Askep Keluarga Tentang Diare Pada Balita

FORMAT PENGKAJIAN KELUARGA

A. Data Data Das Dasar ar Kelu Keluarg arga a

1.  Nama KK

: Tn. D

Alamat at 2. Alam

: RT 02 RW 08 No. No. 19 Jati Jatin negar egaraa Kaum Kaum Kec. Kec. Pulo ulogad gadung ung Jak Jakarta arta

Timur 3. !ia

: "# Ta$un

4. Pendidikan

: %1

5. Peker&aan

: Ka Kar'a(an %(a!ta

. Kom)o!i!i Anggota Keluarga Tn. D

N!

Na"a

JK  

1

N'. T

P

2

An. K

" #

#u$. %g

U"ur

Aga"a

Pe&%'%'(a&

Pe(er)aa&

*!tri

"1 T$n

*!lam

%1

*RT

P

Anak

2 T$n

*!lam

+

+

An. A

P

Anak

, -ln

*!lam

+

+

An. An



Anak

, -ln

*!lam

+

+

KK 

*. Ge&!gra"

"#

2 ta$u n

" 1

,  ln

, ln

Keterangan /enogram : : aki+laki

: gari! )ernika$an

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: Perem)uan

: gari! keturunan

: 5eninggal

: tinggal !eruma$

: Klien

+. T',e ',e Ke Keluar luarg ga

Keluarga Tn. D adala$ keluarga inti 'aitu !uatu ruma$ tangga 'ang terdiri dari !uami i!tri dan anak.

-. u(u /a /a&gsa

Tn. D era!al dari !unda dan *u T era!al dari Ja(a. Tn. D era!al dari -andung dan *u *u T era era!al !al dari dari %ala %alati tiga ga.. -a$a -a$a!a !a 'ang 'ang digu diguna naka kan n !e$ar !e$ari+ i+$a $ari ri adal adala$ a$ a$a a$a!a !a *ndone!ia.

10. 10. Aga" Aga"a a

Kelu Keluarg argaa Tn.D Tn.D era eraga gama ma *!lam *!lam dan dan men& men&ala alank nkan an a&ara a&aran n agam agamaa !eag !eagai aima mana na me!tin'a. N'. T !ering meng$adiri )enga&ian 'ang diadakan di ma!&id !etem)at.

11. tatus !s'al E(!&!"' E(!&!"' Keluarga Keluarga

Peng$a Peng$a!ila !ilan n keluar keluarga ga !etia) !etia) ulann ulann'a 'a dida)a dida)atka tkan n dari dari ga&i ga&i 'ang 'ang diteri diterima ma Tn. D !ee!ar R).2.000.000. R).2.000.000. %emua keutu$an keluarga da)at tercuku)i tercuku)i dari )eng$a!ilan )eng$a!ilan Tn. D. Pengat Pengatura uran n keuang keuangan an keluar keluarga ga !endiri !endiri di!era$ di!era$kan kan ke)ada ke)ada *u T. Keluar Keluarga ga mem)un'ai taungan dalam entuk uang 'ang di!im)an di ank. Peng$a!ilan $an'a dari -)k. D dan tidak ada antuan dari )i$ak lain.

12. A(t''tas Re(reas' Re(reas' Keluarga atau atau a(tu Lua&g

Waktu luang Tn. D digunakan untuk eri!tira$at !e)erti tidur dan menonton T3. Pada !aat di ruma$ -)k. D !ering erinterak!i erinterak!i dengan anak+anakn'a. anak+anakn'a. *u T menggunakan menggunakan (aktu (aktu luangn luangn'a 'a &uga &uga dengan dengan menont menonton on tele4i tele4i!i !i dan eri!ti eri!tira$ ra$at. at. Jika Jika ada (aktu (aktu

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13. R'aat %a& %a& Taa, ,er(e"$a&ga& ,er(e"$a&ga& (eluarga

Ta$a) )erkemangan keluarga dengan alita !aat ini adala$ keluarga men!timulu!  )erkemangan anak dengan cara menga&ak ermain !e!uai dengan tumu$ kemang anak.

14. 14. Tu Tuga gas6 s6tu tuga gass ,er( ,er(e" e"$a $a&g &ga& a& a&g a&g $elu $elu" " ter, ter,e& e&u u'' sesu sesua' a' %e&g %e&ga& a& taa taa, , ,er(e"$a&ga& ,er(e"$a&ga& saat '&' a%ala 7

%aat ini )erkemangan !e!uai dengan )erkemangan anak !e!uai u!ian'a

15. R'aat R'aat (eluarga (eluarga '&t'

Tn. Tn. D dan dan *u *u T !eelu !eelum m meni menika ka$ $ mere mereka ka er) er)aca acara ran. n. %ete %etela$ la$ meni menika ka$ $ *u *u T lang!ung dia(a ke tan&ung )riuk dan tinggal menem)ati ruma$ orang tua Tn D. !etela$ 2 ta$un menika$ menika$ mereka mem)un'ai anak. anak. Pada ta$un 2011 mereka )inda$ )inda$ ke ruma$ ruma$ !endir !endirii di daera$ daera$ &atine &atinegar garaa kaum. kaum. *u T mela$i mela$irka rkan n ke+" anakn'a anakn'a di  &atinegara kaum.

1. R'aat Keluarga se$elu"&a

Kedu Keduaa oran orangt gtua ua Tn. Tn. D !uda !uda$ $ meni mening ngga gall duni duniaa )ada )ada ta$u ta$un n 200, 200, kare karena na !akit !akit.. %edangkan iu dari iu T !uda$ meninggal !aat iu T mengin&ak u!ia de(a!a. -a)ak iu T !aat ini tinggal di daera$ !alatiga 6&a(a tenga$7.

/. LING LINGKU KUNG NGAN AN

1. Kara Kara(t (ter er's 'st' t'( ( Peru Peru"a "aa a& &

Ruma$ 'ang !aat ini ditem)ati keluarga Tn. D adala$ milik !endiri entuk angunan ruma$ )ermanen lua! angunan #10 m2. Ata) ruma$ eru)a genting. 3entila!i udara ada dan 10  lua! tana$ dan )enca$a'aan cuku). ntuk )enerangan !e$ari+$ari keluarga Tn. D menggunakan li!trik. antai menggunakan keramik keadaan ruma$ !endiri cuku) er!i$ . Di de)an ruma$ keluarga Tn. D tidak memiliki $alaman $an'a ada !edikit tera!. Tidak tam)ak tanaman $ia! 'ang ditanam di ruma$. Keadaan ruma$ !ecar !ecaraa umum umum

cuku cuku) ) er!i$ er!i$ dan terl terli$ i$at at aran arang+ g+ara arang ng

tida tidak k dileta diletaka kan n )ada )ada

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2. De&a ru ru"a

# meter  K5

Da)ur

kamar ko!ong

Ruang Keluarga

Ruang Tidur

10 meter  Ruang Tamu

Tera! ruma$

3. Pe&g Pe&gel el!l !laa aa& & a", a",a a

Keluarga memiliki tem)at )emuangan !am)a$ 'ang er!i;at teruka !etia) 2 kali dalam !eminggu !am)a$ diangkut ole$ )etuga! keer!i$an.

4.

u"$er A'r

%umer air 'ang digunakan keluarga adala$ PA5 dan minum dengan menggunakan air i!i ulang.

5. Ja"$ Ja"$a& a& Ke Kelu luar arga ga

Keluarga Tn. D menggunakan W< !endiri dan &eni! &aman n'a cem)lung 6W<  &ongkok7. Dan &arak antara !umer air dengan tem)at )enam)ungan )enam)ungan tin&a 10 m.

. Pe"$ Pe"$ua ua&g &ga& a& a'r a'r l'" l'"$a $a 

Keluar Keluarga ga mem)un mem)un'ai 'ai !alura !aluran n )emua )emuanga ngan n air lima$ lima$ er!i;a er!i;att cuku) cuku) lancar lancar dan lang!ung mengalir ke kali.

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Keluar Keluarga ga Tn. Tn. D menggu menggunak nakan an ;a!ilit ;a!ilita! a! ke!e$at ke!e$atan an 'ang 'ang terda)a terda)att di lingku lingkunga ngan n ruma$n'a eru)a )u!kema! &ika anggota keluarga !edang !akit.

+. Kara(t Kara(ter' er'st' st'( ( teta&gg teta&gga a %a& (!"u&' (!"u&'tas tas

ingku ingkunga ngan n tem)at tem)at tingga tinggall keluar keluarga ga Tn.D Tn.D adala$ adala$ )inggi )inggiran ran kota kota Jakarta Jakarta 'ang 'ang meru meru)a )aka kan n daer daera$ a$ )emu )emuki kima man n

'ang 'ang )ada )adatt )end )endud uduk ukn' n'a. a. %ea %eagi gian an e!a e!arr

 )endudukn'a meru)akan kaum )endatang )enduduk a!li 'ang meru)akan !uku -eta(i !uda$ mulai !edikit ¨a$n'a. Keadaan &alan di lingkungan tem)at tinggal kurang aik dan !u!a$ diak!e! $an'a motor 'ang da)et mele(ati &alan ter!eut. %ecara %ecara umum umum lingku lingkunga ngan n di !ekitar !ekitar ruma$ ruma$ &uga &uga cuku) cuku) er!i$ er!i$.. Di !ekita !ekitarr ruma$ ruma$ terda)at kali dan ak!e! rel kereta a)i dan &alan ra'a. Ke!e&angan ekonomi terli$at dari kodi!i ruma$ !erta ke)emilikan kendaraan. Pela'anan ke!e$atan !e)erti Pu!ke!ma! muda$ muda$ diak!e diak!e!. !. Pa!ar Pa!ar dan &uga &uga !ekola !ekola$ $ TK PAD PAD %D=5* %D=5*%5P %5P %5A a$kan a$kan muda$ untuk diak!e! dan keadaann'a cuku) aik. 5u!$olla dan ma!&id &uga !angat dekat karena erada di lingkungan RW.

-. M!$'l M!$'l'ta 'tass Ge!g Ge!gra8 ra8's 's Kelu Keluar arga ga

Keluarga !uda$ > ta$un tinggal di lingkungan RW 08 &atinegara kaum !eelumn'a keluarga tinggal di tan&ung )riuk &akarta utara.

10. Per(u",ula& (eluarga (eluarga %a& '&tera(s' '&tera(s' %e&ga& "asara(at "asara(at

:

Tn. D dan *u T mengikuti kegiatan ari!an di lingkungan RW 08 'ang dilak!anakan 1  ulan !ekali.

11. 'ste" Pe&%u(u&g Pe&%u(u&g atau Jar'&ga& Jar'&ga& !s'al Keluarga7 Keluarga7

?uungan keluarga dengan ma!'arakat cuku) aik. Keluarga &uga memiliki a!uran!i ke!e$atan dan taungan 'ang dida)at dari ;a!ilita! )eker&aan Tn. D !e$ingga kalau ada anggota keluarga 'ang !akit keluarga Tn. D tidak terlalu menda)atkan ma!ala$.

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Tn. D !ering erkomunika!i dengan anak+anakn'a. Dan *u T 'ang lei$ !ering  erkomunika!i dengan anak+anakn'a dan mengatur !emua uru!an 'ang ada di ruma$. *u T mengatakan !ering an'ak kontak dengan anak.

2. tru tru(t (tur ur Ke( Ke(ua uata ta& &

5enurut *u T dirin'a dirin'a lei$ dekat dengan anak+anakn'a anak+anakn'a karena memiliki (aktu lei$  an'ak untuk dekat dengan anak+anak. *u T mengatur !emua keutu$an keluarga dan mengelola keuangan.

3.

tru tru(t (tur ur Pera Pera& &

-)k. D er)eran !eagai ke)ala keluarga )encari na;ka$ utama. *u T er)eran !eaga !eagaii )engat )engatur ur keutu keutu$an $an keluar keluarga ga mendid mendidik ik mera(at mera(at dan melind melindung ungii anak. anak. An.K er)eran !eagai anak )ertama 'ang !ering menga&ak ermain adik+adikn'a. An. A dan An

4. N'la N'la'' %a& %a& N!r" N!r"a a /u% /u%a aa a

 Nilai+nilai 'ang dianut ole$ keluarga adala$ nilai+nilai agama *!lam dan uda'a dari daera$ andung dan !alatiga.

D. FUNG FUNGI I KEL KELUA UARG RGA A 1. Fu& u&g gs' A8 A8e(t' e(t'8  8 

Keluarga Tn. D dan *u T !aling erkomunika!i dengan aik !aling men'a'angi dan meng$arga meng$arga !atu !ama laini. Tn. D dan iu T !elalu memerikan memerikan )er$atian )er$atian dan ka!i$ !a'ang ke)ada anak+anakn'. Walau)un Tn. D !iuk eker&a namun Tn. D ma!i$ meluangkan (aktu untuk ermain dan ercanda er!ama. %edangkan *u T tam)ak ke!ulitan untuk mera(at Ke+" anakn'a 'ang &arak u!ian'a terlalu dekat !e$ingga  )enam)ilan anakn'a kurang terli$at ra)i dan er!i$.

2. Fu&g Fu&gs' s' !s' !s'al al's 'sas as''

*u T mengatakan a$(a !o!iali!a!i antara dirin'a dan dan lingkungan lingkungan dira!akan !angat kurang menurutn'a dirin'a tidak memiliki cuku) (aktu untuk ngorol+ngorol atau

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3. Fu&gs' Fu&gs' Peraa Peraata& ta& Kesea Keseata ta& &

Keluar Keluarga ga me'akini me'akini a$(a a$(a

ke!e$a ke!e$atan tan adala$ adala$ $al 'ang 'ang ter)en ter)entin ting. g. *u T !elalu !elalu

mema(a keluargan'a ke )u!ke!ma! &ika memamng ada 'ang mengelu$ !akit. *u T !elalu !elalu memel memelii makana makanan n di (arung dan meme memeli li na!i tim !ia) !a&i untuk untuk ua$ ua$ $atin'a. *u T tidak !em)at mema!ak karena terlalu re)ot dengan anak+anakn'a. %eluru %eluru$ $ anggot anggotaa keluar keluarga ga Tn.D Tn.D !elalu !elalu meman; meman;aatk aatkan an (aktu (aktu !iang !iang $ari $ari !etela$ !etela$  erakti;ita! untuk i!tira$at i! tira$at 6tidur !iang7 malam $ari ia!an'a &am 19.00 W*- ruma$ !uda$ dikunci dan !emua anggota keluarga tidur. Tn. D dan iu T ia!a angun )agi  &am > karena &am 0>.#> W*- Tn. D $aru! )ergi mengantor. Keluarga Keluarga Tn.D ta$u a$(a ola$raga ola$raga !angat )enting )enting untuk untuk ke!e$atan ke!e$atan teta)i keluarga keluarga tidak melakukan melakukan ola$raga ola$raga !ecara rutin. Rekrea!i 'ang !ering dilakukan dilakukan adala$ &alan+  &alan ke mal dan )a!ar malam dekat ruma$.

E. KO KOPI PING NG KE KELU LUAR ARGA GA 1.

tres!r6 tre s!r6stre stres!r s!r :$a'( :$a'( )a&g(a )a&g(a ,e&%e( ,e&%e( "au6,u& "au6,u& )a&g(a )a&g(a ,a&)a&g ,a&)a&g;;

  *u T mengatakan !aat ini ia !edang !edi$ karena !ikemar !edang diare teta)i !ekarang !uma$ mulai mendingan. 2. Ke"a",ua Ke"a",ua& & Keluarga Keluarga /ere /eres,!& s,!& tera tera%a, %a, 'tuas' 'tuas' tres tress!r s!r

5a!ala$+ma!ala$ 'ang ada dalam keluarga akan di!ele!aikan !ecara mu!'a(ara$ ke)utu!an ke)utu!an !elalu diamil !ecara er!amaan. er!amaan. *u T mengatakan ia !elalu er!'ukur er!'ukur  )ada Alla$ %WT karena tela$ menda)atkan nikmat 'ang an'ak dari N'a !e$ingga denga engan n

kek kekuata uatan n

itu itu

diri dirin n'a

dan dan

!uam !uamin in' 'a

men'ele!aikan ma!ala$ 'ang mereka $ada)i. 3. tr trate ateg' g' (!,'& (!,'&g g a&g a&g %'gu %'gu&a( &a(a& a&

mem memilik ilikii

kemam emam)u )uan an

untu ntuk

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K!",!&e& Ke,ala

Mata

/,. D Ramut dan

I$u T Ramut dan

A&a( K Ramut dan

A&a( A Ramut dan

A&a( A& Ramut dan

kulit ke)ala

kulit ke)ala

kulit ke)ala

kulit ke)ala

kulit ke)ala

 er!i$ (arna

 er!i$ (arna

 er!i$ (arna

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Tel'&ga

Daun Daun

teli teling ngaa Dau Daun

!im !imetri etri!!

teli telin nga Dau Daun

muko!a

muko!a

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$idung

lema telin telinga ga Daun Daun teli teling ngaa

teli telin nga Daun Daun

kiri iri !imetri!

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ada ada ada

!eru !erume men. n. ada ada

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mendengar Mulut

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!imetri!

ada carie!

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Da%a

radang %imetri!

radang %imetri!

radang %imetri!

tanda radang %imetri!

%imetri!

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RR:

men menit it

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er RR: #1 = meni menit t

un' un'ii

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n'eri

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as

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rada radan ng tan tanda

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uu

"B.8 o <

", o<

"B.B o <

"B.8 o <

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tu$u // T/ TD

,> Kg 1B9 cm 120=80 mm mm?g

>" Kg 1B0 cm 110=,0 mm mm?g

12 kg ,# cm

,, kg B9 cm

,> kg ,0 cm

#. #ara,a& Keluarga tera%a, Asua& Ke,eraata& Keluarga

Keluar Keluarga ga er$ar er$ara) a) )era(a )era(att da)at da)at meman memantu tu )en'el )en'ele!ai e!aian an ma!ala ma!ala$ $ ke!e$a ke!e$atan tan 'ang 'ang ada didala didalam m keluar keluargan gan'a 'a dan meman memantu tu memer memerika ikan n &alan &alan keluar keluar untuk untuk ma!ala$ ma!ala$ anakn' anakn'aa terutama terutama An.An dan An.An !u)a'a !emu$ dari diare dan memerikan memerikan ti)! agaimana agaimana cara mencega$n'a agar tidak terulang kemali.

ANALIA DATA

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Data %u'ekti;:

/angguan )ola elimina!i : -A-

*u T men'atakan a$(a:

tidak teratur )ada keluarga -)k. D

-

An. Ad 6,ulan7 !e&ak " $ari 'ang lalu

k$u!u!n'a An. An er$uungan

!ering !ering -A-A- dengan dengan kon!i!t kon!i!ten! en!ii cair cair dengan ketidakmam)uan keluarga ;rek ;rekue uen! n!ii > !e$a !e$ari ri dan dan er( er(ar arna na mera(at anggota keluarga 'ang coklat

-

An. An makan uur tim 'ang dieli diluar 

-

An. An minum !u!u ;ormula #=otol !e$ari

-

An.A An.An n tida tidak k mau mau men' men'u! u!u u deng dengan an A%* !e&ak umur # ulan

-

Pola makan An. An : Pagi $ari : uur tim dan !u!u. %iang $ari : uur tim dan !u!u

-

Tidak tega meli$at An.An -A- teru! meneru! dan keadaann'a lema!.

Data C&ekti; :

mengalami diare

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Data C&ekti; :

-

Jarak antar ruma$ erdekatan ti)e ruma$ )ermanen

-

%elokan di de)an ruma$ tam)ak ter!umat

-

Jalan di de)an ruma$ kotor 

-

An. An tam)ak kurang tera(at

Data %u'ekti; :

Kurang )engeta$uan )ada keluarga

*u T mengatakan a$(a :

-)k. D. terutama iu T er$uungan

-

-

Anakn'a !ering ter!erang diare

dengan ketidakmam)uan keluarga

kemudian !emu$ !etela$ dioati

mera(at anggota keluarga 'ang

dengan oat (arung

mengalami diare

%uda$ mema(a anakn'a ke)u!ke!ma! ta)i elum ada  )erua$an

-

Tidak mengerti tentang )era(atan

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REN9ANA KEPERAATAN

N!

1

D'ag&!sa

Tu)ua&

Tu)ua&

Ke,eraata&

U"u"

Kusus

Kr'ter'a

Keluarga /angguan )ola %etela$

%ete %etela la$ $

elimina!i : -A- dilakukan

 )ertemuan !elama 1

tida tidak k

kali

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terat eratur ur a!u$an keluarga ke)era ke)era(at (atan an

dila dilaku kuka kan n

#>

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An di$ara)kan

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cara

 er$uungan

diare

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irit irita! a!ii

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ketidakmam)ua

-A-A-

n

keluarga normal

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)en'e )en'ea a 

diar diaree

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-eri

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ata!

kemam)uan keluarga

c. 5en'e 5en'eutk utkan an

Re!)on

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Di!k Di!ku! u!ik ikan an

tand tandaa

dan dan

tanda dan ge&ala 4eral

tanda= ge&ala diare )ada alita :

ge&ala diare )ada alita

diare

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ti;ika ti;ika!i !i tanda tanda dan ge&ala ge&ala

ence encer= r=ca cair ir

erc ercam am)ur )ur

diar diaree

lendir=dara$.

dan munta$. tuu$

meningkat.

ada ada

dala dalam m

keluarga

". Anak Anak cengen cengeng g geli!a geli!a$ $ mual mual ".

#. %u$u

'ang 'ang

Dorong Dorong kelu keluarg argaa untuk untuk men' men'e eut utka kan n

ia!an'a

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tanda dan ge&ala diare )ada  alita

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,. Kelo)a Kelo)ak k mata mata cekung. cekung. 8. -ada -adan n lema lema$. $. 9. Kenc Kencin ing g !edi !ediki kit. t. 10. Kulit teraa teraa dingin dingin 2. Kelu Keluar arga ga mam) mam)u u mengamil ke)utu ke)utu!an !an

untuk untuk

mera(at mera(at anggota anggota kelu keluar arga ga

'ang 'ang

menderita diare

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 )en&ela!an 'ang dierikan #.

-eri

)u&ian

ata!

kemam)uan keluarga

 . 5engamil

Re!)on

Kelua eluarrga

da)a da)att

meng mengaamil mil 1. /ali /ali

)enda )enda)a )att

kelu keluar arga ga

ke)utu!an 'ang 4eral 4eral dan ke)utu!an 'ang te)at untuk !egera

tentang diare 'ang dialami

te)at

ole$ An. An

un tu tuk a;ekti; 

!egera mera(at diare  alita

)ada

mera(a mera(att anggot anggotaa keluar keluarga ga 'ang 'ang menderita diare

2. -iming

dan

antu

keluarga untuk mengamil ke)utu!an 'ang te)at ". -eri ke!em)a ke!em)atan tan keluarga keluarga

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IMPLEMENTAI DAN 9ATATAN PERKEM/ANGAN

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N!

D'ag&!sa

D=

Ke,eraata&

1

I",le"e&tas'

Ealuas'

/angguan )ola

Ta&ggal 7 25 N!e"$er 2013

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TUK 17

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