makan dalam 5 hari terakhir ?
{{ $this->assessment->nutritionalStatus->reduced_food_intake ?? '-' }}
{{ $this->assessment->nutritionalStatus->nutrition_score ?? '-' }}
Perlu Konsultasi Dengan Ahli Gizi : {{ $this->assessment->nutritionalStatus->needs_consultation ?? '-' }}
Edukasi
Kesediaan Pasien & Keluarga Menerima Informasi : {{ $this->assessment->education->patient_willingness ?? '-' }}
Terdapat Hambatan Dalam Edukasi : @if ($this->assessment->education->educational_barriers == 'Ya') @endif
{{ $this->assessment->education->educational_barriers ?? '-' }} : @if (json_decode($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 : {{ $this->assessment->education->level_education ?? '-' }}
Cara Belajar Yang Disukai : {{ $this->assessment->education->study_method ?? '-' }}
Pasien dan Keluarga Menginginkan Informasi Tentang :
@if (json_decode($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 ?? '-' }}