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<table class="MsoTableGrid" border="1" cellspacing="0" cellpadding="0" width="661" style="width: 495.9pt; border: none;">
 <tbody><tr>
 <td width="312" colspan="2" valign="top" style="width:233.75pt;border:solid windowtext 1.0pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 RENCANA TATALAKSANA<o:p></o:p>
 </td>
 <td width="350" valign="top" style="width:262.15pt;border:solid windowtext 1.0pt;
 border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:
 solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 INSTRUKSI (DENGAN TARGET YANG DIUKUR)<o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width="312" colspan="2" style="width:233.75pt;border:solid windowtext 1.0pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 1. Edukasi<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Ya* (Isi edukasi terlampir)<o:p></o:p>
 Tidak*<o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width="312" colspan="2" style="width:233.75pt;border:solid windowtext 1.0pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 2. Pemeriksaan Penunjang (Diagnostik) Lanjutan<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 <o:p> </o:p>
 </td>
 </tr>
 <tr>
 <td width="312" colspan="2" style="width:233.75pt;border:solid windowtext 1.0pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 3. Diet<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 <o:p> </o:p>
 </td>
 </tr>
 <tr>
 <td width="312" colspan="2" style="width:233.75pt;border:solid windowtext 1.0pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 4. Nyeri (Khusus Nyeri Sedang – Berat)<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 <o:p> </o:p>
 </td>
 </tr>
 <tr>
 <td width="112" rowspan="2" style="width:84.0pt;border:solid windowtext 1.0pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 5. Terapi <o:p></o:p>
 </td>
 <td width="200" style="width:149.75pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Non farmakologis<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 <o:p> </o:p>
 </td>
 </tr>
 <tr>
 <td width="200" style="width:149.75pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Farmakologis<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 <o:p> </o:p>
 </td>
 </tr>
 <tr>
 <td width="312" colspan="2" style="width:233.75pt;border:solid windowtext 1.0pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 6. Tindakan<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 <o:p> </o:p>
 </td>
 </tr>
 <tr>
 <td width="312" colspan="2" style="width:233.75pt;border:solid windowtext 1.0pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 7. Konsul<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 <o:p> </o:p>
 </td>
 </tr>
 <tr>
 <td width="312" colspan="2" style="width:233.75pt;border:solid windowtext 1.0pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 8. Rencana Pemulangan<o:p></o:p>
 </td>
 <td width="350" style="width:262.15pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Lama Rawatan         :                          hari<o:p></o:p>
 Alat Bantu Pulang* : Perlu ....................<o:p></o:p>
                                    
   Tidak Perlu<o:p></o:p>
 </td>
 </tr>
</tbody></table>

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